School of Physical Therapy & Rehabilitation Sciences; Department of Orthopaedics & Sports Medicine; Morsani College of Medicine, University of South Florida, Tampa.
Korey Stringer Institute, University of Connecticut, Storrs.
J Athl Train. 2022 Jun 1;57(6):586-591. doi: 10.4085/1062-6050-0462.21.
A 14-year-old female high school cross- country runner (height = 154 cm, mass = 48.1 kg) with no history of exertional heat stroke (EHS) collapsed at the end of a race. An athletic trainer assessed the patient, who presented with difficulty breathing and then other signs of EHS (eg, confusion and agitation). The patient was taken to the medical area and draped with a towel, and a rectal temperature (Tre) of 106.9°F (41.6°C) was obtained. The emergency action plan was activated, and emergency medical services was called. The patient was submerged in a cold-water immersion tub until emergency medical services arrived (∼15 minutes; Tre = 100.1°F; cooling rate: 0.41°F.min-1[0.25°C.min-1]). At the hospital, the patient received intravenous fluids, and urine and blood tests were normal. She was not admitted and returned to running without sequelae. Following best practices, secondary school athletic trainers can prevent deaths from EHS by properly recognizing the condition and providing rapid cooling before transport.
一名 14 岁的女性高中越野跑运动员（身高=154cm，体重=48.1kg），无运动性热射病（EHS）病史，在比赛结束时晕倒。一名运动训练师对患者进行了评估，患者表现出呼吸困难，随后出现 EHS 的其他迹象（如意识混乱和烦躁不安）。患者被送往医疗区，身上盖着一条毛巾，直肠温度（Tre）为 106.9°F（41.6°C）。启动了紧急行动计划，并呼叫了紧急医疗服务。患者被浸入冷水浸泡浴槽中，直到紧急医疗服务人员到达（约 15 分钟；Tre=100.1°F；冷却速率：0.41°F.min-1[0.25°C.min-1]）。在医院，患者接受了静脉输液，尿液和血液检查均正常。她没有住院，并且没有留下后遗症就返回跑步。根据最佳实践，中学运动训练师可以通过正确识别病情并在运输前进行快速降温来预防 EHS 导致的死亡。
