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January 1986

Nonexertional Heatstroke: Physiologic Management and Cooling in 14 Patients

Author Affiliations

From the Department of Medicine, Metropolitan Nashville (Tenn) General Hospital and Vanderbilt University School of Medicine, Nashville, Tenn. Dr Graham is an American College of Physicians' teaching and research scholar; Dr Lichtenstein is a Milbank Memorial Fund scholar.

Arch Intern Med. 1986;146(1):87-90. doi:10.1001/archinte.1986.00360130109015

Fourteen patients with nonexertional heatstroke were evaluated in a general hospital during the summer of 1980. They were managed according to a prospectively devised protocol designed to effect heat dissipation primarily via convection and evaporation rather than by conduction. The time from entry into the emergency room to the first recorded rectal temperature of less than 103 °F (39.4 °C) ranged from 34 to 89 minutes (median, 60 minutes). Only one patient died; none had residual neurologic deficits. The use of these methods can result in a low incidence of permanent neurologic impairment and a low fatality rate.

(Arch Intern Med 1986;146:87-90)

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