1887
Volume 2005, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

Summer shade temperatures in the State of Qatar are commonly above 40 °C making heat stroke a big problem in unacclimatized outside immigrant workers. Seven males were admitted with heatstroke to the ICU, Hamad General Hospital between 4th July and 24th August 2004. Presenting signs varied but included coma, abnormal behavior; aggression, mental confusion, fits, hypovolemic shock and respiratory failure, metabolic acidosis, hypokalemia, hyponatremia, elevated serum enzymes and sinus tachycardia. All developed renal insufficiency but none died and there appeared to be no residual brain or organ damage. This has been taken as a measure of the effectiveness of the treatment and management in the ICU. It is emphasized that heat stroke is a medical emergency that can result in major organ failure and death and that early recognition and correct treatment are crucial

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2005.2.14
2005-11-01
2019-08-19
Loading full text...

Full text loading...

References

  1. 1. Knochel   JP., , Reed   G. . Disorders of heat regulation. . In: Narins   RG. , ed. Maxwell & Kleeman's clinical disorders of fluid and electrolyte metabolism . , 5th ed..   New York: : McGraw-Hill;   1994; ; : 1549– 1590 .
    [Google Scholar]
  2. 2. Semenza   JC., , Rubin   CH., , Falter   KH. , et al. , Heat-related deaths during the July 1995 heat wave in Chicago. . N Engl J Med . 1996; ;335: : 84– 90 .
    [Google Scholar]
  3. 3. Jones   TS., , Liang   AP., , Kilbourne   EM. , et al. , Morbidity and mortality associated with the July 1980 heat wave in St. Louis and Kansas City, Mo. . JAMA . 1982; ;247: : 3327– 3331 .
    [Google Scholar]
  4. 4. Ghaznawi   HI., , Ibrahim   MA. . Heat stroke and heat exhaustion in pilgrims performing the Haj (annual pilgrimage) in Saudi Arabia. . Ann Saudi Med . 1987; ;7: : 323– 326 .
    [Google Scholar]
  5. 5. Rowell   LB., , Brengelmann   GR., , Blackmon   JR., , Murray   JA. . Redistribution of blood flow during sustained high skin temperature in resting man. . J Appl Physiol . 1970; ;28: : 415– 420 .
    [Google Scholar]
  6. 6. Shibolet   S., , Coll   R., , Gilant   T., , Sohar   E. . Heatstroke: Its clinical picture and mechanism in 36 cases. . QJ Med . 1967; ;36: : 525– 548 .
    [Google Scholar]
  7. 7. Kilbourne   EM., , Choi   K., , Jones   TS., , Thacker   SB. . Risk factors for heatstroke. A case-control study. . JAMA . 1982; ;247: : 3332– 3336 .
    [Google Scholar]
  8. 8. Tek   D., , Olshaker   JS. . Heat illness. . Emerg Med Clin North Am . 1992; ;10: : 299– 310 .
    [Google Scholar]
  9. 9. Kew   MC., , Abrahams   C., , Levin   NW., , Seftel   HC., , Rubenstein   AH., , Bersohn   I. . The effects of heatstroke on the function and structure of the kidney. . QJ Med . 1967; ;36: : 277– 300 .
    [Google Scholar]
  10. 10. Raju   SF., , Robinson   GH., , Bower   JO. . The pathogenesis of acute renal failure in heat stroke. . South Med J . 1973; ;66: : 330– 333 .
    [Google Scholar]
  11. 11. Chao   TC., , Sinniah   R., , Pakiam   JE. . Acute heat stroke deaths. . Pathology . 1981; ;13: : 145– 156 , [Medline] .
    [Google Scholar]
  12. 12. Knochel   JP. . Heat stroke and related disorders. . Disease of the Month . 1989; ;35: : 306– 376 .
    [Google Scholar]
  13. 13. Hart   GR., , Anderson   RJ., , Crumpler   CP., , Shulkin   A., , Reed   G., , Knochel   JP. . Epidemic classical heat stroke: Clinical characteristics and course of 28 patients. . Medicine (Baltimore) . 1982; ;61: : 189– 197 , [Medline]] .
    [Google Scholar]
  14. 14. Stine   RJ. . Heat illness. . JACEP . 1979; ;8: : 154– 160 .
    [Google Scholar]
  15. 15. Knochel   JP., , Beisel   WR., , Herndon   EG., , Gerard   ES., , Barry   KG. . The renal, cardiovascular, hematologic and serum electrolyte abnormalities of heat stroke. . Am J Med . 1961; ;30: : 299– 309 .
    [Google Scholar]
  16. 16. Knochel   JP. . Environmental heat illness. An eclectic review. . Arch Intern Med . 1974; ;133: : 841– 864 .
    [Google Scholar]
  17. 17. Hassanein   T., , Razack   A., , Gavaler   JS., , Van Thiel   DH. . Heatstroke: Its clinical and pathological presentation, with particular attention to the liver. . Am J Gastroenterol . 1992; ;87: : 1382– 1389 , [Medline] .
    [Google Scholar]
  18. 18. Kew   M., , Bersohn   I., , Seftel   H., , Kent   G. . Liver damage in heatstroke. . Am J Med . 1970; ;49: : 192– 202 , [Medline] .
    [Google Scholar]
  19. 19. Bernard   SM., , McGeehin   MA. . Municipal heat wave response plans. . Am J Public Health . 2004 Sept; ;94: 9 : 1520– 1522 .
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2005.2.14
Loading
  • Article Type: Research Article
Keyword(s): complications , Heat stroke , hyperthermia , Intensive Care Unit and outdoor activities
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error