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Wilderness Medical Society - snowmass 2005 (Page 360)

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Wilderness Medical Society - snowmass 2005
·
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

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