title: The "golden hour" for heatstroke treatment.
abstract: Exertional heatstroke is a life-threatening event. It occurs mainly among the young healthy populations of athletes and soldiers. The severity of exertional heatstroke is directly correlated to the area under the temperature duration curve. Therefore, rapid cooling in the field has an enormous effect on prognosis. Four cases of exertional heatstroke are presented which differ in their outcome. We argue that there is a "window time period" within which simple and effective cooling techniques can determine prognosis.
authors.affiliation: Institute of Military Physiology, Israel Defense Forces Medical Corps, Heller Institute of Medical Research, Sheba Medical Center, Tel Hashomer 52621, Israel.
authors.forename: Yuval
authors.initials: Y
authors.lastname: Heled
authors.forename: Moshe
authors.initials: M
authors.lastname: Rav-Acha
authors.forename: Yoav
authors.initials: Y
authors.lastname: Shani
authors.forename: Yoram
authors.initials: Y
authors.lastname: Epstein
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Moran
mesh_terms: D000328:Adult; D001831:Body Temperature; D017679:Cryotherapy / Q000379:methods; D017809:Fatal Outcome; D018883:Heat Stroke / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008887:Military Medicine / Q000379:methods*; D005082:Physical Exertion / Q000502:physiology*; D013997:Time Factors; D014474:Unconsciousness / Q000209:etiology