Heat stroke — DipIMC MCQ
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Correct answer: C — Start rapid whole-body active cooling while supporting ABCs
The best answer is “Start rapid whole-body active cooling while supporting ABCs”. Central neurological dysfunction with core temperature above 40°C after exertion is heat stroke. RCUK prioritises the fastest available active cooling method, with cold-water immersion particularly effective for exertional heat stroke, while ABC assessment and transport planning continue. Antipyretics do not correct environmental hyperthermia, and delaying cooling increases cellular injury, coagulopathy and organ failure.
Reference: Resuscitation Council UK, 2025 Special circumstances: https://www.resus.org.uk/professional-library/2025-resuscitation-guidelines/special-circumstances-guidelines