Exertional Heatstroke in an Infantry Soldier Taking Ephedra-Containing Dietary Supplements

Testimony > Ephedrine Alkaloid-Containing Dietary Supplements

More than half of the population of the United States uses “dietary supplements.” The Dietary Supplement Health and Education Act of 1994 (DSHEA) (P.L. 103-417) set up a unique regulatory framework in an attempt to strike the right balance between providing consumers access to dietary supplements that they may choose to use to help maintain and improve their health, and giving FDA the necessary...

Cold water immersion: the gold standard for exertional heatstroke treatment.

The key to maximize the chances of surviving exertional heatstroke is rapidly decreasing the elevated core body temperature. Many methods exist to cool the body, but current evidence strongly supports the use of cold water. Preferably, the athlete should be immersed in cold water. If lack of equipment or staff prevents immersion, a continual dousing with cold water provides an effective cooling...

Acute liver failure due to non-exertional heatstroke after sauna.

Acute liver failure is defined as rapid loss of liver function that patients without previously recognized liver disease sustain a liver damage. Acute liver failure due to non-exertional heatstroke has rarely been reported. We reported here an unusual case of heat stroke induced acute liver failure (ALF) after sauna. A 63 year old man without previously recognized liver and other systemic dise...

Elevated Troponin and Non-exertional Heatstroke: a Case Report

Liver Transplantation after Exertional Heatstroke-Induced Acute Liver Failure

Exertional heatstroke (EHS) is a life-threatening disease characterized clinically by central nervous system dysfunction and severe hyperthermia. It frequently occurs among athletes, soldiers, and laborers. While cardiopulmonary symptoms are common in patients undergoing EHS, irreversible acute liver failure is a rarely described phenomenon. When managing cases of EHS complicated by acute liver...