Protocol 2-550 - Hyperthermia

CMH EMS & MIH Protocols

EMD:

• No specific protocol.

EMR:

• Remove from exposure.
• Open and maintain airway.
• Attempt to determine down-time and history.
• Consider Oxygen if SpO2 less than 88%.
• Passively cool patient.
• Obtain core body Temperature, if able. If unable, consider patient with at least HEAT EXHAUSTION if Heat Index above 103° F.
• Consider applying Cardiac Monitor limb leads.
• Altered mentation and/or Temperature greater than 104° F (HEAT STROKE): Active, rapid cooling is indicated using ice, evaporation, and/or cold packs. Attempt to cool to 102° F.
• Normal mentation and Temperature less than 104° F (HEAT EXHAUSTION): Passive cooling. Treat specific complaints per protocol.

EMT:

• Ensure completion of applicable items above.
• Assist ALS with Capnography.

AEMT:

• Ensure completion of applicable items above.
• Consider IV cool NS/LR.

• Adult:	Pediatric:
  125 ml/hr.	20 ml/kg (may repeat once).