A 21-year-old woman arrives as ESI 2 with hyperthermia after an outdoor race. Temperature is 41.2 C, HR 150, BP 104/62, and she is confused with hot

Question

A 21-year-old woman arrives as ESI 2 with hyperthermia after an outdoor race. Temperature is 41.2 C, HR 150, BP 104/62, and she is confused with hot skin. Sodium is 148 mEq/L and CK is 2200 U/L. Which of the following is the most important immediate intervention?

Accepted Answer

Begin rapid evaporative or ice-water cooling

Answer

Obtain CT head before treatment

Answer

Give acetaminophen

Answer

Start broad-spectrum antibiotics

Answer

Place cooling blankets after admission

Exertional heat stroke — ABEM Board MCQ

A 21-year-old woman arrives as ESI 2 with hyperthermia after an outdoor race. Temperature is 41.2 C, HR 150, BP 104/62, and she is confused with hot skin. Sodium is 148 mEq/L and CK is 2200 U/L. Which of the following is the most important immediate intervention?