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Exertion-induced heat stroke in a military setting.

H J Barthel1

  • 1Department of Family Practice, U.S. Army Health Clinic, Schofield Barracks, Hawaii.

Military Medicine
|March 1, 1990
PubMed
Summary

Heat stroke is a serious medical emergency. Prompt cooling is vital for recovery, even in fit individuals without apparent risk factors, as demonstrated in a military case study.

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Area of Science:

  • Emergency Medicine
  • Environmental Health

Background:

  • Heat stroke is a life-threatening condition requiring immediate intervention.
  • High core body temperature and central nervous system dysfunction define heat stroke.

Observation:

  • A 24-year-old military officer developed heat stroke during physical training despite favorable environmental conditions and appropriate attire.
  • The patient presented with classic heat stroke symptoms, including a core temperature of 105.9°F, and significant hepatic and skeletal muscle enzyme abnormalities.

Findings:

  • Despite lacking typical risk factors, the patient experienced severe heat stroke.
  • Aggressive cooling measures led to normalization of enzyme levels without long-term complications.

Implications:

  • This case highlights the unpredictable nature of heat stroke, even in healthy individuals.
  • Military physicians must be vigilant in recognizing and managing heat stroke, particularly in deployed, hot, and humid environments.

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