Abstract
Heat stroke (HS) is a fatal disease caused by thermal damage in the body, and it has a very high mortality rate. In 2015, the People’s Liberation Army Professional Committee of Critical Care Medicine published the first expert consensus on HS in China, Expert consensus on standardized diagnosis and treatment for heat stroke. With an increased understanding of HS and new issues that emerged during the HS treatment in China in recent years, the 2015 consensus no longer meet the requirements for HS prevention and treatment. It is necessary to update the consensus to include the latest research evidence and establish a new consensus that has broader coverage, is more practical and is more in line with China’s national conditions. This new expert consensus includes new concept of HS, recommendations for laboratory tests and auxiliary examinations, new understanding of diagnosis and differential diagnosis, On-site emergency treatment and In-hospital treatment, translocation of HS patients and prevention of HS.
Highlights
Heat stroke (HS) is a fatal disease caused by thermal damage in the body, and it has a very high mortality rate
When HS is complicated with disseminated intravascular coagulation (DIC), coagulation impairment can manifest as a progressive decline in platelet count (PLT) and fibrinogen (Fib), elevated or positive D-dimer and significant extension of prothrombin time (PT) and activated partial thromboplastin time (APTT)
Renal function HS patients often have renal damage, which is related to various factors including direct thermal injury, prerenal damage caused by insufficient blood volume, renal hypoperfusion, rhabdomyolysis and DIC
Summary
Heat stroke (HS) is a fatal disease caused by thermal damage in the body, and it has a very high mortality rate. HS HS is an imbalance between heat production by and dissipation from the body caused by exposure to a hot environment and/or intense exercise, characterized by a core temperature of > 40 °C and abnormalities of the central nervous system, including changes in mental status, convulsions or coma and accompanied by lifethreatening multiple organ damage. Heat exhaustion is a clinical syndrome characterized by insufficient blood volume caused by loss of fluids during heat stress These concepts are all specific pathophysiological presentations of thermal damage acting on the body or damage to specific organs or systems during the progression of heat-induced diseases, which can exist alone or coexist, and will not be emphasized in this consensus, because it provides little significance to distinguish these concepts. Insomnia, psychological stress, underlying diseases, physical insufficiency, obesity, presence of acute inflammatory reactions (such as cold and diarrhea) and inadequate heat adaptation prior to training are susceptibility factors for EHS
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
