Question

A 24-year-old male athlete collapses during a marathon on a hot day. He is confused, hot to touch with core temperature 41.2 °C, tachycardic and hypotensive. What is the most important immediate management?

Accepted Answer

Aggressive external cooling and intravenous fluids

Answer

Paracetamol and NSAIDs to reduce fever

Answer

Oral rehydration and rest

Answer

No active cooling; avoid provoking shivering

Answer

Elective ICU admission only if symptoms persist

Practice question

A 24-year-old male athlete collapses during a marathon on a hot day. He is confused, hot to touch with core temperature 41.2 °C, tachycardic and hypotensive. What is the most important immediate management?