Fast Five Quiz: Summer Health Concerns

Richard H. Sinert, DO


June 06, 2019

Indicators of poor prognosis during acute episodes include the following:

  • Initial temperature measurement > 106°F (> 41°C), a temperature > 108°F (> 42°C), or a temperature persisting > 102°F (> 39°C) despite aggressive cooling measures

  • Coma duration > 2 hours

  • Severe pulmonary edema

  • Delayed or prolonged hypotension

  • Lactic acidosis in patients with classic heat stroke

  • Acute kidney injury and hyperkalemia

  • Aminotransferase levels > 1000 IU/L during the first 24 hours

Read more on heat stroke.

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