Heat stroke — RACP Paediatrics MCQ

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ModerateEmergencyHeat strokeRACP Paediatrics

A 5-year-old collapses during outdoor sports on a 42°C day. Core temp 41.5°C, confused, hot dry skin, tachycardia. What is the diagnosis and cooling method?

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Correct answer: D — Heat stroke

Exertional heat stroke: core >40°C + CNS dysfunction. Most effective cooling: cold water immersion. Target <39°C within 30 minutes. Monitor for rhabdo/DIC.

Reference: RCH Melbourne – 2023 – Environmental Emergencies CPG