SAQ 674 – Environmental – exertional heat stroke after a half marathon

A 36-year-old elite athlete collapses soon after finishing a half marathon. He struggled to finish and the ambient temperature is 36 degrees C.

Observation	Result
GCS	12 (E3 V4 M5)
Heart rate	130 bpm
Blood pressure	85/50 mmHg
Temperature	40.7 degrees C

Complete the table on causes of hyperthermia by providing two (2) examples for each type.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Cause</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Example 1</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Example 2</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Excessive heat production</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Diminished heat dissipation</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Hypothalamic dysfunction</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 6

Besides information already provided, list two (2) predisposing factors for heat stroke in this patient.

(Marked out of 2.0)

/ 2

List four (4) cardinal clinical features, from different systems, that you would expect to find.

(Marked out of 4.0)

/ 4

State your six (6) ED treatment priorities.

(Marked out of 6.0)

/ 6

Total Score: 0 / 18

Percentage: 0%