Feasibility and Safety of Intravascular Temperature Management for Severe Heat Stroke: A Prospective Multicenter Pilot Study

Yokobori, Shoji; Koido, Yuichi; Shishido, Hajime; Hifumi, Toru; Kawakita, Kenya; Okazaki, Tomoya; Shiraishi, Shinichirou; Yamamura, Eiji; Kanemura, Takashi; Otaguro, Takanobu; Matsumoto, Gaku; Kuroda, Yasuhiro; Miyake, Yoshihiro; Naoe, Yasutaka; Unemoto, Kyoko; Katô, Hiroshi; Matsuda, Kiyoshi; Matsumoto, Hisashi

doi:10.1097/ccm.0000000000003153

Cited by 14 publications

(15 citation statements)

References 21 publications

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“…Although gel pads and intravascular devices have been developed for hyperthermia therapy, reports on their effectiveness for heatrelated illness are limited. 13,14 Ice water immersion is widely used in the USA and Europe. 15,16 When we planned our research, ice water immersion was not recognized in Japan.…”

Section: Discussionmentioning

confidence: 99%

“…Dominant methods were evaporative or fan cooling and infusion of cold fluid. Although gel pads and intravascular devices have been developed for hyperthermia therapy, reports on their effectiveness for heat‐related illness are limited 13,14 . Ice water immersion is widely used in the USA and Europe 15,16 .…”

Section: Discussionmentioning

confidence: 99%

“…The median prehospital body temperature (BT) was 38.7°C (37.0-40.1°C), and the median BT on admission was 38.2°C (36.8-39.8°C). The median JAAM DIC, SOFA, and APACHE II scores on admission were 1 (0-2), 4 (2-6), and 13 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22), respectively. To predict hospital mortality, ROC curves were created, and AUCs were 0.776 (JAAM DIC score), 0.825 (SOFA), and 0.878 (APACHE II) ( Fig.…”

Section: Baseline Characteristicsmentioning

confidence: 99%

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Clinical characteristics, prognostic factors, and outcomes of heat‐related illness (Heatstroke Study 2017–2018)

Shimazaki

Hifumi²,

Shimizu

et al. 2020

Acute Medicine & Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Baseline Characteristicsmentioning

confidence: 99%

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Clinical characteristics, prognostic factors, and outcomes of heat‐related illness (Heatstroke Study 2017–2018)

Shimazaki

Hifumi²,

Shimizu

et al. 2020

Acute Medicine & Surgery

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“…From the comparison of cooling rates, recommended alternative cooling methods that do not use evaporative plus convective cooling include cold water immersion, 3–6 cold water shower, 7 local cooling, 8 intravascular cooling, 9 and devices such as a cooling mat 6,10 . There were many reports that cold water immersion was effective in cooling the whole body or a part of the body.…”

Section: Treatment (Cooling Method)mentioning

confidence: 99%

Heatstroke management during the COVID‐19 epidemic: recommendations from the experts in Japan

Yokobori

2020

Acute Medicine & Surgery

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Fever and hyperthermia are the main symptoms of COVID‐19 and heatstroke, it is difficult to distinguish them. We came to think that there is a need to discuss safe prevention and medical treatment for heatstroke. In view of the above issues, the Japanese Association for Acute Medicine “Committee on Heatstroke and Hypothermia” established a "Working group on heatstroke medical care given the COVID‐19 epidemic" jointly with the Japanese Society for Emergency Medicine that focuses on emergency medical personnel including paramedics and nurses, the Japanese Association for Infectious Diseases, an academic society of infectious disease, and the Japanese Respiratory Society, an academic organization on respiratory diseases. The precautions for prevention of heatstroke this summer during the coronavirus epidemic was summarized in "Proposals on heatstroke prevention based on the COVID‐19 epidemic" as follows and was issued on June 1, 2020. Based on the above, we have determined that guidance in clinical practice is necessary not only from the viewpoint of heatstroke prevention, but also from the viewpoint of medical treatment. As such, we have created this guidance in the form of supplementary recommendation.

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“…113,114 Intravascular cooling catheters are suggested to decrease morbidity when added to evaporative and convective cooling. 115 Recommendations. Cold intravenous fluids should be given for adjunctive cooling in heat stroke (1C).…”

Section: Adjunctive Cooling Treatmentsmentioning

confidence: 99%

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update

Lipman

Gaudio

Eifling

et al. 2019

Wilderness & Environmental Medicine

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The Wilderness Medical Society convened an expert panel in 2011 to develop a set of evidence-based guidelines for the recognition, prevention, and treatment of heat illness. We present a review of the classifications, pathophysiology, and evidence-based guidelines for planning and preventive measures, as well as best practice recommendations for both fieldand hospital-based therapeutic management of heat illness. These recommendations are graded based on the quality of supporting evidence and balance the benefits and risks or burdens for each modality. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Treatment and Prevention of Heat-Related Illness published in 2013.

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Feasibility and Safety of Intravascular Temperature Management for Severe Heat Stroke: A Prospective Multicenter Pilot Study

Cited by 14 publications

References 21 publications

Clinical characteristics, prognostic factors, and outcomes of heat‐related illness (Heatstroke Study 2017–2018)

Clinical characteristics, prognostic factors, and outcomes of heat‐related illness (Heatstroke Study 2017–2018)

Heatstroke management during the COVID‐19 epidemic: recommendations from the experts in Japan

Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update

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