Hey everybody, this is Steve Carroll, and this is the InBase podcast.

Today we'll be talking about hypothermia in the ED.

Just in time for the warmer months, at least here in the Northern Hemisphere, Dr. Andrea Sarchi wrote this script to discuss patients who are dangerously hot and how to manage them in the ED.

This episode was recorded by Jacob Shreiner, a third-year medical

student in Emory University School Medicine. As always, we'll start off with how to get the

relevant history and exam findings, how to order the right tests, properly treat the patient,

and get the right disposition. So let's get right to it. Here's hypertherneric emergencies

in the ED. Hey everyone, Jake Shriner and M2 working on EM Basic here again.

Today, we're going to discuss heat illness or hypothermia,

which is a condition that occurs when a person's core body temperature gets too high

as a result of a failure of thermoregulation.

So it's important to note here that hypothermia is not the same as fever.

Fever is an elevated body temperature due to cytokine activation that occurs during

inflammatory states and is regulated by the hypothalamus.

There are different degrees of the minor forms of heat illness, including heat cramps,

head edema, heat syncope, prickly heat, and heat exhaustion.

Classification of heat illness is controversial,

and experts disagree about the categorization of each illness, as well as the temperatures and symptoms that define each one. Just know that they exist and represent different manifestations

of heat illness in the body. A detailed discussion of each of these minor forms of heat illness

is beyond the scope of today's podcast,

so our main focus will be on the most severe form of heat illness, known as heat stroke.

This episode is written by Andrea Sarchi, under the direction and supervision of Dr. Jason Mansour,

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