Heat Emergencies

Section 5 -MEDICAL

5.07 ENVIRONMENTAL 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.

• If systolic BP less than 90 mm Hg, Fluid boluses of cooled normal saline if available, in increments of 200 - 300 ml, to titrate systolic BP greater than 90 mm Hg.
• 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.