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- W4249929662 abstract "Heat injuries present on a spectrum from mild (eg, miliaria rubra) to severe and life-threatening (heat stroke). The two main classifications of heat injury are exertional, which affects mainly young to middle-age individuals undergoing physical activity in hot environments, and classic, which typically affects young children and the elderly and results from an inability to dissipate heat. This review details the assessment and stabilization, diagnosis, treatments, disposition, and outcomes for patients with heat injury. Figures show the four mechanisms of passive heat transfer, physiologic responses to heat, the spectrum of heat injuries, risk factors for exertional versus classic heat stroke, a clinical algorithm to provide guidance in the diagnosis and management of heat stroke, the general pattern of organ dysfunction, and two evidence-based methods of rapid cooling for patients with heat stroke. Tables list factors affecting the efficiency of the mechanisms of passive heat transfer; minor to moderate heat injuries; exertional versus classic heat stroke; predisposing medical conditions, medications, and drugs for heat stroke; systemic inflammatory response criteria; key historical questions and physical examination items for heat stroke and differential diagnosis; signs, symptoms, and spectrum of pathology in heat stroke; comparison of pathology in exertional versus classic heat stroke; differential diagnosis for heat stroke; comparison of methods of cooling heat stroke patients; mortality data for heat stroke; and biologic variable prognostic indicators of mortality. This review contains 7 highly rendered figures, 14 tables, and 193 references." @default.
- W4249929662 created "2022-05-12" @default.
- W4249929662 creator A5053755993 @default.
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- W4249929662 date "2015-09-01" @default.
- W4249929662 modified "2023-09-27" @default.
- W4249929662 title "Heat Injury" @default.
- W4249929662 doi "https://doi.org/10.2310/em.4358" @default.
- W4249929662 hasPublicationYear "2015" @default.
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