Page 394 - 2021 IDMT Digital
P. 394

HEAT STROKE
          Introduction:
            •  /LIH WKUHDWHQLQJ FRQGLWLRQ ZLWK WHPSHUDWXUH DERYH    ƒ)
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  'L]]LQHVV  H[KDXVWLRQ  ZHDNQHVV  YRPLWLQJ  GLDUUKHD  LQYROXQWDU\ XULQDWLRQ DQG
                    GHIHFDWLRQ
          Objective:
            •  3K\VLFDO ([DP
                 o  3URIRXQG &16 DEQRUPDOLWLHV  DJJUHVVLYHQHVV  GLIILFXOW\ VSHDNLQJ  WDFK\FDUGLD
                    WDFK\SQHD  K\SRWHQVLRQ
          Assessment:
            •  'LIIHUHQWLDO
                 o  ,QIHFWLRQ  PRVW FRPPRQO\ FRPPXQLW\ DFTXLUHG SQHXPRQLD EXW FRQVLGHU
                    PHQLQJRFRFFHPLD
                 o  3RQWLQH RU K\SRWKDODPLF KHPRUUKDJH  XVXDOO\ ZLWK IDFLDO SDOV\  GHDIQHVV
                    G\VDUWKULD DQG OHDGV WR FRPD
                 o  'UXJ LQWR[LFDWLRQ  DOFRKRO RU VHGDWLYH ZLWKGUDZDO  ORRN IRU KLVWRU\ RI LQJHVWLRQ
                 o  6HYHUH K\SHUWRQLF GHK\GUDWLRQ  PD\ EH LQGLVWLQJXLVKDEOH EXW ZLOO UHVSRQG WR
                    WKHUDS\
          Plan:
            •  5HGXFH ERG\ WHPSHUDWXUH UDSLGO\ E\ DQ\ PHDQV DYDLODEOH
                 o  ,FH SDFNV  PLVWLQJ DQG FRQWLQXRXV IDQQLQJ
                 o  &ROG RU LFH ZDWHU LPPHUVLRQ
                       ƒ  5HTXLUHV DELOLW\ WR REWDLQ DQG PRQLWRU UHFWDO WHPSHUDWXUHV
                       ƒ  5HPRYH SDWLHQW IURP ZDWHU RQFH FRUH WHPSHUDWXUH GHFUHDVHV EHORZ
                            ƒ)
                 o  &RQVWDQWO\ PRQLWRU SDWLHQW¶V FRUH ERG\ WHPSHUDWXUH XQWLO VWDEOH
                 o  +\GUDWH ZLWK    / RI 16 RU /5 RYHU WKH ILUVW KRXU
                       ƒ  7LWUDWH ,9 IOXLG DGPLQLVWUDWLRQ WKHUHDIWHU WR K\GUDWLRQ VWDWXV
                       ƒ  2YHU K\GUDWLRQ FDQ LQFUHDVH WKH OLNHOLKRRG RI FRPSOLFDWLRQV
          Patient Education:
            •  $YRLG KHDW H[SRVXUH XQWLO FOLQLFDO UHFRYHU\ DQG D WKRURXJK PHGLFDO HYDOXDWLRQ DUH
               FRPSOHWH
            •  7KHUH LV DQ LQFUHDVHG ULVN IRU IXWXUH KHDW VWURNH
          Preceptor Directive:
            •  Red Directive: Immediate Evacuation; Contact Preceptor ASAP
















                                         [ 393 ]
   389   390   391   392   393   394   395   396   397   398   399