Heat stroke
Abstract Background Heat stroke is a life-threatening injury requiring neurocritical care; however, heat stroke has not been completely examined due to several possible reasons, such as no universally accepted definition or classification, and the occurrence of heat wave victims every few years. Thu...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | Journal of Intensive Care |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40560-018-0298-4 |
| _version_ | 1818143395513630720 |
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| author | Toru Hifumi Yutaka Kondo Keiki Shimizu Yasufumi Miyake |
| author_facet | Toru Hifumi Yutaka Kondo Keiki Shimizu Yasufumi Miyake |
| author_sort | Toru Hifumi |
| collection | DOAJ |
| description | Abstract Background Heat stroke is a life-threatening injury requiring neurocritical care; however, heat stroke has not been completely examined due to several possible reasons, such as no universally accepted definition or classification, and the occurrence of heat wave victims every few years. Thus, in this review, we elucidate the definition/classification, pathophysiology, and prognostic factors related to heat stroke and also summarize the results of current studies regarding the management of heat stroke, including the use of intravascular balloon catheter system, blood purification therapy, continuous electroencephalogram monitoring, and anticoagulation therapy. Main body Two systems for the definition/classification of heat stroke are available, namely Bouchama’s definition and the Japanese Association for Acute Medicine criteria. According to the detailed analysis of risk factors, prevention strategies for heat stroke, such as air conditioner use, are important. Moreover, hematological, cardiovascular, neurological, and renal dysfunctions on admission are associated with high mortality, which thus represent the potential targets for intensive and specific therapies for patients with heat stroke. No prospective, comparable study has confirmed the efficacy of intravascular cooling devices, anticoagulation, or blood purification in heat stroke. Conclusion The effectiveness of cooling devices, drugs, and therapies in heat stroke remains inconclusive. Further large studies are required to continue to evaluate these treatment strategies. |
| first_indexed | 2024-12-11T11:30:59Z |
| format | Article |
| id | doaj.art-c6de4e2ade314c79a900ba99ce639217 |
| institution | Directory Open Access Journal |
| issn | 2052-0492 |
| language | English |
| last_indexed | 2024-12-11T11:30:59Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Intensive Care |
| spelling | doaj.art-c6de4e2ade314c79a900ba99ce6392172022-12-22T01:08:53ZengBMCJournal of Intensive Care2052-04922018-05-01611810.1186/s40560-018-0298-4Heat strokeToru Hifumi0Yutaka Kondo1Keiki Shimizu2Yasufumi Miyake3Emergency Medical Center, Kagawa University HospitalDepartment of Emergency and Critical Care Medicine, Juntendo University, Urayasu HospitalEmergency and Critical Care Center, Tokyo Metropolitan Tama Medical CentreDepartment of Emergency Medicine, Teikyo University School of MedicineAbstract Background Heat stroke is a life-threatening injury requiring neurocritical care; however, heat stroke has not been completely examined due to several possible reasons, such as no universally accepted definition or classification, and the occurrence of heat wave victims every few years. Thus, in this review, we elucidate the definition/classification, pathophysiology, and prognostic factors related to heat stroke and also summarize the results of current studies regarding the management of heat stroke, including the use of intravascular balloon catheter system, blood purification therapy, continuous electroencephalogram monitoring, and anticoagulation therapy. Main body Two systems for the definition/classification of heat stroke are available, namely Bouchama’s definition and the Japanese Association for Acute Medicine criteria. According to the detailed analysis of risk factors, prevention strategies for heat stroke, such as air conditioner use, are important. Moreover, hematological, cardiovascular, neurological, and renal dysfunctions on admission are associated with high mortality, which thus represent the potential targets for intensive and specific therapies for patients with heat stroke. No prospective, comparable study has confirmed the efficacy of intravascular cooling devices, anticoagulation, or blood purification in heat stroke. Conclusion The effectiveness of cooling devices, drugs, and therapies in heat stroke remains inconclusive. Further large studies are required to continue to evaluate these treatment strategies.http://link.springer.com/article/10.1186/s40560-018-0298-4Heat strokeBlood purification therapyAnticoagulationJAAM criteriaCore body temperatureIntravascular cooling |
| spellingShingle | Toru Hifumi Yutaka Kondo Keiki Shimizu Yasufumi Miyake Heat stroke Journal of Intensive Care Heat stroke Blood purification therapy Anticoagulation JAAM criteria Core body temperature Intravascular cooling |
| title | Heat stroke |
| title_full | Heat stroke |
| title_fullStr | Heat stroke |
| title_full_unstemmed | Heat stroke |
| title_short | Heat stroke |
| title_sort | heat stroke |
| topic | Heat stroke Blood purification therapy Anticoagulation JAAM criteria Core body temperature Intravascular cooling |
| url | http://link.springer.com/article/10.1186/s40560-018-0298-4 |
| work_keys_str_mv | AT toruhifumi heatstroke AT yutakakondo heatstroke AT keikishimizu heatstroke AT yasufumimiyake heatstroke |