Summer heat stroke in the elderly can be dealt with by external cooling, internal cooling, drug cooling and other causative treatment, as well as symptomatic treatment and other methods.
1. Causal treatment:
(1) extracorporeal cooling: in summer the elderly high temperature heat stroke, the first need to transfer the patient to a well-ventilated low-temperature environment, take off the clothes, and at the same time carry out skin and muscle massage to promote heat dissipation.
(2) in vivo cooling: for patients with ineffective in vitro cooling, ice saline can be used for gastric or rectal lavage, and sterile saline can also be used for peritoneal cavity lavage or hemodialysis.
(3) Drug cooling: saline and chlorpromazine can be injected intravenously to regulate the body temperature center, prompting vasodilatation and muscle relaxation to achieve cooling.
2. Symptomatic treatment:
(1) Coma: for patients with coma, tracheal intubation needs to be carried out in time to keep the airway open and prevent aspiration; for patients with intracranial hypertension, mannitol needs to be injected intravenously in time to reduce the cranial pressure.
(2) Fluid resuscitation: the doctor will give hypotensive patients intravenous infusion of saline, lactic acid Green’s solution, etc., has been to restore blood volume.
(3) Multi-organ failure: for patients with persistent anuria, uremia, hyperkalemia, hemodialysis or peritoneal dialysis treatment is also needed; according to the condition of DIC patients, blood transfusion treatment is needed when necessary.
Therefore, when the elderly suffer from heat stroke, they need to go to the hospital for consultation and treatment in time.