A 21-year-old runner collapses as triage level 1 during a humid race. Rectal temperature is 41.2°C, he is confused, skin is hot, and sodium is 140

Question

A 21-year-old runner collapses as triage level 1 during a humid race. Rectal temperature is 41.2°C, he is confused, skin is hot, and sodium is 140 mEq/L. Which of the following is the most appropriate next step in management?

Accepted Answer

Immediate whole-body ice-water immersion or evaporative cooling before transfer

Answer

Acetaminophen and observation

Answer

Warm IV fluids and passive rewarming

Answer

Oral hydration in the waiting room

Answer

CT head before cooling

Exertional heat stroke — ABEM Board MCQ

A 21-year-old runner collapses as triage level 1 during a humid race. Rectal temperature is 41.2°C, he is confused, skin is hot, and sodium is 140 mEq/L. Which of the following is the most appropriate next step in management?