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Case Reports
Successful treatment of severe heatstroke with therapeutic hypothermia by a noninvasive external cooling system.
- Jen-Yee Hong, Yi-Chun Lai, Cheng-Yu Chang, Shih-Chieh Chang, and Gau-Jun Tang.
- Department of Internal Medicine, National Yang-Ming University Hospital, Yilan City, Taiwan.
- Ann Emerg Med. 2012 Jun 1; 59 (6): 491-3.
AbstractHeatstroke is a life-threatening disease; however, no pharmacologic treatment has proven to be effective. In severe cases with multiple organ dysfunction, the mortality remains high and many patients inevitably develop permanent neurologic damage. We report a near-fatal case of exertional heatstroke with multiple organ dysfunction, including generalized convulsions, acute lung injury, and disseminated intravascular coagulation, successfully treated with induced therapeutic hypothermia (33°C [91.4°F]) by a noninvasive external cooling system. After treatment, the patient completely recovered, without any neurologic sequelae during 1 year of follow-up. To our knowledge, this is the first reported case of using therapeutic hypothermia in heatstroke.Copyright © 2011. Published by Mosby, Inc.
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