Question: Heat Stroke
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A toddler is accidentally left in the car during summer. Luckily, a bystander sees her and calls 911. The car is broken into, and the patient is brought to the PED. She has a temperature of 105.9.
Kelly March 1, 2021 - 1:30 am
D. Give acetaminophen. Neither acetaminophen nor ibuprofen will be helpful for heatstroke related hyperthermia. Each year approximately 38 children die in the U.S. due to vehicular hyperthermia. The temperature in an enclosed car can rise rapidly, reaching an average of 20 degrees over outside air temperature within just 10 minutes. Symptoms of heat stroke include a core body temperature > 104 and neurologic dysfunction, progressing to dehydration, electrolyte abnormalities, coagulopathy, organ damage, and cardiac dysrhythmias. Treatment includes attention to ABCs, IV access and fluid bolus, checking electrolytes and glucose and correcting any abnormalities, and aggressive active cooling measures as described above (except for choice D). The goal is to reach a core temperature of 100 F as quickly as possible.