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
2019-11-20
Loading full text...

Full text loading...

References

  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;:15491590.
    [Google Scholar]
  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::8490.
    [Google Scholar]
  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::33273331.
    [Google Scholar]
  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::323326.
    [Google Scholar]
  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::415420.
    [Google Scholar]
  6. Shibolet S, Coll R, Gilant T, Sohar E. Heatstroke: Its clinical picture and mechanism in 36 cases. QJ Med. 1967; 36::525548.
    [Google Scholar]
  7. Kilbourne EM, Choi K, Jones TS, Thacker SB. Risk factors for heatstroke. A case-control study. JAMA. 1982; 247::33323336.
    [Google Scholar]
  8. Tek D, Olshaker JS. Heat illness. Emerg Med Clin North Am. 1992; 10::299310.
    [Google Scholar]
  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::277300.
    [Google Scholar]
  10. Raju SF, Robinson GH, Bower JO. The pathogenesis of acute renal failure in heat stroke. South Med J. 1973; 66::330333.
    [Google Scholar]
  11. Chao TC, Sinniah R, Pakiam JE. Acute heat stroke deaths. Pathology. 1981; 13::145156, [Medline].
    [Google Scholar]
  12. Knochel JP. Heat stroke and related disorders. Disease of the Month. 1989; 35::306376.
    [Google Scholar]
  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::189197, [Medline]].
    [Google Scholar]
  14. Stine RJ. Heat illness. JACEP. 1979; 8::154160.
    [Google Scholar]
  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::299309.
    [Google Scholar]
  16. Knochel JP. Environmental heat illness. An eclectic review. Arch Intern Med. 1974; 133::841864.
    [Google Scholar]
  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::13821389, [Medline].
    [Google Scholar]
  18. Kew M, Bersohn I, Seftel H, Kent G. Liver damage in heatstroke. Am J Med. 1970; 49::192202, [Medline].
    [Google Scholar]
  19. Bernard SM, McGeehin MA. Municipal heat wave response plans. Am J Public Health. 2004 Sept; 94:9:15201522.
    [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