علاج ضربة الشمس من الخط الأول: بروتوكول التبريد الفعّال

DOI: 10.1097/CCM.0000000000006551

• We recommend active cooling methods over passive cooling in patients with heat stroke (strong recommendation, very low certainty of evidence).
• Clinicians should prioritize cooling methods that achieve the most rapid rate of cooling, which is ice-water immersion (1–5°C) or cold-water immersion (9–12°C).
• Cold-water immersion or ice-water immersion will result in the fastest rate of temperature reduction and shortest time to target temperature (<39°C).
• Clinicians should choose cooling methods that reach the target temperature within 30 minutes from recognition of heat stroke symptoms.
• Clinicians should prioritize cooling modalities that achieve a cooling rate greater than or equal to 0.155°C/min.