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Hyperthermia

Date Last Search Run: Feb 01, 2022
Table last updated: May 05, 2021
Data last added: Jul 29, 2020

Recommendation RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION   SUPPORTIVE (Green) NEUTRAL (Yellow) AGAINST (Red) NOT YET GRADED (White)
1 (strong evidence exists)      
2 (fair evidence exists)    
3 (weak evidence exists)  


Interventions

External Cooling
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) Core temperature Process SIM Flouris AD., Friesen BJ., Carlson MJ., Casa DJ., Kenny GP. Effectiveness of cold water immersion for treating exertional heat stress when immediate response is not possible. Scand J Med Sci Sports 2015; 25(S1):229-39. Medline
III Supportive (Green) Rate of cooling Process Luhring KE., Butts CL., Smith CR., et al. Cooling effectiveness of a modified cold-water immersion method after exercise-induced hyperthermia. Journal of athletic training. 2016;51(11):946-951. Medline
X Not Yet Graded (White) Detection cold hyperthermia Process Lissoway JB., Lipman GS., Grahn DA., et al. Novel application of chemical cold packs for treatment of exercise-induced hyperthermia: A randomized controlled trial. Wilderness Environ Med 2015; 26(2):173-9. Medline

IV Fluid as a cooling agent
Level Direction Primary Outcome Patient/Process Setting Reference
III Supportive (Green) Decrease in core body temperature Process ED-MD Bursey MM, Galer M, Oh RC, Weathers BK. Successful Management of Severe Exertional Heat Stroke with Endovascular Cooling After Failure of Standard Cooling Measures. J Emerg Med 2019; 57(2):e53-6. Medline
III Neutral (Yellow) Mental status Patient Horseman MA., Rather-Conally J., Saavedra C., Surani S. A case of severe heatstroke and review of pathophysiology, clinical presentation, and treatment. J Intensive Care Med 2013; 28(6):334-40. Medline
X Not Yet Graded (White) - Patient Mallick A., Bodenham AR. MDMA induced hyperthermia: A survivor with an initial body temperature of 42.9 degrees C. J Accid Emerg Med 1997; 14(5):336-8. Medline

Oral rehydration
Level Direction Primary Outcome Patient/Process Setting Reference

Temperature Monitoring
Level Direction Primary Outcome Patient/Process Setting Reference
II Neutral (Yellow) Sensitivity and Specificity Process Niven DJ., Gaudet JE., Laupland KB., Mrklas KJ., Roberts DJ., Stelfox HT. Accuracy of Peripheral Thermometers for Estimating Temperature: A Systematic Review and Meta-analysis. Ann Intern Med 2015; 163:768-77. Medline


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