Golpe de calor ¿una enfermedad olvidada en el servicio de Urgencias?
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| Title: | Golpe de calor ¿una enfermedad olvidada en el servicio de Urgencias? |
|---|---|
| Alternate Title: | Heat stroke, a forgotten disease at Emergency service? |
| Authors: | Zamudio Domínguez, Omar1 Omar_zamdom89@hotmail.com, Saucedo Sandoval, Luisa Xchel2, González Martínez, Karen Itzel3 |
| Source: | Medicina Interna de México. oct2024, Vol. 40 Issue 9, p638-644. 7p. |
| Abstract (English): | BACKGROUND: Heat stroke is the result of the imbalance between the metabolic production of heat and physiological measures to guarantee its elimination. It is characterized by a failure in thermoregulatory mechanisms, manifesting as hyperthermia and altered neurological status after exposure to high ambient temperatures. The highest average temperatures in Mexico occur in the months of July and August, for 30 years each decade has been warmer due to the release of CO2 and other greenhouse gases. In 2012 the nominal registry of damages to health was implemented in Mexico, where an increase in the reporting of cases of heat stroke has been noted. CLINICAL CASE: An 81-year-old male patient who was admitted to the Emergency department with a diagnosis of heat stroke, secondary to exposure to high ambient temperatures for more than 2 hours, triggering hyperthermia, neurological deterioration, and supraventricular tachycardia. CONCLUSIONS: Prolonged exposure to high temperatures impairs the thermoregulatory response, so the history of exposure is important for clinical suspicion and timely initiation of treatment. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | ANTECEDENTES: El golpe de calor resulta del desequilibrio entre la producción metabólica de calor y medidas fisiológicas para garantizar su eliminación. Se caracteriza por falla en los mecanismos termorreguladores y se manifiesta como hipertermia y alteración del estado neurológico tras la exposición a altas temperaturas ambientales. Las temperaturas medias más altas en México ocurren en los meses de julio y agosto, desde hace 30 años cada década es más cálida debido a la liberación de CO2 y otros gases de efecto invernadero. En 2012 se implementó el registro nominal de los daños a la salud en México, en el que ha habido un incremento del reporte de casos de golpe de calor. CASO CLÍNICO: Paciente masculino de 81 años, que ingresó al servicio de Urgencias con diagnóstico de golpe de calor, secundario a la exposición a temperatura ambiental elevada por más de 2 horas que desencadenó hipertermia, deterioro neurológico y taquicardia supraventricular. CONCLUSIONES: La exposición prolongada a temperaturas elevadas deteriora la respuesta termorreguladora, por lo que el antecedente de exposición es importante para la sospecha clínica y el inicio oportuno del tratamiento. [ABSTRACT FROM AUTHOR] |
| Copyright of Medicina Interna de México is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 180163971 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Golpe de calor ¿una enfermedad olvidada en el servicio de Urgencias? – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Heat stroke, a forgotten disease at Emergency service? – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Zamudio+Domínguez%2C+Omar%22">Zamudio Domínguez, Omar</searchLink><relatesTo>1</relatesTo><i> Omar_zamdom89@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Saucedo+Sandoval%2C+Luisa+Xchel%22">Saucedo Sandoval, Luisa Xchel</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22González+Martínez%2C+Karen+Itzel%22">González Martínez, Karen Itzel</searchLink><relatesTo>3</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Medicina+Interna+de+México%22">Medicina Interna de México</searchLink>. oct2024, Vol. 40 Issue 9, p638-644. 7p. – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: Heat stroke is the result of the imbalance between the metabolic production of heat and physiological measures to guarantee its elimination. It is characterized by a failure in thermoregulatory mechanisms, manifesting as hyperthermia and altered neurological status after exposure to high ambient temperatures. The highest average temperatures in Mexico occur in the months of July and August, for 30 years each decade has been warmer due to the release of CO2 and other greenhouse gases. In 2012 the nominal registry of damages to health was implemented in Mexico, where an increase in the reporting of cases of heat stroke has been noted. CLINICAL CASE: An 81-year-old male patient who was admitted to the Emergency department with a diagnosis of heat stroke, secondary to exposure to high ambient temperatures for more than 2 hours, triggering hyperthermia, neurological deterioration, and supraventricular tachycardia. CONCLUSIONS: Prolonged exposure to high temperatures impairs the thermoregulatory response, so the history of exposure is important for clinical suspicion and timely initiation of treatment. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: ANTECEDENTES: El golpe de calor resulta del desequilibrio entre la producción metabólica de calor y medidas fisiológicas para garantizar su eliminación. Se caracteriza por falla en los mecanismos termorreguladores y se manifiesta como hipertermia y alteración del estado neurológico tras la exposición a altas temperaturas ambientales. Las temperaturas medias más altas en México ocurren en los meses de julio y agosto, desde hace 30 años cada década es más cálida debido a la liberación de CO2 y otros gases de efecto invernadero. En 2012 se implementó el registro nominal de los daños a la salud en México, en el que ha habido un incremento del reporte de casos de golpe de calor. CASO CLÍNICO: Paciente masculino de 81 años, que ingresó al servicio de Urgencias con diagnóstico de golpe de calor, secundario a la exposición a temperatura ambiental elevada por más de 2 horas que desencadenó hipertermia, deterioro neurológico y taquicardia supraventricular. CONCLUSIONES: La exposición prolongada a temperaturas elevadas deteriora la respuesta termorreguladora, por lo que el antecedente de exposición es importante para la sospecha clínica y el inicio oportuno del tratamiento. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Medicina Interna de México is the property of Colegio de Medicina Interna de Mexico and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24245/mim.v40iOctubre.9065 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 638 Titles: – TitleFull: Golpe de calor ¿una enfermedad olvidada en el servicio de Urgencias? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Zamudio Domínguez, Omar – PersonEntity: Name: NameFull: Saucedo Sandoval, Luisa Xchel – PersonEntity: Name: NameFull: González Martínez, Karen Itzel IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: oct2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 01864866 Numbering: – Type: volume Value: 40 – Type: issue Value: 9 Titles: – TitleFull: Medicina Interna de México Type: main |
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