Heat-Related Illness
General Adult Assessment
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Remove from enviroment
Temperture measurement
(if available)
Remove tight clothing
Passive cooling measures
Symptom Severity
Heat Cramps
Normal to elevated body temp,
weakness, muscle cramping
Heat Exhaustion
Elevated body temp,
cool, moist skin
weakness, anxious tachypnea
Heat Stroke
High body temp >104,
hot, dry skin
hypotension, AMS/coma
PO fluids as tolerated
Monitor and reassess
Active cooling measures
Vascular Access
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NS bolus
500 ml IV/IO;
repeat to effect SBP >90;
max 2L
Cardiac Monitor
Poor
perfusion?
Yes
Airway as indicated
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Go to Ventilation Management
Altered Mental Status
as indicated
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Active cooling measures
Vascular Access
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NS bolus
500 ml IV/IO;
repeat to effect SBP >90;
max 2L
Cardiac Monitor
Poor
perfusion?
No
Exit to appropriate
Shock or Trauma
Protocol as indicated
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Go to Shock
Go to General Adult Trauma Assessment
Yes
Monitor and reassess
No
Continue General Patient
Care and Transport
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Go to General Adult Assessment