Hyperthermia

Question 1

Initial Considerations/Differential Diagnosis

Answer 1

• Fluid Intake/Fever/Sepsis
• Ambient temperature
• Time of exposure to heat/Thyroidism
• Exertion level
• Medications/drugs
• Attire

Question 2

S/S

Answer 2

• Flushed
• Dry or sweaty
• Muscle cramps
• Nausea/vomiting
• Tachycardia/hypotension/poor perfusion
• Elevated temperature
• Altered mental status

Question 3

How Many Steps

Answer 3

6

Question 4

Step 1

Answer 4

• Move victim to a cool area and shield from sun or external heat

*Remove as much clothing as is practical & loosen any restrictive garments

Question 5

Step 2

Answer 5

If Alert:
Give Small Sips of Water

If Altered:
Check FSBG & Other VS (Temp, BP)

Question 6

Step 3

Answer 6

Obtain IV Access & Administer 20ml/kg of LR

Question 7

Step 4

Answer 7

12 lead EKG

Question 8

If Temp is >104 OR if AMS

Answer 8

Move to Step 5

Question 9

Step 5

Answer 9

Active Cooling

Continually misting exposed skin w/ tepid water while fanning the victim

Cover Pt w/ sheet saturated w/ ice water

Ice Packs to Cheeks, Palms, & Soles

Question 10

Step 6

Answer 10

Transport Pt