A 30-year-old hiker is brought from the outback on a hot day with confusion, ataxia and a temperature of 40.5 °C after prolonged exertion. Skin is hot...

Question

A 30-year-old hiker is brought from the outback on a hot day with confusion, ataxia and a temperature of 40.5 °C after prolonged exertion. Skin is hot and dry. What is the most appropriate immediate management?

Accepted Answer

Rapid active cooling with evaporative and ice pack techniques plus intravenous fluids

Answer

Give antipyretics only and observe

Answer

Restrict fluids to avoid cerebral oedema

Answer

Delay cooling until CT brain excludes intracranial pathology

Answer

Administer broad-spectrum antibiotics empirically

au-acem MCQ (SBA): Exertional heat stroke

A 30-year-old hiker is brought from the outback on a hot day with confusion, ataxia and a temperature of 40.5 °C after prolonged exertion. Skin is hot and dry. What is the most appropriate immediate management?