Heat Cramps Definition painful contractions of large muscle groups because of decreased hydration and a decrease of serum sodium and chloride. cramps can also occur secondary to increased water intake leading to dilutional hyponatremia Treatment rapid cooling stretching electrolyte and fluid replacement Heat Syncope Definition transient loss of consciousness with peripheral vasodilation and decreased cardiac output with normal body temperature. Pathophysiology results from sever orthostatic event secondary to elevated temperatures Treatment fluid replacement lying supine with leg elevation Heat Exhaustion Definition defined as a core temperature of less than 102.2 degrees F (39 degrees C) and an absence of central nervous system dysfunction. Epidemiology the most common heat-induced condition Pathophysiology hypernatremic heat exhaustion results from inadequate water replacement. Symptoms consist of profuse sweating and nausea/vomiting Treatment table salts IV hydration cooling Heat Illness Treatment drink fluids low osmolarity solution (<10%) carbs and stimulate GI fluid absorption Monitor weight 5% loss - not able to return to play 7% loss - see physician Heat Stroke Introduction a medical emergency with a high death rate that results from failure of the thermoregulatory mechanisms of the body Definition hyperthermia tachycardia/tachypnea central nervous system dysfunction cessation of sweating with hot, dry skin anhidrosis Body temperature above 40.5 degrees Celsius Epidemiology second most common cause of death in football players Treatment rapid reduction in body core temperature lower temp below 39°C (102° F) with ice immersion cooling blanket fanning internal cooling if needed IV hydration Complications heat sensitivity may last 1 year
QUESTIONS 1 of 6 1 2 3 4 5 6 Previous Next Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK (OBQ13.205) A 26-year-old football player develops tachycardia and hot, dry skin during a game. He is found to have a temperature of 41 degrees C, but is not sweating. Further examination reveals the player is not oriented to time or place, and he soon develops convulsions. Which of the following is the most important next step in treatment? QID: 4840 Type & Select Correct Answer 1 Aggressive administration of IV fluids 15% (869/5725) 2 Administer acetaminophen 0% (28/5725) 3 Lay him supine with leg elevation 2% (110/5725) 4 Rapid cooling with ice immersion 82% (4680/5725) 5 Administration of IV antibiotics 0% (14/5725) L 2 Question Complexity C Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic Sorry, this question is for PEAK Premium Subscribers only Upgrade to PEAK This is an AAOS Self Assessment Exam (SAE) question. Orthobullets was not involved in the editorial process and does not have the ability to alter the question. If you prefer to hide SAE questions, simply turn them off in your Learning Goals. (SAE07SM.73) A 20-year-old soccer player who collapsed after a goal kick reports weakness and nausea. He appears confused. Examination reveals that he is not sweating. His skin is warm and dry. The outdoor temperature is 80 degrees F (26.6 degrees C) with a relative humidity of 80%. Which of the following is the most appropriate next step for management of this patient? QID: 8735 Type & Select Correct Answer 1 a drink of water. 3% (17/600) 2 a sports drink with electrolytes. 13% (80/600) 3 placement in the reverse Trendelenburg position in a shaded area. 9% (53/600) 4 immersion in a warm water bath. 3% (17/600) 5 transportation to the emergency department. 72% (430/600) L 1 Question Complexity E Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 5 Review Tested Concept Review Full Topic This is an AAOS Self Assessment Exam (SAE) question. Orthobullets was not involved in the editorial process and does not have the ability to alter the question. If you prefer to hide SAE questions, simply turn them off in your Learning Goals. (SAE07SM.43) Which of the following best describes heat stroke? QID: 8705 Type & Select Correct Answer 1 Transient loss of consciousness with peripheral vasodilation and decreased cardiac output with normal body temperature 3% (20/782) 2 A condition involving painful contractions of large muscle groups because of decreased hydration and a decrease of serum sodium and chloride 1% (10/782) 3 Hypernatremia in poorly conditioned athletes, manifested by thirst and oliguria with a core temperature of less than 102.2 degrees F (39 degrees C) 2% (15/782) 4 Hyperthermia, central nervous system dysfunction, and loss of thermoregulatory function 94% (732/782) 5 A transient condition that responds to glucose administration 0% (2/782) L 1 Question Complexity E Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic (SBQ07SM.43) Which of the following conditions are characterized by hyperthermia, central nervous system dysfunction, and loss of thermo-regulatory function? QID: 1428 Type & Select Correct Answer 1 Heat syncope 1% (16/1980) 2 Heat cramps 0% (8/1980) 3 Heat exhaustion 1% (29/1980) 4 Heat stroke 90% (1780/1980) 5 Heat shock 7% (139/1980) L 1 Question Complexity D Question Importance Select Answer to see Preferred Response SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic
All Videos (1) Podcasts (1) Login to View Community Videos Login to View Community Videos Sport Medicine Board Prep Video Collection Series Heat Illness and Stroke - Dr. Christian Schupp Christian Schupp Knee & Sports - Heat Illness and Stroke B 9/30/2013 505 views 4.8 (6) Knee & Sports | Heat Illness and Stroke Knee & Sports - Heat Illness and Stroke Listen Now 11:27 min 2/7/2022 45 plays 0.0 (0)