Heat stoke

1. DR.ANITA SINGH
GDMO,ABGH(HOMOEO.UNIT)

2.  Also known as Sunstroke
 Core temperature greater than 40.6 degrees centigrade (105 degrees F)
 Predominant CNS symptoms
 Classic (nonexertional) heat stroke: Affects individuals with
underlying chronic medical conditions (ex – cardiovascular disease,
neurologic or psychiatric disorders, obesity, anhidrosis, extremes of age, and
drugs such as anticholinergics or diuretics).
 Exertional heat stroke: Generally occurs in young, otherwise
healthy individuals who have engaged in strenuous exercise in high
temperature and humidity
 Treat as a medical emergency! Can be life threatening.

3. ENVIRONMENTAL
• High temperature
• High relative humidity
AGE
• Infants
• Elderly
OCCUPATION
• Athletes
• Labourers
• Military personals

4. Temperature greater
than40.6 degrees
centigrade (105
degrees F)
Sweating stops and
skin is hot, red, and dry
Headache, dizziness,
weakness, rapid pulse,
chills, difficulty
breathing
If untreated, delirium
and unconsciousness

5.  COMMON IN
ELDERLY PERSONS
 FLUID AND
ELECTROLYTE
LOSSES WITH
INADEQUATE
REPLACEMENT

6.  ABSENCE OF S/S OF
CNS DAMAGE AND
CORE
TEMPERATURE
BELOW 39 DEGREE
CELSIUS IN HEAT
EXHAUSTION
 HEPATIC
TRANSMINASE ARE
NORMAL IN HEAT
EXHAUSTION

7.  LACTIC ACIDOSIS
 DISSEMINATED
INTRAVASCULAR
COAGULATION
 RHABDOMYOLYSIS
 RENAL FAILURE
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8. GOAL
TO REDUCE THE CORE TEMP TO (37.8-
38.9 DEGREE CELSIUS)

9.  Cold water shower should
be given.
 Application of ice bags on
lateral aspects of trunk ,
axillae , groins.
 Fanning
 Trunk and neck massage
should be given to reduce
vasoconstriction.

12.  According to Homoeopathy, illness results from derangement
in an energy pattern or vital force, when affected by any
“morbific dynamic agents”. The aim of Homoeopathic
treatment is to stimulate a person’s energy level. The
symptoms represent the organism’s reaction to imbalances on
the dynamic plain. Homoeopathic diagnosis aims to establish
a total pattern of symptoms that reflect the personality of the
patient as well as the individuality.
 Individualisation is process by which one patient is
differentiated from other patients while suffering from the same
nosological condition.
 The “cure” depends upon matching the pattern of symptoms
that is characteristic of the patient (totality of the symptoms)
with similar pattern characteristics of the remedy by an
integrated collection of the relevant alterations in the mind and
body.

13. RUBRICS RELATED TO HEAT STROKE
KENT`S REPERTORY
 Generalities; sun, from exposure to
 Generalities; sun, exertion in.
 Head; pain, general, sun, exposure
 Head; sunstroke
 Head; sunstroke, from having
slept in sun
 Head; pain, summer

14.  Natrum Carbonicum :Chronic effects of sunstroke, with
return of hot weather, suffers headache.
 Glonoinum: Sun headache walking in the sun(Lach,
Nat C).
 Antimonium Crudum: Can not bear heat of sun; Worse
from over exertion in sun.(Lach, Nat M);exhausted in
warm weather.
 Carbo vegetabilis: Ailments from getting overheated,
clammy cold and very pale, yet wants to be fanned .
 Belladonna: Headache with red face ,throbbing of
carotids< least exertion.
 Gelsemium : General depression from heat of sun.
headache <heat of sun.

15. Bryonia: Complaints when warm weather
sets in ,getting hot in summer. Headache as
if brain would burst through forehead.
Opium: Head hot,with hot sweat; sleep after
convulsions. Generally low temp with
inclination to stupor.
Nat Mur: headaches as if bursting; from
sunrise to sunset,as through thousands of
hammers were knocking in the brain during
fever.

16.  https://en.wikipedia.org/wiki/Heat_stroke
 www.dir.ca.gov/dosh/heatillnessinfo.html
 Scholarly articles for heat stroke
 m. bja.oxfordjournals.org/content/88/5/700.full
 Harrison’s Principles of Internal Medicine,17 edition.
 Bouchama A, Knochel JP: Heat stroke. N Engl J Med 346:1978,
2002 [PMID: 12075060]
 www.cdc.gov
 Basic Military Requirement(BMR) Revised edition pg no393
 HAHNEMANN S. Organon of Medicine, 2003, Trans: Dudgeon R.
E. Reprint 5th and 6th edition, IBPP, New Delhi, 62-185 pp.
 Repertory of Homoeopathic Materia medica by KENT, J.T
 Allen’s keynotes.