A 34-year-old runner collapses during a 42 C fun run in Western Sydney and arrives at ED, triage category 1. Core temperature is 41.3 C, GCS 9, HR

Question

A 34-year-old runner collapses during a 42 C fun run in Western Sydney and arrives at ED, triage category 1. Core temperature is 41.3 C, GCS 9, HR 156 and skin is hot. Sodium is 150 mmol/L and glucose is normal. What is the most important immediate action?

Accepted Answer

Immediate evaporative or ice-water cooling

Answer

Fluid restriction until CK returns

Answer

Discharge once sweating begins

Answer

Paracetamol as main therapy

Answer

Wait for CT brain before cooling

Heat stroke — ACEM Fellowship MCQ

A 34-year-old runner collapses during a 42 C fun run in Western Sydney and arrives at ED, triage category 1. Core temperature is 41.3 C, GCS 9, HR 156 and skin is hot. Sodium is 150 mmol/L and glucose is normal. What is the most important immediate action?