A 25-year-old runner collapses during a marathon on a hot day. He is confused, with a temperature of 40.5°C, tachycardic, and hypotensive. Which is th...

Question

A 25-year-old runner collapses during a marathon on a hot day. He is confused, with a temperature of 40.5°C, tachycardic, and hypotensive. Which is the priority in managing suspected heat stroke?

Accepted Answer

C. Rapid active cooling (e.g., ice-water immersion) and supportive care

Answer

A. Immediate IV fluids only

Answer

B. Passive external cooling measures only

Answer

D. Antipyretic medications (e.g., paracetamol)

Answer

E. Oral rehydration solution and observation

Emergency medicine & Acute presentations — MRCEM SBA MCQ

A 25-year-old runner collapses during a marathon on a hot day. He is confused, with a temperature of 40.5°C, tachycardic, and hypotensive. Which is the priority in managing suspected heat stroke?