Heat Related Illness

Question 1

Heat exhaustion

Answer 1

Can be water depleted or sodium depleted types.
Milder form of illness leading to heat stroke

Question 2

Heat stroke

Answer 2

Core temperature more than 40 with altered mental status.

Question 3

Heat cramps

Answer 3

Acute and involuntary muscle pains usually in the lower extremities, abdomen or both that occur because of profuse sweating and subsequent sodium loss in sweat.

Question 4

Heat syncope

Answer 4

Orthostatic syncopal or near syncopal episode that typically occurs in nonacclimated people under heat stress.

Question 5

Rule of 9s

Question 6

Which medications predispose pts to hyperthermia?

Answer 6

Diuretics and beta blockers

Question 7

Parkland formula

Answer 7

In the first 24 hrs
4mL x weight in kg x % of body burned
(Half of that amount given in 1st 8 hours)

Question 8

What are critical burns?

Answer 8

• partial thickness are greater than 30%
• full thickness greater than 10%
• inhalation injury
• partial or full thickness involving hands, feet, joints, face or genitalia

Question 9

Radiation

Answer 9

Transfer of heat from electromagnetic waves

Question 10

Conduction

Answer 10

Direct physical contact

Question 11

Convection

Answer 11

Loss of heat that takes place when moving air picks up heat and carries it away

Question 12

Evaporation

Answer 12

Conversion of a liquid to a gas

Question 13

Heat stroke mimics (4)

Answer 13

Anticholinergic poisonings
Neuroleptic malignant syndrome (caused my antipsychotics and antiemetics)
Abruptly stopping Parkinson’s meds
Malignant hyperthermia (Anesthesia induced)