What is the primary BLS treatment for hyperthermia from suspected stimulant intoxication?

What is the primary BLS treatment for hyperthermia from suspected stimulant intoxication?

• A. Obtain temperature, if possible
• B. Initiate cooling measures
• C. Administer IV fluids
• D. Transport to hospital

Answer: (B)

When hyperthermia from stimulant intoxication is suspected, the most important action at the scene is to rapidly lower the patient’s core temperature. Begin cooling immediately rather than waiting for measurements or advanced interventions. Move the patient to a cooler environment or shade, remove excess clothing, and start cooling with methods you have on scene. Use evaporative cooling if possible—spray with a fine mist of water and fan the person to promote heat loss. Apply cool packs to areas with large blood flow and surface cooling targets, such as the groin, armpits, and neck, taking care to avoid direct, prolonged contact with the skin to prevent injury. Don’t delay cooling to obtain a temperature or to pursue IV fluids or transport, though you should monitor the patient, maintain airway and comfort, and continue cooling while en route to advanced care. IV fluids and definitive hospital care are important, but initiating cooling is the primary BLS priority.

When hyperthermia from stimulant intoxication is suspected, the most important action at the scene is to rapidly lower the patient’s core temperature. Begin cooling immediately rather than waiting for measurements or advanced interventions. Move the patient to a cooler environment or shade, remove excess clothing, and start cooling with methods you have on scene. Use evaporative cooling if possible—spray with a fine mist of water and fan the person to promote heat loss. Apply cool packs to areas with large blood flow and surface cooling targets, such as the groin, armpits, and neck, taking care to avoid direct, prolonged contact with the skin to prevent injury. Don’t delay cooling to obtain a temperature or to pursue IV fluids or transport, though you should monitor the patient, maintain airway and comfort, and continue cooling while en route to advanced care. IV fluids and definitive hospital care are important, but initiating cooling is the primary BLS priority.