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. 2021 Jan 28;18(3):1156. doi: 10.3390/ijerph18031156

Table 3.

Heatstroke pre-hospital management guidelines compliance scores (n = 98).

Heatstroke Management Theme/Subtheme Total Number of Eligible Cases Number of Cases Consistent with Guidelines (n%) Guideline Compliance Score
Pre-hospital considerations 7.2

  • BSI * considered

 49 40 (81.6%) 8.1

  • Any medication given pre-hospital

 49 32 (65.3%) 6.5

  • Full pre-hospital report taken

 49 34 (69.4%) 7.0
Recognition of heatstroke 49 40 (81.6%) 8.1
Case management
Case assessment 7.7

  • Responsiveness assessed

 49 40 (81.6%) 8.1

  • All vital signs documented

 49 37 (75.5%) 7.4
Stabilize ABC 8.7

  • Airway stabilized

 49 40 (81.6%) 8.1

  • Breathing stabilized

 49 40 (81.6%) 8.1

  • Circulation stabilized

 14 14 (100%) 10
Cooling 5

  • Started immediately on the scene

 49 17 (34.7%) 3.6

  • Ice packs/chemical ice packs, fanning, wet sheets to the skin were applied

 49 32 (65.3%) 6.5

  • Cooling continued on the way to the heatstroke unit

 49 15 (30.6%) 3.0

  • Patient transferred immediately to the heatstroke unit

 49 35 (71.4%) 7.1

* Body substance isolation is a system of infection precautions intended to reduce nosocomial transmission of infectious agents among patients (a practice of isolating all body substances (blood, urine, feces, tears, etc.)). ABC: airway, breathing, and circulation.