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Classic heat stroke

EM SIM Cases

WHY IT MATTERS Classic heat stroke is a potentially deadly diagnosis that effects some of the most vulnerable of our populations. Co-morbid illnesses and medications can be risk factors and can also mask the usual responses to hyperthermia such as tachycardia.

Stroke 52
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Heat related illness

EM SIM Cases

CLINICAL VIGNETTE 58 y/o M presents with hyperthermia and confusion, and was found by bystanders to be acting strange. CASE SUMMARY In this case of exertional heatstroke, the team must identify hyperthermia and actively cool the patient while working the patient up for other causes. Link can be found here.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

In the bleeding trauma patient, fluid resuscitation aims to avoid the diamond of death (acidosis, coagulopathy, hypothermia and hypocalcaemia). It can cause significant internal injuries, including carotid artery dissection, stroke, and acquired brain injury, but in 50% of patients, there are no external signs of injury.