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      Expert consensus on the diagnosis and treatment of heat stroke in China

      research-article
      Author(s): 1 , 2 , 3 , 1 , 3 , , Expert Group of Heat Stroke Prevention and Treatment of the People’s Liberation Army, and People’s Liberation Army Professional Committee of Critical Care Medicine
      Publication date (Electronic):
      Journal: Military Medical Research
      Publisher: BioMed Central
      Keywords: Heat stroke, Classic, Exertional, Diagnosis, Treatment, Expert consensus

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          Abstract

          Heat stroke (HS) is a fatal disease caused by thermal damage in the body, and it has a very high mortality rate. In 2015, the People’s Liberation Army Professional Committee of Critical Care Medicine published the first expert consensus on HS in China, Expert consensus on standardized diagnosis and treatment for heat stroke. With an increased understanding of HS and new issues that emerged during the HS treatment in China in recent years, the 2015 consensus no longer meet the requirements for HS prevention and treatment. It is necessary to update the consensus to include the latest research evidence and establish a new consensus that has broader coverage, is more practical and is more in line with China’s national conditions. This new expert consensus includes new concept of HS, recommendations for laboratory tests and auxiliary examinations, new understanding of diagnosis and differential diagnosis, On-site emergency treatment and In-hospital treatment, translocation of HS patients and prevention of HS.

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          Heat Stroke

          Abderrezak Bouchama, James Knochel (2002)
          Article 0 comments Cited 511 times – based on 0 reviews     Review now
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            American College of Sports Medicine position stand. Exertional heat illness during training and competition.

            Lawrence E. Armstrong, Douglas J. Casa, Mindy Millard-Stafford … (2007)
            Exertional heat illness can affect athletes during high-intensity or long-duration exercise and result in withdrawal from activity or collapse during or soon after activity. These maladies include exercise associated muscle cramping, heat exhaustion, or exertional heatstroke. While certain individuals are more prone to collapse from exhaustion in the heat (i.e., not acclimatized, using certain medications, dehydrated, or recently ill), exertional heatstroke (EHS) can affect seemingly healthy athletes even when the environment is relatively cool. EHS is defined as a rectal temperature greater than 40 degrees C accompanied by symptoms or signs of organ system failure, most frequently central nervous system dysfunction. Early recognition and rapid cooling can reduce both the morbidity and mortality associated with EHS. The clinical changes associated with EHS can be subtle and easy to miss if coaches, medical personnel, and athletes do not maintain a high level of awareness and monitor at-risk athletes closely. Fatigue and exhaustion during exercise occur more rapidly as heat stress increases and are the most common causes of withdrawal from activity in hot conditions. When athletes collapse from exhaustion in hot conditions, the term heat exhaustion is often applied. In some cases, rectal temperature is the only discernable difference between severe heat exhaustion and EHS in on-site evaluations. Heat exhaustion will generally resolve with symptomatic care and oral fluid support. Exercise associated muscle cramping can occur with exhaustive work in any temperature range, but appears to be more prevalent in hot and humid conditions. Muscle cramping usually responds to rest and replacement of fluid and salt (sodium). Prevention strategies are essential to reducing the incidence of EHS, heat exhaustion, and exercise associated muscle cramping.
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              National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses.

              Douglas J. Casa, Julie Demartini, Michael F Bergeron … (2015)
              To present best-practice recommendations for the prevention, recognition, and treatment of exertional heat illnesses (EHIs) and to describe the relevant physiology of thermoregulation.
              Article 0 comments Cited 181 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Qing Song: songqing3010301@sina.com
                Journal
                Journal ID (nlm-ta): Mil Med Res
                Journal ID (iso-abbrev): Mil Med Res
                Title: Military Medical Research
                Publisher: BioMed Central (London )
                ISSN (Print): 2095-7467
                ISSN (Electronic): 2054-9369
                Publication date (Electronic): 13 January 2020
                Publication date PMC-release: 13 January 2020
                Publication date Collection: 2020
                Volume: 7
                Electronic Location Identifier: 1
                Affiliations
                [1 ]ISNI 0000 0004 1761 8894, GRID grid.414252.4, Emergency Department, Sixth Medical Center, , Chinese PLA General Hospital, ; Beijing, 100048 China
                [2 ]Department of Critical Care Medicine, No. 908th Hospital of PLA, Nanchang, 360104 China
                [3 ]ISNI 0000 0004 1761 8894, GRID grid.414252.4, Department of Critical Care Medicine, First Medical Center, , Chinese PLA General Hospital, ; Beijing, 100853 China
                Article
                Publisher ID: 229
                DOI: 10.1186/s40779-019-0229-2
                PMC ID: 6956553
                PubMed ID: 31928528
                SO-VID: 74a2a17b-a9d4-40e0-baf3-cc3197c8a795
                Copyright © © The Author(s). 2020
                License:

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                Date received : 15 November 2019
                Date accepted : 20 November 2019
                Categories
                Subject: Position article and Guidelines
                Custom metadata
                issue-copyright-statement © The Author(s) 2020

                Keywords: heat stroke,classic,exertional,diagnosis,treatment,expert consensus
                Data availability:
                Keywords: heat stroke, classic, exertional, diagnosis, treatment, expert consensus

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