A marathon runner is confused and combative with rectal temperature 41.2°C, hypotension and hot skin. What is the priority temperature-management

Question

A marathon runner is confused and combative with rectal temperature 41.2°C, hypotension and hot skin. What is the priority temperature-management strategy?

Accepted Answer

Start cold-water immersion with continuous rectal temperature monitoring to prevent overcooling

Answer

Use ice packs to axillae only because whole-body cooling causes inevitable vasoconstriction

Answer

Give acetaminophen and ibuprofen before cooling to reset the hypothalamic set point

Answer

Give dantrolene before cooling because exertional heat stroke is a malignant-hyperthermia variant

Answer

Delay immersion until electrolytes and creatine kinase confirm heat-related organ injury

Right ventricular myocardial infarction — RCPSC EM MCQ

A marathon runner is confused and combative with rectal temperature 41.2°C, hypotension and hot skin. What is the priority temperature-management strategy?