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Classic heat stroke — DipIMC MCQ

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ModerateEnvironmental MedicineClassic heat strokeDipIMC

A 23-year-old festival attendee is confused, flushed and dry with a temperature of 40°C after spending the day in a tent during a heatwave. There is no exertional collapse. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Move to a cool environment, start active cooling and arrange urgent assessment

Classic heat stroke requires rapid cooling, removal from heat and urgent medical assessment. Antipyretics do not address heat stroke physiology. Blankets reduce heat loss and worsen hyperthermia. The pearl is that altered mental state distinguishes heat stroke from simple heat exhaustion.

Reference: JRCALC Guidelines 2025; Resuscitation Council UK Special Circumstances Guidelines 2025