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Case 15 - Stranded in the Heat

Severe Hyperthermia and Multisystem Organ Failure

from Section 3 - Meteorological Natural Disasters

Published online by Cambridge University Press:  06 February 2026

Andrew Milsten
Affiliation:
University of Massachusetts Medical Center
John Broach
Affiliation:
University of Massachusetts Medical Center
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Summary

The scenario aims to teach participants the importance of recognizing heat stroke early, understanding its pathophysiology, and implementing appropriate management strategies. Key actions include obtaining core temperature, initiating aggressive cooling measures, fluid resuscitation, and managing complications such as rhabdomyolysis, hyperkalemia, and neurological symptoms. The simulation also emphasizes the need for advanced airway management and timely admission to intensive care for further treatment. Through this scenario, learners gain hands-on experience in managing a critically ill patient with heat stroke, enhancing their clinical skills and understanding of the complexities involved in treating heat-related emergencies. The article provides a comprehensive framework for educators to facilitate discussions on heat stroke pathophysiology, management strategies, and the role of interdisciplinary collaboration in patient care.

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