Heat exhaustion - Revision history

Rossdonaldson1: /* Clinical FeaturesWaters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339 */

2022-05-29T12:28:17Z

Clinical FeaturesWaters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339

← Older revision		Revision as of 12:28, 29 May 2022
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	==Clinical Features<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==		==Clinical Features<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==
	[[File:PMC3040629 ehp-119-a81f1.png\|thumb\|Man with signs of heat exhaustion, including copious sweating.]]		[[File:PMC3040629 ehp-119-a81f1 2.png\|thumb\|Man with signs of heat exhaustion, including copious sweating.]]
	Known heat exposure with temperature 37-40C with:		Known heat exposure with temperature 37-40C with:
	*[[Tachycardia]]		*[[Tachycardia]]

Rossdonaldson1: /* Clinical FeaturesWaters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339 */

2022-05-29T12:26:05Z

Clinical FeaturesWaters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339

← Older revision		Revision as of 12:26, 29 May 2022
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	==Clinical Features<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==		==Clinical Features<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==
			[[File:PMC3040629 ehp-119-a81f1.png\|thumb\|Man with signs of heat exhaustion, including copious sweating.]]
	Known heat exposure with temperature 37-40C with:		Known heat exposure with temperature 37-40C with:
	*[[Tachycardia]]		*[[Tachycardia]]

Beren85: /* DispositionWaters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339 */

2022-05-05T16:49:53Z

DispositionWaters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339

← Older revision		Revision as of 16:49, 5 May 2022
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	*Majority of patients can be discharged		*Majority of patients can be discharged
	*Consider admission in patients with CHF or severe electrolyte disturbances		*Consider admission in patients with CHF or severe electrolyte disturbances
			*If not treated properly, may evolve to [[Heat Stroke]]

	==Complications==		==Complications==

Idreamtichased: /* Background */

2022-04-28T18:05:07Z

Background

← Older revision		Revision as of 18:05, 28 April 2022
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	Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.		Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.
	*Can result from exposure to [[heat wave]]		*Can result from exposure to [[heat wave]]
	*Predicted to increase due to increasing climate temperatures.		*Predicted to increase due to increasing climate temperatures

	===Etiology<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>===		===Etiology<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>===
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	===Diagnosis===		===Diagnosis===
	*Typically a clinical diagnosis.		*Typically a clinical diagnosis

	==Treatment<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==		==Treatment<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==

ClaireLewis at 19:00, 28 September 2019

2019-09-28T19:00:14Z

← Older revision		Revision as of 19:00, 28 September 2019
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	==Background==		==Background==
	Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.		Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.
	*Can result from exposure to [~~Heat Wave~~]		*Can result from exposure to [[heat wave]]
	*Predicted to increase due to increasing climate temperatures.		*Predicted to increase due to increasing climate temperatures.

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	==Clinical Features<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==		==Clinical Features<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==
	Known heat exposure with temperature 37-40C with:		Known heat exposure with temperature 37-40C with:
	*Tachycardia		*[[Tachycardia]]
	*Sweating (especially when associated with exercise)		*Sweating (especially when associated with exercise)
	*[[Nausea]] or [[vomiting]]		*[[Nausea]] or [[vomiting]]
	*[[Headache]]		*[[Headache]]
	*Fatigue, weakness		*[[Fatigue]], [[weakness]]
	*Dizziness		*[[Dizziness]]
	*Orthostatic hypotension with normal mental status		*Orthostatic [[hypotension]] with ''normal'' mental status
	*Mentation is normal (in contrast to [[~~Heatstroke~~]])		*Mentation is normal (in contrast to [[heatstroke]])

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Treatment<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==		==Treatment<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==
	#Removal from heat-stressed environment		#Removal from heat-stressed environment
	#Volume and electrolyte ~~replacement~~		#[[volume repletion\|Volume]] and [[electrolyte repletion]]
	#*Oral versus IV depending on severity		#*Oral versus IV depending on severity
	#Aggressive cooling to 39C if patient does not respond to 30min of fluid replacement		#Aggressive cooling to 39C if patient does not respond to 30min of fluid replacement
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	==Disposition<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==		==Disposition<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==
	*Majority of patients can be discharged		*Majority of patients can be discharged
	*Consider ~~admision~~ in patients with CHF or severe electrolyte disturbances		*Consider admission in patients with CHF or severe electrolyte disturbances

	==Complications==		==Complications==

Teledoc4u: /* Background */

2019-06-30T07:08:41Z

Background

← Older revision		Revision as of 07:08, 30 June 2019
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	==Background==		==Background==
	Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.		Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.
	*~~Occurs during [~~[Heat Wave]]		*Can result from exposure to [Heat Wave]
	*Predicted to increase due to increasing climate temperatures.		*Predicted to increase due to increasing climate temperatures.

Teledoc4u: /* Background */

2019-06-30T07:06:10Z

Background

← Older revision		Revision as of 07:06, 30 June 2019
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	==Background==		==Background==
	Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.		Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.
	*Occurs during [[Heat ~~Waves~~]]		*Occurs during [[Heat Wave]]
	*Predicted to increase due to increasing climate temperatures.		*Predicted to increase due to increasing climate temperatures.

Teledoc4u: /* Background */

2019-06-30T07:05:45Z

Background

← Older revision		Revision as of 07:05, 30 June 2019
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	==Background==		==Background==
			Results from exposure to excessive heat or exposure to extreme temperature for prolonged period of time.
			*Occurs during [[Heat Waves]]
	*Predicted to increase due to increasing climate temperatures.		*Predicted to increase due to increasing climate temperatures.

Rossdonaldson1: /* Evaluation */

2019-05-17T02:17:07Z

Evaluation

← Older revision		Revision as of 02:17, 17 May 2019
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	==Evaluation==		==Evaluation==
	~~Labs~~		===Workup===
	*Evidence of hemoconcentration		*Evidence of hemoconcentration
	*May be [[hyponatremic]], isotonic or [[hypernatremic]]		*May be [[hyponatremic]], isotonic or [[hypernatremic]]
	**Depending on ratio of fluid and electrolyte loss to intake		**Depending on ratio of fluid and electrolyte loss to intake

			===Diagnosis===
			*Typically a clinical diagnosis.

	==Treatment<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==		==Treatment<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>==

Rossdonaldson1: /* Background */

2019-05-17T02:16:29Z

Background

← Older revision		Revision as of 02:16, 17 May 2019
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	==Background==		==Background==
	~~Our environment is slowly getting warmer and the core temperature of the world is increasing. The urbanization and the deforestation causes increased exposure~~ to ~~the sun and hot temperatures. Working and living conditions contribute to the exposure and causes increased number of patients~~ to ~~show signs and symptoms of heat exposure. Heat waves are~~ increasing ~~in the urban areas and have shown significant rise in the number of people dying due to heat exposure~~.		*Predicted to increase due to increasing climate temperatures.

	===Etiology<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>===		===Etiology<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339</ref>===
	*Occurs via water depletion or sodium depletion or combination		*Occurs via water depletion or sodium depletion or combination