Paramedic National Registry Practice

In the management of heat stroke, which of the following should be prioritized after establishing airway and breathing?

1. Rapid cooling measures

2. Fluid resuscitation

3. Monitoring vital signs

4. Administering medication

The correct answer is: Rapid cooling measures

In the management of heat stroke, prioritizing rapid cooling measures after ensuring the patient has a secure airway and adequate breathing is essential because heat stroke represents a severe form of hyperthermia that can lead to multi-organ failure and potential death if not treated promptly. Rapid cooling is critical in reducing the core body temperature to prevent damage to the central nervous system and other organ systems. Cooling methods may include removing excess clothing, applying cool packs to areas like the neck, armpits, and groin, and using fans or misting the patient with water. These measures are crucial as they directly address the life-threatening hyperthermia characteristic of heat stroke. While fluid resuscitation, monitoring vital signs, and administering medications are important components of overall care, they are secondary to the immediate need for temperature reduction. In cases of extreme hyperthermia, even aggressive fluid resuscitation may not be effective until the core temperature is lowered.