A 45-year-old construction worker presents in summer after working in high heat. He is confused, tachycardic and hot to touch; rectal temperature is 4...

Question

A 45-year-old construction worker presents in summer after working in high heat. He is confused, tachycardic and hot to touch; rectal temperature is 40.5°C. He is not sweating. What is the most appropriate immediate management?

Accepted Answer

Rapid external cooling (e.g., ice water immersion or evaporative cooling) and aggressive supportive care

Answer

Give oral fluids and observe in a cool room

Answer

Apply ice packs to the axillae only and observe

Answer

Administer antipyretics only

Answer

Discharge after advising rest

ca-mccqe1 MCQ (SBA): Exertional heat stroke

A 45-year-old construction worker presents in summer after working in high heat. He is confused, tachycardic and hot to touch; rectal temperature is 40.5°C. He is not sweating. What is the most appropriate immediate management?