Page 243 - ATP-P 11th Ed

4. Treat per Dehydration Protocol.
a. Heat stroke and heat exhaustion with associated severe muscle pain and/or cola-
colored urine, will typically require 2–3L of crystalloid and continued IV hydration
to obtain a urine output of 200mL/hr.
b. If the patient is unconscious after exercising on a hot day, and you do not have a
core temperature available, limit fluid resuscitation to 1000mL of crystalloid unless
hemodynamically unstable.
5. Treat per Nausea and Vomiting Protocol.
6. For cola-colored urine or severe muscle pain, treat per Rhabdomyolysis Protocol.

Disposition SECTION 2
1. Urgent evacuation for Heat Stroke
2. Routine evacuation for Heat Exhaustion

232 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 233