Heat stoke
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Transcript of Heat stoke
DR.ANITA SINGHGDMO,ABGH(HOMOEO.UNIT)
Also known as Sunstroke
Core temperature greater than 40.6 degrees centigrade (105 degrees F)
Predominant CNS symptoms
Classic (nonexertional) heat stroke: Affects individuals with underlying chronic medical conditions (ex – cardiovascular disease, neurologic or psychiatric disorders, obesity, anhidrosis, extremes of age, and drugs such as anticholinergics or diuretics).
Exertional heat stroke: Generally occurs in young, otherwise healthy individuals who have engaged in strenuous exercise in high temperature and humidity
Treat as a medical emergency! Can be life threatening.
ENVIRONMENTAL• High temperature• High relative humidity
AGE• Infants • Elderly
OCCUPATION• Athletes • Labourers• Military personals
Temperature greater than40.6 degrees centigrade (105 degrees F)
Sweating stops and skin is hot, red, and dry
Headache, dizziness, weakness, rapid pulse, chills, difficulty breathing
If untreated, delirium and unconsciousness
COMMON IN
ELDERLY PERSONS
FLUID AND
ELECTROLYTE
LOSSES WITH
INADEQUATE
REPLACEMENT
ABSENCE OF S/S OF CNS DAMAGE AND CORE TEMPERATURE BELOW 39 DEGREE CELSIUS IN HEAT EXHAUSTION
HEPATIC TRANSMINASE ARE NORMAL IN HEAT EXHAUSTION
LACTIC ACIDOSIS
DISSEMINATED
INTRAVASCULAR
COAGULATION
RHABDOMYOLYSIS
RENAL FAILURE
Shortcut to images (21).jpg.lnk
GOAL
TO REDUCE THE CORE TEMP TO (37.8-
38.9 DEGREE CELSIUS)
Cold water shower should
be given.
Application of ice bags on
lateral aspects of trunk ,
axillae , groins.
Fanning
Trunk and neck massage
should be given to reduce
vasoconstriction.
According to Homoeopathy, illness results from derangement in an energy pattern or vital force, when affected by any “morbific dynamic agents”. The aim of Homoeopathic treatment is to stimulate a person’s energy level. The symptoms represent the organism’s reaction to imbalances on the dynamic plain. Homoeopathic diagnosis aims to establish a total pattern of symptoms that reflect the personality of the patient as well as the individuality.
Individualisation is process by which one patient is differentiated from other patients while suffering from the same nosological condition.
The “cure” depends upon matching the pattern of symptoms that is characteristic of the patient (totality of the symptoms) with similar pattern characteristics of the remedy by an integrated collection of the relevant alterations in the mind and body.
RUBRICS RELATED TO HEAT STROKE
KENT`S REPERTORY
Generalities; sun, from exposure to
Generalities; sun, exertion in.
Head; pain, general, sun, exposure
Head; sunstroke
Head; sunstroke, from having
slept in sun
Head; pain, summer
Natrum Carbonicum :Chronic effects of sunstroke, with return of hot weather, suffers headache.
Glonoinum: Sun headache walking in the sun(Lach, Nat C).
Antimonium Crudum: Can not bear heat of sun; Worse from over exertion in sun.(Lach, Nat M);exhausted in warm weather.
Carbo vegetabilis: Ailments from getting overheated, clammy cold and very pale, yet wants to be fanned .
Belladonna: Headache with red face ,throbbing of carotids< least exertion.
Gelsemium : General depression from heat of sun. headache <heat of sun.
Bryonia: Complaints when warm weather
sets in ,getting hot in summer. Headache as
if brain would burst through forehead.
Opium: Head hot,with hot sweat; sleep after
convulsions. Generally low temp with
inclination to stupor.
Nat Mur: headaches as if bursting; from
sunrise to sunset,as through thousands of
hammers were knocking in the brain during
fever.
https://en.wikipedia.org/wiki/Heat_stroke www.dir.ca.gov/dosh/heatillnessinfo.html Scholarly articles for heat stroke m. bja.oxfordjournals.org/content/88/5/700.full Harrison’s Principles of Internal Medicine,17 edition. Bouchama A, Knochel JP: Heat stroke. N Engl J Med 346:1978,
2002 [PMID: 12075060] www.cdc.gov Basic Military Requirement(BMR) Revised edition pg no393 HAHNEMANN S. Organon of Medicine, 2003, Trans: Dudgeon R.
E. Reprint 5th and 6th edition, IBPP, New Delhi, 62-185 pp. Repertory of Homoeopathic Materia medica by KENT, J.T Allen’s keynotes.