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Mon Dec 25 09:56:49 GMT 2006

How do you define laypersons? In my paid capacity in a Medical Centre,
as well as in two volunteer capacities that I am involved in, heat
related injuries feature strongly in protocols and training. Are you
talking about those who have had no first aid training? Or is your
comment directed to your own specific military environment? 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of oded private
Sent: Monday, 25 December 2006 6:35 PM
To: trauma-list at trauma.org
Subject: RE: cooling down the heat stroke victim

Most EMS personnel would recognize and treat a heat stroke agressively.
Few 
wouldn't. But with lay persons it's quite diffrent- too many of them
don't 
understand the meaning of heat stroke. Most frightning to me is that 
teachers are among them. Luckily, there is a medic in every field trip

>From: John Annen <rjannen at yahoo.com>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: "Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>
>Subject: RE: cooling down the heat stroke victim
>Date: Sun, 24 Dec 2006 05:29:36 -0800 (PST)
>
>In the EMS classes that I have taken going back to the basic EMT class
>that I took in the US State of North Carolina in the mid 80's, it was
>always stressed that heat stroke is a true emergency requiring
>immediate attention.
>
>Do you have any evidence to back up your statement about EMTs learning
>about heat stroke from the movies? I would hope that trained rescuers
>everywhere rely on their training and field experience, rather than on
>depictions in films for determining their treatment.
>
>In the places that I have been active in prehospital care, heat stroke
>is or was extremely rare, whereas heat exhaustion is something that one
>sees a lot of, both among the public and among one's colleages. I have
>suffered mild heat exhaustion a few times myself working strenuous
>rescues or outside events on hot days. In the places I have been, there
>has almost always been good access to shade, air conditioned vehicles
>or buildings and plenty of liquids to drink, so early intervention in
>cases of heat exhaustion, thus preventing their advancement to heat
>stoke, is straightforward.
>
>As with other conditions that one doesn't see very often, perhaps in
>places where heat stroke is rare, the problem is one of recognition
>rather than one of training, if, indeed, there is a problem at all?
>
>Best wishes to all for very happy holidays.
>
>John Annen
>Zurich, Switzerland
>
>--- oded private <tangentcarrot at hotmail.com> wrote:
>
> >
> > BTW
> >
> > It's amazing how virtullay everybody outside the medical world (such
> > as lay
> > persons) and many inside it (such as EMTS') don't understand that
> > heat
> > stroke is a true medical emergency. I think that holywood, with its
> > reknown
> > scene you see in every third movie of someone lost in desert,
> > starting to
> > get delrious then crashes, later to be "saved" with a few drops of
> > water,
> > has much to do with it.
> >
>
>
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cooling down the heat stroke victim