Wilderness Medical Society snowmass 2005 Page 360
·
Diuretics
·
B-Blockers
·
Alpha agonists
Other Factors:
·
rapid change in humidity and temperature
·
heavy and/or constrictive clothing
Heat Stress to Heat Stroke: (see reference 24)
Exercise or Heat Exposure
HEAT STRESS
Acute
phase
Thermoregulatory
Heat
Shock
Response
response
response
Cutaneous
Splanchnic
Vasodilatation Vasodilatation
Exaggerated
Altered
Acute
phase
heat-shock
Response
response
Release
of
Production
of
Nitric
oxide
reactive
oxygen
& nitrogen species
Increased
intestinal
Permeability
Endotoxemia
Thermoregulatory
failure,
Circulatory
shock
and
HEAT STROKE
KNOWN CLINICAL EVIDENCE
Putative pathways