The golden hour in heat stroke: Use of iced peritoneal lavage

B.Zane Horowitz

doi:10.1016/0735-6757(89)90285-4

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The golden hour in heat stroke: Use of iced peritoneal lavage

B.Zane Horowitz, MD

Division of Emergency Medicine and Clinical Toxicology, University of California Davis Medical Center, Sacramento USA.

DOI: http://dx.doi.org/10.1016/0735-6757(89)90285-4

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Abstract

A case of heat stroke is described in which the patient presented comatose with a rectal temperature exceeding 42.5°C. Standard external evaporative cooling and iced gastric lavage failed to alter his temperature or mental status. Iced peritoneal lavage brought about a decrease in rectal temperature to 39.4°C and significant improvement in mental status. The patient recovered uneventfully. Techniques of rapid cooling are discussed.

Keywords:

Heat stroke, peritoneal lavage, hyperthermia

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The golden hour in heat stroke: Use of iced peritoneal lavage

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