Fatal drug-induced heat stroke

Forester, Donald

doi:10.1016/s0361-1124(78)80386-4

Cited by 13 publications

(2 citation statements)

References 9 publications

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“…Athletes who take certain medications or drugs, particularly medications with a dehydrating effect, are at an increased risk for a heat illness. [101][102][103][104][105][106][125][126][127][128][129][130][131][132][133][134][135][136] Alcohol, caffeine, and theophylline at certain doses are mild diuretics. 106,137,138 Caffeine is found in coffee, tea, soft drinks, chocolate, and several over-the-counter and prescription medications.…”

Section: Lack Of Acclimatization Tomentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses

Casa¹,

DeMartini²,

Bergeron³

et al. 2015

Journal of Athletic Training

168

338

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Objective: To present recommendations for the prevention, recognition, and treatment of exertional heat illnesses and to describe the relevant physiology of thermoregulation.Background: Certified athletic trainers evaluate and treat heat-related injuries during athletic activity in ''safe'' and highrisk environments. While the recognition of heat illness has improved, the subtle signs and symptoms associated with heat illness are often overlooked, resulting in more serious problems for affected athletes. The recommendations presented here provide athletic trainers and allied health providers with an integrated scientific and practical approach to the prevention, recognition, and treatment of heat illnesses. These recommendations can be modified based on the environmental conditions of the site, the specific sport, and individual considerations to maximize safety and performance.Recommendations: Certified athletic trainers and other allied health providers should use these recommendations to establish on-site emergency plans for their venues and athletes. The primary goal of athlete safety is addressed through the prevention and recognition of heat-related illnesses and a welldeveloped plan to evaluate and treat affected athletes. Even with a heat-illness prevention plan that includes medical screening, acclimatization, conditioning, environmental monitoring, and suitable practice adjustments, heat illness can and does occur. Athletic trainers and other allied health providers must be prepared to respond in an expedient manner to alleviate symptoms and minimize morbidity and mortality.Key Words: heat cramps, heat syncope, heat exhaustion, heat stroke, hyponatremia, dehydration, exercise, heat tolerance H eat illness is inherent to physical activity and its incidence increases with rising ambient temperature and relative humidity. Athletes who begin training in the late summer (eg, football, soccer, and cross-country athletes) experience exertional heat-related illness more often than athletes who begin training during the winter and spring. [1][2][3][4][5] Although the hot conditions associated with late summer provide a simple explanation for this difference, we need to understand what makes certain athletes more susceptible and how these illnesses can be prevented. PURPOSEThis position statement provides recommendations that will enable certified athletic trainers (ATCs) and other allied health providers to (1) identify and implement preventive strategies that can reduce heat-related illnesses in sports, (2) characterize factors associated with the early detection of heat illness, (3) provide on-site first aid and emergency management of athletes with heat illnesses, (4) determine appropriate return-toplay procedures, (5) understand thermoregulation and physiologic responses to heat, and (6) recognize groups with special concerns related to heat exposure. ORGANIZATIONThis position statement is organized as follows:1. Definitions of exertional heat illnesses, including exerciseassociated muscle (heat) cramps, he...

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Section: Lack Of Acclimatization Tomentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses

Casa¹,

DeMartini²,

Bergeron³

et al. 2015

Journal of Athletic Training

168

338

View full text Add to dashboard Cite

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“…A 79-year-old woman with classic heatstroke had magnetic resonance imaging showing signal changes in the pons consistent with CPM. Although wide fluctuations of serum sodium Psychotropics (phenothiazines) [64][65][66][67] Antihistamines (rare) 68 Amphetamines 69,70 Diuretics (contributing to dehydration)…”

Section: Central and Peripheral Nervous System Involvementmentioning

confidence: 99%

Heatstroke

Sucholeiki

2005

Semin Neurol

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Heatstroke is a syndrome consisting of life-threatening central nervous system and multiple organ dysfunction from complications of hyperthermia. Additionally, there is an associated complex immunological and inflammatory component to the illness that resembles sepsis. Core body temperature exceeds 40 degrees C with associated mental status changes such as delirium and coma. Generalized tonic/clonic seizures can occur. A variable degree of organ involvement is present that contributes to the severity of the medical picture. Heatstroke can be viewed as a tropical neurological disorder especially for unacclimated travelers going to warm climates. Heatstroke can be categorized into two types depending on the cause. Classic heatstroke is nonexertional, environmentally related and exertional heatstroke occurs in the setting of strenuous exercise. Heatstroke is actually the most severe of a continuum of heat-related illnesses that carries a high incidence of mortality. Treatment is directed at rapidly reducing core body temperature and the management of life-threatening systemic complications.

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Therapeutic Agents Affecting Body Temperature

Pertwee¹

1982

Pyretics and Antipyretics

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Fatal drug-induced heat stroke

Cited by 13 publications

References 9 publications

National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses

National Athletic Trainers' Association Position Statement: Exertional Heat Illnesses

Heatstroke

Therapeutic Agents Affecting Body Temperature

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