Environmental Hyperthermia / Heat Stress (Paediatric)
   
Assess
• Accurately assess temperature
• BGL if altered conscious state
Perfusion status
   
Cooling techniques - initiated and maintained until temp. is <38˚C
- Shelter / remove from heat source
- Ensure airflow over Pt
- Remove all clothing except underwear
- Apply tepid water using spray bottle or wet towels
Treat low BGL as per Hypoglycaemia
Airway and ventilation support with 100% O2 as required
Treat inadequate perfusion per Hypovolaemia
- Cooled fluid preferable if available
   
Assess response to Mx
   
Adequate response
BLS
Transport
 
 
   
Poor response after 10 minutes
• Severe cases - Temp. >39.5˚C
GCS <10
Pt time critical, continue initial Mx
 
Special Notes
During cooling, Pt should be monitored for the onset of shivering. Shivering may increase heat production and cooling measures should be adjusted to avoid its onset.
Gentle handling of Pt is essential. Position flat or lateral and avoid head up position to avoid causing arrhythmias.