Anstrengungs-induzierter Hitzschlag

Dunker, Martin; Rehm, Maximilien X.; Briegel, Josef; Thiel, Manfred; Schelling, G.

doi:10.1007/s001010100169

Cited by 12 publications

(2 citation statements)

References 22 publications

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“…Heatstroke causes systemic overheating of the body with a body core temperature exceeding 40.5°C and a consequent loss of consciousness up to coma [8]. It is therefore a disturbance of the body's thermal regulation that results in an imbalance between the generation and dissipation of heat [9].…”

Section: Discussionmentioning

confidence: 99%

Death in the sauna-vitality markers for heat exposure

2021

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In sauna-associated deaths, the vitality of heat exposure is of great importance. Two case reports address this. First, we present the case of a 77-year-old man who was found dead in the sauna of his family home. When found, the sauna door was closed, and the sauna indicated a temperature of 78 °C. The body had already begun to decay and was partially mummified when it was found. In the other case, a 73-year-old woman was found dead in the sauna by her husband. In this case, the sauna door was also closed. The sauna was still in operation at a temperature of approximately 70 °C. Epidermal detachments were found. In both autopsies and their follow-up examinations, there were no indications of a cause of death competing with heat shock. The expression of heat shock proteins in kidneys and lungs and the expression of aquaporin 3 in skin were investigated to detect pre-mortal temperature influences.

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Section: Discussionmentioning

confidence: 99%

Death in the sauna-vitality markers for heat exposure

2021

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“…Heat stroke has been classified as exertional or classic (nonexertional). Exertional heat stroke is precipitated by strenuous physical activity in hot and humid climates and is usually seen in otherwise healthy young persons, typically athletes (15, 16) or military recruits in training (39). Temperature may rise considerably with increasing metabolic activity, such as in muscle during vigorous exercise.…”

Section: Discussionmentioning

confidence: 99%

Antithrombin and Near‐Fatal Exertional Heat Stroke

et al. 2002

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Heat waves result in excess deaths, excess emergency department visits, and intensive care unit admissions for heat stroke. We describe the clinical features and 3-month outcome of a patient with near-fatal heat stroke, admitted to our intensive care unit in July, 2001. After heavily working for hours at a construction site during a heat wave, the 28-year-old male presented with 41.4 degrees C body temperature and multiorgan failure, consisting of neurological impairment, rhabdomyolysis, acute renal failure, disseminated intravascular coagulation, and acute respiratory distress syndrome (ARDS). In the first week there was no evidence of infection. Treatment included cooling, aggressive volume resuscitation, administration of antithrombin-III concentrates and steroids. The patient survived and recovered normal neurological, renal, respiratory and haematological function, and no disability persisted. This case illustrates survival and complete recovery after multiorgan failure in heat stroke with vigorous intensive care. Treatment with antithrombin and steroids and may well have contributed to the favourable outcome. Correction of reduced antithrombin III levels to supranormal by therapeutic administration of antithrombin III concentrate in disseminated intravascular coagulation of heat stroke was not associated with any bleeding complications.

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Letale Hyperpyrexie bei einem jugendlichen Schwerbrandverletzten nach Verkehrsunfall

et al. 2016

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After a motorcycle accident a 16-year-old patient suffered severe burns to 40.5 % of the total body surface area (TBSA) of which 37 % were deep subdermal burns. After tangential and partly epifascial necrosectomy, Integra® was used as a temporary dermis replacement material for the lower extremities, combined with extensive negative pressure wound therapy (NPWT). In the further course of the treatment the patient developed uncontrollable hyperpyrexia with a fatal outcome. Possible influencing factors, such as the dermis replacement material combined with NPWT over large areas as well as the differential diagnoses propofol infusion syndrome, heatstroke and malignant hyperthermia are discussed.

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Anstrengungs-induzierter Hitzschlag

Cited by 12 publications

References 22 publications

Death in the sauna-vitality markers for heat exposure

Death in the sauna-vitality markers for heat exposure

Antithrombin and Near‐Fatal Exertional Heat Stroke

Letale Hyperpyrexie bei einem jugendlichen Schwerbrandverletzten nach Verkehrsunfall

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