Successful Treatment of Severe Heatstroke With Therapeutic Hypothermia by a Noninvasive External Cooling System

Hong, Jen Yee; Lai, Yi Chun; Chang, Cheng Yu; Chang, Shih Chieh; Tang, Gau Jun

doi:10.1016/j.annemergmed.2011.09.013

Cited by 20 publications

(11 citation statements)

References 17 publications

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“…Subhypothermia therapy has shown potential for the treatment of some neurological and cardiovascular emergencies, including acute stroke and cardiac arres t [78]. However, the efficacy of this therapeutic strategy has not been confirmed for the treatment of CHS or EHS and is mainly reported in empirical cases [79][80][81]. Due to limited evidence and experience, there is currently no recommendation for the use of subhypothermia therapy in HS.…”

Section: Induced Subhypothermiamentioning

confidence: 99%

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

et al. 2020

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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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Section: Induced Subhypothermiamentioning

confidence: 99%

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

et al. 2020

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“…The report by Hong et al [ 4 ] is the first case in which an external-cooling device was used to successfully treat heat stroke. Subsequently, Lee et al [ 5 ] reported similar findings.…”

Section: Discussionmentioning

confidence: 99%

Use of an external-cooling device for the treatment of heat stroke

et al. 2014

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Heat stroke is caused by losing control of one’s body temperature. It can be life threatening without proper treatment. In this case report, we describe a heat stroke patient treated with an external-cooling device, which is commonly used for therapeutic hypothermia after cardiac arrest. A 67-year-old woman was found unconscious with spontaneous breathing in a sauna. Her body temperature was 40.5°C when she arrived at the emergency department, and she was diagnosed with heat stroke. At seven hours after applying the Arctic Sun Temperature Management System (Medivance), her body temperature declined to 36.5°C, with neurologic improvement (Glasgow Coma Scale score increased from 3 to 12). She was admitted to an intensive care unit and discharged 14 days after admission without any neurological sequelae. In conclusion, an external-cooling device can be used effectively for heat stroke, in addition to therapeutic hypothermia after cardiac arrest.

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“…To date, several cooling methods are available in the clinical settings, including immersion [ 36 ], evaporation [ 37 ], and the use of cold water bladders, gastric and rectal lavage [ 38 ], and noninvasive cooling systems [ 39 ]. However, there is no evidence supporting the superiority of any one cooling method for patients with heat stroke [ 6 ].…”

Section: Treatmentmentioning

confidence: 99%

Heat stroke

et al. 2018

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BackgroundHeat stroke is a life-threatening injury requiring neurocritical care; however, heat stroke has not been completely examined due to several possible reasons, such as no universally accepted definition or classification, and the occurrence of heat wave victims every few years. Thus, in this review, we elucidate the definition/classification, pathophysiology, and prognostic factors related to heat stroke and also summarize the results of current studies regarding the management of heat stroke, including the use of intravascular balloon catheter system, blood purification therapy, continuous electroencephalogram monitoring, and anticoagulation therapy.Main bodyTwo systems for the definition/classification of heat stroke are available, namely Bouchama’s definition and the Japanese Association for Acute Medicine criteria. According to the detailed analysis of risk factors, prevention strategies for heat stroke, such as air conditioner use, are important. Moreover, hematological, cardiovascular, neurological, and renal dysfunctions on admission are associated with high mortality, which thus represent the potential targets for intensive and specific therapies for patients with heat stroke. No prospective, comparable study has confirmed the efficacy of intravascular cooling devices, anticoagulation, or blood purification in heat stroke.ConclusionThe effectiveness of cooling devices, drugs, and therapies in heat stroke remains inconclusive. Further large studies are required to continue to evaluate these treatment strategies.

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Successful Treatment of Severe Heatstroke With Therapeutic Hypothermia by a Noninvasive External Cooling System

Cited by 20 publications

References 17 publications

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

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

Use of an external-cooling device for the treatment of heat stroke

Heat stroke

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