| INVITED REVIEW |
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| Year : 2018 | Volume
: 16
| Issue : 1 | Page : 5-9 |
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Heat stroke and heat exhaustion: An update
KG Gopinath
Department of Geriatric Medicine, Christian Medical College, Vellore, Tamil Nadu, India
Correspondence Address:
Dr. K G Gopinath
Department of Geriatric Medicine, Christian Medical College, Vellore - 632 004, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/cmi.cmi_12_18
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Heat-related illnesses are part of a continuum comprising heat cramps, heat exhaustion, heat syncope and heat stroke, and are associated with significant morbidity and mortality, especially in a tropical country like India. Heat stroke, which is the most severe, is caused by failure of thermoregulation with elevation of core temperature to 40°C (104°F) or more, associated with central nervous system dysfunction. The two important principles in management of heat stroke are lowering of core temperature immediately to 38.9°C and supporting organ systems injured by heat, hypotension, inflammation and coagulopathy. It is important to initiate cooling as fast as possible and keep the individual adequately hydrated to prevent complications. |
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