Heat stroke

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Last reviewed: 11 Aug 2025
Last updated: 14 Jan 2025

Summary

Definição

História e exame físico

Principais fatores diagnósticos

  • profound central nervous system disturbance
  • hyperthermia
Detalhes completos

Outros fatores diagnósticos

  • headache
  • nausea and vomiting
  • anxiety
  • dizziness
  • tachycardia
  • jaundice
  • muscle tenderness
  • hypotension
  • gastrointestinal bleeding
  • bruising and skin bleeding
Detalhes completos

Fatores de risco

  • older age
  • impaired cognition
  • patients unable to care for themselves
  • medications
  • people who are unacclimatized to hot environments
  • young, active people exercising intensely under hot, humid conditions
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • core temperature measurement
  • serum electrolytes
  • CBC
  • LFTs
  • metabolic profile
  • renal function tests
  • creatine kinase
  • prothrombin time, activated PPT, and INR
  • lactic acid
  • urinalysis
  • chest x-ray
  • arterial blood gas
  • medication/toxicology screen
  • thyroid function tests
  • plasma glucose
Detalhes completos

Investigações a serem consideradas

  • cranial CT scan
  • lumbar puncture
  • blood culture
Detalhes completos

Algoritmo de tratamento

AGUDA

heat exhaustion

heat stroke

Colaboradores

Consultores especialistas

James L. Glazer, MD, FACSM, CAQSM

Assistant Professor

Tufts University School of Medicine

Boston

MA

Declarações

JLG declares that he has no competing interests.

Revisores

Martin Bocks, MD

Clinical Lecturer

University of Michigan Congenital Heart Center

Ann Arbor

MI

Declarações

MB declares that he has no competing interests.

James Milledge, MBBS

Honorary Professor

Department of Physiology

UCL

London

Declarações

JM declares that he has no competing interests.

Paul Hamilton, MD

Director

Department of Emergency Medicine

Mount Sinai School of Medicine

New York

NY

Declarações

PH declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Eifling KP, Gaudio FG, Dumke C, et al. Wilderness Medical Society clinical practice guidelines for the prevention and treatment of heat illness: 2024 update. Wilderness Environ Med. 2024 Mar;35(1 suppl):112S-27.Texto completo  Resumo

Roberts WO, Armstrong LE, Sawka MN, et al. ACSM expert consensus statement on exertional heat illness: recognition, management, and return to activity. Curr Sports Med Rep. 2023 Apr 1;22(4):134-49.Texto completo  Resumo

Gauer R, Meyers BK. Heat-related illnesses. Am Fam Physician. 2019 Apr 15;99(8):482-9.Texto completo  Resumo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
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  • Diretrizes

    • Wilderness Medical Society clinical practice guidelines for the prevention and treatment of heat illness: 2024 update
    • ACSM expert consensus statement on exertional heat illness: recognition, management, and return to activity
    Mais Diretrizes
  • Folhetos informativos para os pacientes

    Heat stroke

    Mais Folhetos informativos para os pacientes
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