Download - Effort Hyperthermia
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Effort hyperthermia
Heat bufe due to physical exercise and its continuation in the malignant effort
hyperthermia are clinical units characterized by the inefficiency of thermoregulation
mechanisms. This pathology seldom met, that underlies an insuffiency: polivisceral, must
be known, because the initial treatment influences the prognosis.
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Patient anamnesis and/or environment data
&recedents, treatmnents pursued
f supported effort is done, the beginning hour
'limatic conditions: heat, cloudy sky, lack of wind, increased humidity
The first measures applied, particularly cooling
General signs
Temperature over () degrees 'elsius
Hot, red teguments
Dehydration or deep perspiration
%ensation of extreme fatigue, exhaustion
'ramps, muscular contractions
Neurological signs
Troubles of behaviour, irritability, agresivity, psycho*motor agitation...
&seudo*ebrious state, temporal*spatial desorientation
+igraine, meningian syndrome
'onvulsions
'oma, with or without signs of focus
Digestive manifests
#ausea
Diarrhoea
Digestive hemorrhage
Cardio-vascular signs
Tachycardia, arterial hypotension
&eripheral vasodillatation
'ollapse
%hock state
Breathing signs
Tachypnoea
!ccute breathing insufficiency
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ECG
Troubles of rhythm
Troubles driving
Diffuse troubles of repolarization
rac!ing some possible associated pathologies" especially truams
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!ge, field, associated affections
Time elapsed from the application of the first medical treatments
Time elapsed from the application of cooling measures
!cute breathing insufficiency
Troubles of consciousness
Hematemesis, melena
'onvulsions, status epilepticus 'ollpse, state of shock
'ardio*respiratory arrest
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Heat stroke 1insolation2
xhaustion through heat
Heat bufes outside physical exercises: particularly for old patients and infants
Drug induced hyperthermia
Hyperthermia of an infectious cause, particularly in neuro*meningeneous
infections #euroleptics3 malignant syndrome
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%portive effort in persons without training or on the contrary
&atients with risk: obesity, alcohol itake, fatigue, administration of amphetamines,
stimulants or drugs
'ompatible climatic conditions
5ork accident under the protection of tight e6uipments
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#n all cases
7ndressing and laying the victim at shade
+easuring central heat
'ooling: wet compresses, sprinkling with cold water and currents of air, ice packs
on the neck and the tra8ectory of vascular axes
!dministering cold drinks 1patient is aware2
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$xygenotherapy on the mask, with high debit
&eripheral venous approach 19( 9;"2: /actate inger
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o avoid
The systematic central venous approach only through vascular filling
!dministration of salicilates 1hemostasis troubles2
mmersion of the patient in a bathroom with cold water
+isunderstanding between insolation and effort hyperthermia
!dministration of Dextran
!dministration of 'elocurine
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The patient is transported in supine
%upervision
'entral heat
'onsciousness
=lood glucose
Teguments 1skin2 colouring 'ardio*pulmonary auscultation
!rterial pressure, heart rate, monitor
=reathing rate, %p$?
%upervision of mechanical ventillation
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'urrent volume, fre6uency, spyrometry
nspiration pressure, capnometry