HEAT STROKE

RS ANTON SOEDJARWO
JUMAT 06-06-2014
Definisi
Keadaan dimana suhu tubuh meningkat
hingga 40 derajat celcius atau lebih dan
berhubungan dengan disfungsi atau tanda-
tanda kegagalan sistem organ tubuh yang
multiple
Heat rash
Sunburn
Heat cramps
Heat exhaustion
Heat stroke !!!
Heat Illnesses (Hyperthermia)
S
e
v
e
r
i
t
y

American Meteorological Society
Central North Carolina Chapter
April 21, 2005
More serious than heat cramps
Caused by depletion of salt/water due to:
Intense prolonged exercise
Gradual dehydration
Symptoms:
Painful heat cramps
Heavy sweating
Fast/weak pulse; shallow breathing
Dizziness, headache, nausea
Can progress to heat stroke
Heat Exhaustion
American Meteorological Society
Central North Carolina Chapter
April 21, 2005
Heat Stroke
Body becomes unable to regulate itself & sweating
mechanism fails; core body temperature rises
IMMEDIATE attention required... body temperature can rise
to >106 in 10-15 min.
Symptoms:
Very high body temperature
Red, hot skin
Rapid strong pulse (>130x)
Throbbing headache
Confusion altered mental state
Dizziness, nausea, vomiting
Unconsciousness

American Meteorological Society
Central North Carolina Chapter
April 21, 2005
Korey Stringer: 1974-2001

Lots of warning signs
Temps in low 90s with stifling humidity
Vomited 3 times that morning
Lost consciousness after drills ended
Paramedics couldnt get blood
pressure reading
Body temp: 108.8
Kidneys began failing, then heart failed
American Meteorological Society
Central North Carolina Chapter
April 21, 2005
Whos most at risk?
Children
Outdoor workers
(construction, roofers,
migrant workers)
Military

Elderly
(especially
urban)
American Meteorological Society
Central North Carolina Chapter
April 21, 2005
The Military & Extreme Heat
New recruits performing strenuous training,
pushed by drill sergeants
Lack of acclimatization

(from Medical Surveillance Monthly Report, U.S. Army)
American Meteorological Society
Central North Carolina Chapter
April 21, 2005
Kapan terjadi Heat Stroke
Saat Heat gain > heat loss
PATOFISIOLOGI

PENATALAKSANAAN
Menurunkan suhu tubuh hingga 39 derajat
dengan direndam, handuk basah, coller dll
Penanganan suportif dengan resusitasi,
respirasi, force diuresis utk menjaga fungsi
ginjal dan menjaga keseimbangan elektrolit
Farmakologi sesuai dengan gejala yg ada
BEST TREATMENT FOR ELDERLY
THANK YOU..... Just kidding..