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Heat Disorders

Heat Disorders. Can I cancel my HEAT ORDERS?. Heat exhaustion. Temperature – normal or slightly higher. Sweating with pale, clammy skin. Signs & Symptoms:. Thirst. Loss of appetite & nausea. Muscle cramps (arms, legs or abdomen). Headache, dizziness & confusion.

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Heat Disorders

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  1. Heat Disorders Can I cancel my HEAT ORDERS?

  2. Heat exhaustion Temperature – normal or slightly higher Sweating with pale, clammy skin Signs & Symptoms: Thirst Loss of appetite & nausea Muscle cramps (arms, legs or abdomen) Headache, dizziness & confusion Increase and weakening of respiratory and heart rate

  3. Provide cool environment. Lay flat, remove excess clothing & shade casualty from direct heat Monitor vital signs & level of response Hydrate Call for ambulance if vital signs worsen Treatment:

  4. Heat stroke Signs & Symptoms: Rapid deterioration in level of response Altered mental status Hot, flushed & dry skin Full, bounding pulse Temperature >40 degrees celsius Headache, dizziness & discomfort Ataxia

  5. Treatment: • Move casualty away from heat. Call ambulance. • Provide cool environment • Lay casualty flat. Remove clothing. • Shade from direct heat • Wrap in cold, wet sheet. Keep sheet wet with water and fan. • Alternatively, sponge with cold water. • Apply cold compress to neck, armpits, trunk, abdomen & groins Correct WRONG!!!

  6. Monitor temperature • Monitor for possible hypothermia and rebound hypothermia • Document duration of temperature increase, how high it was & how long it took to cool the casualty • Once casualty’s temperature appears to have returned to normal, replace wet sheet with a dry one • Repeat cooling process if temperature rises again • Monitor vital signs, including temperature & level of response I scream anybody?

  7. Anaphylactic shock • Allergic reaction • Release of histamine • Widespread vasodilation

  8. Signs & Symptoms: • Rapid, shallow pulse • Cool, clammy skin • Delayed capillary refill • Cyanosis Treatment: • Lay casualty down • Ensure ABC • Elevate legs unless contraindicated • Keep casualty warm • Monitor vital signs at least every 5 minutes

  9. Spinal injury

  10. Signs & Symptoms: • When the vertebra (spine) is damaged Pain in the neck or back at the injury site Irregular or twist in the normal curve of the spine Tenderness in the skin over the spine

  11. When the spinal cord is damaged Loss of sensation, or abnormal sensation such as burning or tingling Breathing difficulty Loss of control over limbs Loss of bladder &/or bowel control

  12. Treatment: • Reassure casualty and advice him not to move, especially his head • Call for ambulance • Stabilise the head & continue to support till EMS takes over • DO NOT REMOVE HEAD SUPPORT • Ensure ABC. Use jaw-thrust to open the air-way if required • prepare to resuscitate if necessary • Use log role technique to turn the casualty if required • Monitor level of response

  13. Seizure Signs & Symptoms: • Aura • Unexpected & unexplained collapse • Localised/ full body convulsion or temporary disconnection with the present • Postictal recovery phase AHHHH!!!

  14. Treatment: • Protect from harm, but do not restrain. Note duration & nature of seizure. • Do not place any object in mouth • Place on one side to maintain open airway during postictal recovery phrase. • Perform complete casualty assessment to check for other injuries. • Protect casualty’s dignity • Monitor vital signs Protect the casualty’s DIGNITY!!!

  15. Angina Pectoris Signs & Symptoms: • Chest discomfort or pain on exertion • Breathlessness • Sweating • Nausea • Pain lasting usually 3-5 mins • Pain radiates to left arm

  16. Treatments: • Ensure ABC • Loosen tight clothing • Reassure casualty if conscious • Ask casualty to take aspirin and GTN if prescribed • Monitor LOC and vital signs at least every 5mins DO NOT: • Give GTN if LOC is decreasing

  17. NO, NOT THIS!

  18. YES, THIS ONE!

  19. Signs & Symptoms: • Severe vice-like chest pain • Pain radiates to left arm • Shortness of breath • Nausea • Vomiting • Irregular pulse • Ashen skin* • Feeling of doom* • May occur at rest* • Not relieved by rest or GTN*

  20. Treatment: • Call ambulance 995 • Ensure ABC • Loosen tight clothing • Reassure casualty if conscious • Place casualty in most comfortable position – usually half-seating position • Monitor LOC and vital signs at least every 5 minutes • Prepare to resuscitate when necessary • Give medication, if any Literally….

  21. THAT’S ALL FOLKS!!!

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