Case Analysis and Implications of Pre-hospital Emergency Care for Exertional Heat Stroke
Abstract：Early and rapid cooling is critical for the successful treatment of heat stroke. This study compares two cases of exertional heat stroke to emphasize the importance of effective pre-hospital cooling. Case A developed after long-distance running in a high-temperature and high-humidity environment, and the on-site cooling measures such as warm water wiping were inefficient. Upon admission, the rectal temperature was 40.1°C. Despite intensive care and organ support, multiple organ failure occurred, and the patient was hospitalized for 45 days. Case B developed during physical training and initiated ice water immersion cooling within 3 minutes, with core body temperature reaching the target level within 30 minutes. The patient recovered after only 3 days of hospitalization. This highlights the importance of pre-hospital emergency care for heat stroke. It is recommended to strengthen training for the public and pre-hospital emergency personnel, promote efficient cooling techniques such as cold water immersion, and establish a coordinated system of 'self-rescue at the scene - pre-hospital emergency care - in-hospital treatment' to reduce the disability and mortality rates of heat stroke.
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Publication Date：2025-05-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 394-396 )