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    Heat Emergencies

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    Scott K
    1. The document provides protocols for treating heat emergencies including heat cramps, heat exhaustion, and heat stroke. 2. For heat cramps, patients should be moved to a cool area and given oral liquids. For heat exhaustion, cooling measures like fluids, air conditioning, and removing tight clothes are emphasized. 3. Heat stroke requires immediate cooling through immersion or water dousing as well as IV fluids, and seizures should be treated per the seizures protocol. Cooling the patient is prioritized over transport.

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    Download as PDF, TXT or read online from Scribd

    Heat Emergencies

    Uploaded by

    Scott K
    61 views3 pages
    1. The document provides protocols for treating heat emergencies including heat cramps, heat exhaustion, and heat stroke. 2. For heat cramps, patients should be moved to a cool area and given oral liquids. For heat exhaustion, cooling measures like fluids, air conditioning, and removing tight clothes are emphasized. 3. Heat stroke requires immediate cooling through immersion or water dousing as well as IV fluids, and seizures should be treated per the seizures protocol. Cooling the patient is prioritized over transport.

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    Protocol

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    1. The document provides protocols for treating heat emergencies including heat cramps, heat exhaustion, and heat stroke. 2. For heat cramps, patients should be moved to a cool area and given oral liquids. For heat exhaustion, cooling measures like fluids, air conditioning, and removing tight clothes are emphasized. 3. Heat stroke requires immediate cooling through immersion or water dousing as well as IV fluids, and seizures should be treated per the seizures protocol. Cooling the patient is prioritized over transport.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    61 views3 pages

    Heat Emergencies

    Uploaded by

    Scott K
    1. The document provides protocols for treating heat emergencies including heat cramps, heat exhaustion, and heat stroke. 2. For heat cramps, patients should be moved to a cool area and given oral liquids. For heat exhaustion, cooling measures like fluids, air conditioning, and removing tight clothes are emphasized. 3. Heat stroke requires immediate cooling through immersion or water dousing as well as IV fluids, and seizures should be treated per the seizures protocol. Cooling the patient is prioritized over transport.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    The protocols outline the treatment for heat cramps, heat exhaustion, and heat stroke which include cooling the patient, providing fluids, and contacting medical control.

    Heat cramps cause muscle pains or spasms, heat exhaustion causes heavy sweating, weakness, dizziness, nausea, and headache, and heat stroke causes a body temperature above 103 F with altered mental status.

    For heat cramps provide oral fluids and contact medical control. For heat exhaustion move to a cool area, remove tight clothes, cool the patient, provide fluids, and contact medical control. For heat stroke immediately cool the patient, provide fluids, place in semi-reclined position, and contact medical control.

    Michigan

    Adult Treatment Protocols


    HEAT EMERGENCIES
    Date: May 31, 2012 Page 1 of 3

    Heat Emergencies

    Pre-Medical Control
    MFR/EMT/SPECIALIST/PARAMEDIC
    1. Follow General Pre-hospital Care Protocol.
    2. Determine history/evidence of heat exposure.

    EMT/SPECIALIST/PARAMEDIC
    3. Check blood glucose and treat hypoglycemia per Altered Mental Status Protocol.

    HEAT CRAMPS:
    MFR/EMT/SPECIALIST/PARAMEDIC
    1. Move the patient to a cool environment and attempt oral liquids.
    2. Contact Medical Control.

    HEAT EXHAUSTION:
    MFR/EMT/SPECIALIST/PARAMEDIC
    1. Move the patient to a cool environment.
    2. Remove Tight Clothing.
    3. Cool patient, provide air conditioning/fanning. Avoid chilling/shivering.

    SPECIALIST/PARAMEDIC
    4. NS IV/IO fluid bolus up to 1 liter, wide open.
    A. Patient may take oral fluid replacement rather than IV if no nausea. Allow oral intake of
    cool fluids or water (may use commercial sports/rehydration drinks). Do not permit patient
    to drink if altered mental status, abdominal pain or nausea. Avoid carbonated, alcoholic and
    caffeinated beverages.

