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Related Concept Videos

Increased Body Temperature01:25

Increased Body Temperature

A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
Methods of reducing fever01:22

Methods of reducing fever

The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Homeostatic Imbalances in Body Temperature01:19

Homeostatic Imbalances in Body Temperature

Hyperthermia occurs when the body's temperature becomes unusually high, often due to heat exposure, intense physical activity, or certain illnesses. This condition can create a dangerous cycle where elevated body temperature increases the metabolic rate, generating more heat and potentially leading to organ failure and brain damage. A severe form of hyperthermia, called heat stroke, can raise body temperature to life-threatening levels. Fever, on the other hand, is a controlled form of...
Drug toxicity: Idiosyncratic Reactions01:16

Drug toxicity: Idiosyncratic Reactions

Idiosyncratic drug reactions represent abnormal chemical responses that vary significantly among individuals, ranging from extreme sensitivity to low doses to insensitivity to high doses. These reactions often occur due to the drug's covalent binding with serum proteins, forming a foreign hapten that triggers an immunotoxicological response. The variability in drug reactions has a strong pharmacogenetic foundation, with genetic differences crucial in how individuals metabolize drugs. For...
Toxidromes: Clinical Features01:30

Toxidromes: Clinical Features

Toxidromes are specific patterns of symptoms resulting from toxic substance exposure. They help in the identification and treatment of poisoning. The symptoms of each toxidrome group indicate poisoning by a certain class of chemicals or drugs.1. Sympathomimetic: Stimulates the sympathetic nervous system. Symptoms include agitation, increased heart rate (HR), blood pressure (BP), respiratory rate (RR), temperature, and pupil size. Drugs like cocaine and amphetamines, along with tremors and...
Diabetes Insipidus I: Introduction01:29

Diabetes Insipidus I: Introduction

Definition Diabetes insipidus is a disorder marked by the production of large amounts of dilute urine because of impaired vasopressin production, release, or kidney response. The lack of effective vasopressin action limits water reabsorption in the renal collecting ducts, which leads to excessive urinary water loss and intense thirst.Clinical PresentationIndividuals with diabetes insipidus report persistent thirst and very high urine output. In severe cases, fluid intake can reach up to 20...

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Related Experiment Video

Updated: Jun 18, 2026

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
06:43

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management

Published on: November 21, 2017

Illicit Drug Induced Hyperthermia (IDIH).

Úna Nic Ionmhain1,2,3,4, Kylie McArdle1,5, Ingrid Berling1,5,6

  • 1NSW Poisons Information Centre, Sydney Children's Hospitals Network, Sydeny, New South Wales, Australia.

Emergency Medicine Australasia : EMA
|June 9, 2025
PubMed
Summary

Illicit drug induced hyperthermia (IDIH) is a critical medical emergency. Prompt recognition, active cooling within 15 minutes, and specialized care are vital to prevent severe organ damage and mortality.

Keywords:
coolingdrug induced hyperthermiahyperthermiatoxicology

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Last Updated: Jun 18, 2026

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Area of Science:

  • Emergency Medicine
  • Clinical Toxicology
  • Pharmacology

Background:

  • Illicit drug induced hyperthermia (IDIH) presents a significant, life-threatening medical emergency.
  • Factors like exertion and high ambient temperatures can exacerbate drug toxicity-related hyperthermia.
  • Understanding the clinical spectrum, morbidity, and mortality of IDIH is crucial for effective management.

Purpose of the Study:

  • To highlight the clinical features, morbidity, and mortality associated with illicit drug induced hyperthermia.
  • To emphasize the critical need for rapid recognition and management of IDIH.
  • To advocate for standardized protocols and expert consultation in managing IDIH cases.

Main Methods:

  • Case presentations illustrating IDIH scenarios.
  • Review of clinical features, contributing factors, and patient outcomes.
  • Discussion of management priorities and interventions.

Main Results:

  • IDIH requires immediate interventions to reduce heat production and initiate active cooling.
  • Achieving temperature control within 15 minutes is essential to prevent irreversible organ injury.
  • IDIH events are characterized as high acuity, low occurrence (HALO) situations.

Conclusions:

  • A specific protocol for IDIH and early consultation with clinical toxicology specialists are recommended.
  • Timely management, including rapid cooling and supportive care, is paramount for improving patient outcomes in IDIH.
  • Suspected illicit drug use in hyperthermia cases warrants a high index of suspicion and prompt, specialized medical attention.