Table 1.
Common and distinctive features of classic and exertional heatstroke
Features | Classic | Exertional |
Common | ||
Hyperthermia | > 40°C | > 40°C |
Central nervous system alteration | Delirium, convulsion | Delirium, convulsion |
Hypotension | 20%–30% | Unknown |
Distinctive | ||
Age | Elderly | Young |
Skin | Hot, dry | Hot, profuse sweating |
Rhabdomyolysis | Mild/moderate | Severe |
Renal failure | Uncommon | Common |
Lactic acidosis | Mild/moderate | Severe |
Glycemia | Hyperglycemia | Hypoglycemia |
Disseminated intravascular coagulation | Mild/moderate | Severe |