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Overview
Heat illness is a pervasive problem that is often encountered in patients who
present to the emergency department. During summer heat waves, large
urban centers see a significant rise in hyperthermia-related fatalities. Heat
illness should be thought of as a spectrum of disease from heat cramps
to heatstroke. Medication-related hyperthermic conditions such as malignant
hyperthermia, serotonin syndrome, and neuroleptic malignant
syndrome (NMS) need to be specifically recognized, as the treatment of these
diseases requires adjunctive pharmacotherapy (eg, dantrolene,
cyproheptadine, bromocriptine, levodopa, amantadine) in addition to rapid
cooling measures. Understanding basic principles of thermoregulation and the
pathophysiology of hyperthermia is essential to treatment. [1, 2]
The image below depicts items used for noninvasive cooling techniques.