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A critical analysis of the ten most prevalent misconceptions in the prehospital recognition and management of exertional heat stroke
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Chu-Han Xiang1, 2, 3, Qing Song3, 4, *
Medical Journal of Chinese People’s Liberation Army | 2024, 49(6) : 611 - 616
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Medical Journal of Chinese People’s Liberation Army | 2024, 49(6): 611-616
• Expert Review •
A critical analysis of the ten most prevalent misconceptions in the prehospital recognition and management of exertional heat stroke
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Chu-Han Xiang1, 2, 3, Qing Song3, 4, *
Affiliations
  • 1Department of Cardiology, the 71st Group Army Hospital of PLA, Xuzhou, Jiangsu 221004, China
  • 2Department of Cardiology, the Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221004, China
  • 3Chinese PLA Heatstroke Prevention and Treatment Research Center, Sanya, Hainan 572013, China
  • 4Department of Critical Care Medicine, Hainan Hospital of Chinese PLA General Hospital, Sanya, Hainan 572013, China
Published: 2024-06-28 doi: 10.11855/j.issn.0577-7402.0128.0303.2024.0529
Outline
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Exertional heat stroke (EHS) is the most serious and life-threatening acute heat-related illness. It can develop from heat-related illnesses, and the prehospital management is a crucial in the diagnosis and treatment of EHS. The prognosis of EHS patients is largely determined by the rapid recognition, effective cooling, and standardized transportation during the prehospital period. Extensive research has demonstrated that medical security personnel still have fatal misconceptions in the prehospital recognition and management of EHS, mainly due to the lack of recognition and inappropriate treatment. This review summarizes the top 10 misconceptions in prehospital recognition and management of EHS, based on domestic and international research findings and combined with practical scenarios. It also provides an accurate prehospital management plan according to the China Expert Consensus on Diagnosis and Treatment of Heatstroke, aiming to reduce or avoid irreversible damage to EHS patients caused by these misunderstandings and to decrease the incidence, disability rate, and mortality rate of EHS.

exertional heat stroke  /  prehospital recognition  /  prehospital management  /  misunderstandings
Chu-Han Xiang, Qing Song. A critical analysis of the ten most prevalent misconceptions in the prehospital recognition and management of exertional heat stroke[J]. Medical Journal of Chinese People’s Liberation Army, 2024 , 49 (6) : 611 -616 . DOI: 10.11855/j.issn.0577-7402.0128.0303.2024.0529
Funding
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  • Science and Technology Youth Project of Xuzhou Health Commission(XWKYHT20220161)
  • Xuzhou Science and Technology Project Medicine and Health Project(KC23285)
Appendix
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Year 2024 volume 49 Issue 6
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Article Info
doi: 10.11855/j.issn.0577-7402.0128.0303.2024.0529
  • Receive Date：2024-03-14
  • Online Date：2025-11-21
  • Published：2024-06-28
Article Data
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History
  • Received：2024-03-14
  • Accepted：2024-05-13
Funding
Science and Technology Youth Project of Xuzhou Health Commission(XWKYHT20220161)
Xuzhou Science and Technology Project Medicine and Health Project(KC23285)
Affiliations
    1Department of Cardiology, the 71st Group Army Hospital of PLA, Xuzhou, Jiangsu 221004, China
    2Department of Cardiology, the Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221004, China
    3Chinese PLA Heatstroke Prevention and Treatment Research Center, Sanya, Hainan 572013, China
    4Department of Critical Care Medicine, Hainan Hospital of Chinese PLA General Hospital, Sanya, Hainan 572013, China

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红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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