Organ support & nutrition

Management of Heat-Related Illness and Injury in the ICU: A Concise Definitive Review

Crit Care MedPublished Narrative review

Authors' conclusion

The prevalence of heat-related illness and injury is increasing, and rapid initiation of appropriate therapies is necessary to optimize outcomes.

Study context

Population
Patients with heat-related illness and injury in the ICU
Methodological detailsconcise definitive review, qualitative assessment, Ovid Medline, Embase, Cochrane Clinical Trials Register, CINAHL and ClinicalTrials.gov searched from inception through August 2023
  • Concise definitive review
  • Qualitative assessment
  • Ovid Medline, Embase, Cochrane Clinical Trials Register, CINAHL and ClinicalTrials.gov searched from inception through August 2023

Main finding

As reported in the abstract

  • Effective management has included various cooling methods and fluid replenishment
  • Drug therapy is not effective
  • Multiple organ dysfunction, neurologic injury and disseminated intravascular coagulation are common complications of heat stroke
  • Burn injury from contact with hot surfaces or pavement can occur, possibly requiring excision and grafting in severe cases

Original publication

Management of Heat-Related Illness and Injury in the ICU: A Concise Definitive Review. Crit Care Med. Published 19 January 2024. doi:10.1097/ccm.0000000000006170

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