Horowitz B Z
Division of Emergency Medicine and Clinical Toxicology, University of California Davis Medical Center, Sacramento 95817.
Am J Emerg Med. 1989 Nov;7(6):616-9. doi: 10.1016/0735-6757(89)90285-4.
A case of heat stroke is described in which the patient presented comatose with a rectal temperature exceeding 42.5 degrees C. Standard external evaporative cooling and iced gastric lavage failed to alter his temperature or mental status. Iced peritoneal lavage brought about a decrease in rectal temperature to 39.4 degrees C and significant improvement in mental status. The patient recovered uneventfully. Techniques of rapid cooling are discussed.
