A 22-year-old runner collapses near the finish of a humid summer race. Rectal temperature is 41.2°C, HR is 158, BP is 92/50, and he is confused with

Question

A 22-year-old runner collapses near the finish of a humid summer race. Rectal temperature is 41.2°C, HR is 158, BP is 92/50, and he is confused with hot skin. Sodium is 145 mmol/L and glucose is 5.4 mmol/L. What is the most appropriate next step?

Accepted Answer

Start immediate evaporative or cold-water cooling while resuscitating

Answer

Give dantrolene as first-line therapy

Answer

Restrict fluids and observe in a quiet room

Answer

Transfer to CT before cooling

Answer

Give acetaminophen and wait for temperature response

Exertional heat stroke — RCPSC EM MCQ

A 22-year-old runner collapses near the finish of a humid summer race. Rectal temperature is 41.2°C, HR is 158, BP is 92/50, and he is confused with hot skin. Sodium is 145 mmol/L and glucose is 5.4 mmol/L. What is the most appropriate next step?