Question

A 28-year-old man working on a remote cattle station is brought in with confusion, hot dry skin and a core temperature of 41.2 °C after working all day in extreme heat. Blood pressure is 90/50 mmHg. There is no access to CT imaging. What is the most appropriate immediate management?

Accepted Answer

Rapid external cooling with evaporative and ice-pack methods plus IV fluids

Answer

Paracetamol and observe

Answer

Oral rehydration and discharge once afebrile

Answer

Delay cooling until blood tests are available

Answer

Start broad-spectrum antibiotics only

Practice question

A 28-year-old man working on a remote cattle station is brought in with confusion, hot dry skin and a core temperature of 41.2 °C after working all day in extreme heat. Blood pressure is 90/50 mmHg. There is no access to CT imaging. What is the most appropriate immediate management?