A marathon runner collapses on a humid day. Rectal temperature is 41.2°C, he is confused, skin is hot, sodium is 140 mmol/L, and point-of-care

Question

A marathon runner collapses on a humid day. Rectal temperature is 41.2°C, he is confused, skin is hot, sodium is 140 mmol/L, and point-of-care glucose is normal. What is the most appropriate next step?

Accepted Answer

Immediate evaporative or cold-water cooling while supporting airway, breathing and circulation

Answer

Slow warming blankets to prevent shivering

Answer

Oral fluids alone in a quiet room

Answer

Acetaminophen and observation until the temperature falls

Answer

Broad-spectrum antibiotics before cooling

Exertional heat stroke — RCPSC EM MCQ

A marathon runner collapses on a humid day. Rectal temperature is 41.2°C, he is confused, skin is hot, sodium is 140 mmol/L, and point-of-care glucose is normal. What is the most appropriate next step?