A hill runner collapses during an ultramarathon on a hot day. He is confused, tachycardic (150 bpm), and hypertensive. His core temperature is 41.5°C....

Question

A hill runner collapses during an ultramarathon on a hot day. He is confused, tachycardic (150 bpm), and hypertensive. His core temperature is 41.5°C. His skin is hot and dry. What is the most critical immediate intervention?

Accepted Answer

Rapid whole-body cooling by any means available

Answer

Administration of dantrolene IV

Answer

Administration of paracetamol 1 g for antipyresis

Answer

Intravenous fluid resuscitation with chilled 0.9% saline

Answer

Transport to hospital without delay

uk-dipimc MCQ (SBA): Exertional Heatstroke

A hill runner collapses during an ultramarathon on a hot day. He is confused, tachycardic (150 bpm), and hypertensive. His core temperature is 41.5°C. His skin is hot and dry. What is the most critical immediate intervention?