Protocol 2-550 - Hyperthermia

EMR:

Remove from exposure.

Open and maintain airway.

Attempt to determine down-time and history.

Consider Oxygen if SpO2 less than 88%.

Passively cool patient.

Obtain core body Temperature, if able. If unable, consider patient with at least HEAT EXHAUSTION if Heat Index above 103° F.

Consider applying Cardiac Monitor limb leads.

Altered mentation and/or Temperature greater than 104° F (HEAT STROKE): Active, rapid cooling is indicated using ice, evaporation, and/or cold packs. Attempt to cool to 102° F.

Normal mentation and Temperature less than 104° F (HEAT EXHAUSTION): Passive cooling. Treat specific complaints per protocol.

AEMT:

Ensure completion of applicable EMT items above.

Consider IV cool NS/LR.

Adult:	Pediatric:
125 ml/hr.	20 ml/kg (may repeat once). Click "calculate" to get dose.

Medic:

Ensure completion of all applicable BLS items above.

Consider IO cool NS/LR.

Monitor closely for arrhythmias. Treat per protocol.

NEMSIS Protocol: 9914029 - Environmental-Heat Stroke/Hyperthermia

Citations:

Protocol 9-010 - References
NASEMSO Medical Directors Council, 2017

Change Log:

Date	Link to previous version	Description of change
12/29/14	pdf	Changed name from Heat exhaustion / heat stroke to Hyperthermia.
04/14/15		Added consider to limb leads. Moved heat exhaustion and heat stroke sections from ALS to EMR.
07/22/16	pdf	Moved fluid bolus to AEMT section.
08/24/17	pdf	Removed Ativan.
09/20/17		Added temp less than 104 for normal mentation and passive cooling. Added temp greater than 104 for altered mentation and active cooling with ice, evaporation, and cold packs. Added consider to AEMS cool IV fluids.
04/08/20	pdf	Added content (without substantive modification) from old Protocol 3-020 - Hyperthermia.
06/06/21	pdf	Moved to emsprotocols.online
10/15/21		Changed link for 2-550-01 to 2-550-50.

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Polk, Hickory, Cedar, & St Clair County EMS Protocols by Theron Becker is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.