    EMT/SPECIALIST/PARAMEDIC
    5. Contact Medical Control.

    HEAT STROKE:
    MFR/EMT/SPECIALIST/PARAMEDIC
    1. Move the patient to a cool environment.
    2. Remove tight clothing.
    3. Immediate cooling provide air conditioning and fanning. Avoid chilling/shivering.
    4. Place patient in semi-reclining position with head elevated.

    SPECIALIST/PARAMEDIC
    5. NS IV/IO fluid bolus up to 1 liter, wide open, repeat as indicated.

    EMT/SPECIALIST/PARAMEDIC
    6. Contact Medical Control.

    MCA Name Macomb County EMS Medical Control Authority Section 1-9
    MCA Board Approval Date Feb. 15, 2013
    MDCH Approval Date May 31, 2013
    MCA Implementation Date Aug. 01, 2013
    Michigan
    Adult Treatment Protocols
    HEAT EMERGENCIES
    Date: May 31, 2012 Page 2 of 3

    MANAGEMENT OF PATIENT WITH EXERTIONAL HEAT STROKE

    7. Cool as quickly as possible via ice or cool-water immersion, if possible. Alternative means such
    as water dousing may be used if immersion is not possible, dousing is not as effective.
    A. Cool as much of the body as possible, especially the torso.
    8. Cool first, transport second when possible.

    SPECIALIST/PARAMEDIC
    9. Obtain vascular access; consider resting the patients arm on the side of immersion tub to start IV
    while patient is still immersed.
    10. If patient experiences seizures, refer to Seizures Protocol.

    PARAMEDIC
    11. Monitor ECG (lead cables can go in the water).

    MCA Name Macomb County EMS Medical Control Authority Section 1-9
    MCA Board Approval Date Feb. 15, 2013
    MDCH Approval Date May 31, 2013
    MCA Implementation Date Aug. 01, 2013
    Michigan
    Adult Treatment Protocols
    HEAT EMERGENCIES
    Date: May 31, 2012 Page 3 of 3

    Follow General Pre-hospital Care Protocol


    Determine history/evidence of HEAT exposure
    Check blood glucose and treat hypoglycemia per Altered Mental Status Protocol

    Move patient to cool


    Heat Cramps environment and Contact Medical
    attempt oral liquids Control

    NS IV/IO fluid bolus up to 1 liter, wide


    Move patient to cool environment open
    Heat Exhaustion Remove tight clothing
    Cool patient
    Provide air conditioning & fanning. Patient may take oral fluid replacement
    Avoid chilling/shivering rather than IV if no nausea. Allow oral
    intake of cool fluids or water (may use
    commercial sports/rehydration drinks). Do
    not permit patient to drink if altered mental
    status, abdominal pain or nausea. Avoid
    carbonated, alcoholic and caffeinated
    beverages.

    Contact Medical
    Control
    Move patient to cool environment
    Remove tight clothing NS IV/IO fluid bolus up to 1 liter,
    Heat Stroke Immediate cooling wide open, repeat as indicated
    Provide air conditioning & fanning.
    Avoid chilling/shivering.
    Place patient in semi-reclining position with Contact Medical
    head elevated Control

    Cool as quickly as possible via ice or cool-water immersion,


    if possible.
    External Heat Stroke Alternative means such as water dousing may be used if
    immersion is not possible, dousing is not as effective.
    Cool as much of the body as possible, especially the torso.
    Cool first, transport second when possible.

    Obtain vascular access; consider resting patients


    arm on side of immersion tub to start IV while patient Monitor ECG (lead cables
    is immersed. can go in water)
    If patient experiences seizures refer to Seizures
    Protocol

    MCA Name Macomb County EMS Medical Control Authority Section 1-9
    MCA Board Approval Date Feb. 15, 2013
    MDCH Approval Date May 31, 2013
    MCA Implementation Date Aug. 01, 2013

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