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The 2020 ICD-10 Definitions of Heat Illness Go Beyond Heatstroke

By Ashley A. Jacobson, MD, and Neha P. Raukar, MD, MS | on June 16, 2020 | 0 Comment
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Dr. Jacobson is an emergency medicine resident physician at the Mayo Clinic in Rochester, Minnesota. Dr. Raukar is an emergency medicine consultant and associate professor at the Mayo Clinic.

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Explore This Issue
ACEP Now: Vol 39 – No 06 – June 2020

Take-Home Points

  1. Heat illness is a spectrum of disease with clinical diagnosis. It requires supportive management. If after a period of observation there are no signs of end organ damage, most patients with mild heat illness can be discharged from the emergency department.
  2. Always obtain a core body temperature for accuracy.
  3. If you are concerned about heatstroke, initiate aggressive cooling measures as soon as possible and prior to transportation.

References

  1. National Center for Health Statistics: ICD-10-CM fiscal year 2020. Centers for Disease Control and Prevention website. Accessed May 20, 2020.
  2. Leon LR, Kenefick RW. Pathophysiology of heat-related illnesses. In: Auberbach PS, ed. Auerbach’s Wilderness Medicine. 7th ed. Philadelphia: Elsevier; 2017:249-267.
  3. Lipman GS, Gaudio FG, Eifling KP, et al. Wilderness Medical Society clinical practice guidelines for the prevention and treatment of heat illness: 2019 update. Wilderness Environ Med. 2019;30(4S):S33-S46.
  4. Gaudio FG, Grissom CK. Cooling methods in heat stroke. J Emerg Med. 2016;50(4):607-616.
  5. Epstein Y, Yanovich R. Heatstroke. N Engl J Med. 2019;380(25):2449-2459.
  6. Lissoway JB, Lipman GS, Grahn DA, et al. Novel application of chemical cold packs for treatment of exercise-induced hyperthermia: a randomized controlled trial. Wilderness Environ Med. 2015;26(2):173-179.
  7. O’Brien KK, Leon LR, Kenefick RW, et al. Clinical management of heat-related illnesses. In: Auberbach PS, ed. Auerbach’s Wilderness Medicine. 7th ed. Philadelphia: Elsevier; 2017:267-274.
  8. Ishimine P. Heat stroke in children. UpToDate website . Accessed May 20, 2020.

Pages: 1 2 | Single Page

Topics: Heat CrampHeat EdemaHeat ExhaustionHeat SyncopeHeat-Related IllnessHeatstrokeICD-10Sunstroke

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