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The golden hour in heat stroke: use of iced peritoneal lavage
1Division of Emergency Medicine and Clinical Toxicology, University of California Davis Medical Center, Sacramento 95817.
The American Journal of Emergency Medicine
|November 1, 1989
Abstract:
A case of heat stroke is described in which the patient presented comatose with a rectal temperature exceeding 42.5 degrees C. Standard external evaporative cooling and iced gastric lavage failed to alter his temperature or mental status. Iced peritoneal lavage brought about a decrease in rectal temperature to 39.4 degrees C and significant improvement in mental status. The patient recovered uneventfully. Techniques of rapid cooling are discussed.