Heat Emergencies: Difference between revisions
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'''HEAT EXHAUSTION:''' | '''HEAT EXHAUSTION:''' | ||
[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide [[Medical Gases|OXYGEN]] or assist ventilations as appropriate for patient condition. | [[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide [[Medical Gases|OXYGEN]] or assist ventilations as appropriate for patient condition. | ||
* If systolic BP less than 90 mm Hg Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg. | * If systolic BP less than 90 mm Hg Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg. | ||
| Line 17: | Line 18: | ||
'''HEAT STROKE:''' | '''HEAT STROKE:''' | ||
[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide [[Medical Gases|OXYGEN]] or assist ventilations as appropriate for patient condition. | [[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide [[Medical Gases|OXYGEN]] or assist ventilations as appropriate for patient condition. | ||
* Administer cooled normal saline if available. | * Administer cooled normal saline if available. | ||
Revision as of 13:20, 26 August 2015
Section 5 -MEDICAL
5.07 HEAT EMERGENCIES
HEAT CRAMPS: INITIAL MEDICAL CARE (2.01).
- Move patient to a cool environment and evaluate the need for transport.
HEAT EXHAUSTION:
INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition.
- If systolic BP less than 90 mm Hg Fluid boluses in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg.
- Move patient to cool environment.
- Place in supine position with feet elevated.
- Remove as much clothing as possible to facilitate cooling.
- Sponge with cool water or cover with wet sheet and fan body.
HEAT STROKE:
INITIAL MEDICAL CARE (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition.
- Administer cooled normal saline if available.
- Move patient to cool environment.
- Semi-reclining position with head elevated 15 - 30 degrees if systolic BP greater than 90 mm Hg. Evaluate and take precautions for increased intracranial pressure.
- Initiate rapid cooling: Remove as much clothing as possible to facilitate cooling. Cold-packs to lateral chest wall, groin, axillae, carotid arteries, temples and / or behind knees. Sponge with cool water or cover with wet sheet and fan body.