Article Text
Best Evidence Topic reports
BET 4: IN PATIENTS WITH CLASSIC HEAT STROKE DOES ADDING TREATMENT WITH DANTROLENE IMPROVE OUTCOME?
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Report by Rosa McNamara, Emergency Registrar
Search checked by Damien Ryan, Specialist Registrar
and Gerard McCarthy, Consultant
Institution: Cork University Hospital, Cork, Ireland
CLINICAL SCENARIO
A 53-year-old man is brought in by ambulance from a nearby building site after a collapse, on an uncharacteristically hot day. In the resuscitation room he has a Glasgow coma score of 3. He is found to be warm and dry and to have a temperature of 42.3°C. You diagnose heat stroke and wonder if dantrolene would be a useful additional therapy …