Is the headache caused by heat stroke?

There are many causes and types of headaches. When the weather is hot, if you suffer from heatstroke, you will often suffer from headaches. This is a symptom of the central nervous system and is closely related to excessive loss of electrolytes in the body. When you suffer from heatstroke and headaches, you must cool down in time. If the condition is serious, you must go to a ventilated and cool place and seek medical attention in time.

What is heat stroke

Heatstroke is an acute disease with central nervous system and/or cardiovascular dysfunction as the main manifestations, caused by dysfunction of the temperature regulation center, failure of sweat glands and excessive loss of water and electrolytes in the hot summer season, high temperature and/or high humidity environment. Based on clinical manifestations, heatstroke can be divided into premonitory heatstroke, mild heatstroke and severe heatstroke. Among them, severe heatstroke is divided into heat cramps, heat exhaustion and heat stroke. Heat stroke is the most serious type of heat illness.

What to do if you have heat stroke

( 1) Cooling therapy

Rapid cooling is the first priority of treatment.

1) External cooling: quickly leave the high temperature and high humidity environment, transfer to a ventilated and cool place, lay the patient flat and remove all clothes, massage the skin and muscles to promote heat dissipation. For those without circulatory disorders, cool down by taking an ice water bath or immersing the body in 27℃~30℃ water. For those with circulatory disorders, use evaporative heat dissipation to cool down. Wipe the skin repeatedly with cold water and use electric fans or air conditioners to speed up evaporation.

2) Internal cooling: If external cooling is ineffective, use ice saline for gastric or rectal lavage, sterile saline for peritoneal lavage or hemodialysis, or cool the autologous blood outside the body and then return it to the body for cooling.

3) Drug-induced cooling: When the patient has chills, intravenous infusion of chlorpromazine can be used. And monitor blood pressure at the same time.

(2) Symptomatic treatment

1) The airway of comatose patients should be kept open, oxygen should be given, and endotracheal intubation should be performed if necessary.

2) Actively correct water and electrolyte disorders and maintain acid-base balance.

3) The rate of fluid replacement should not be too fast to avoid triggering heart failure. If heart failure occurs, fast-acting digitalis preparations should be used.

4) Use pressor drugs to correct shock.

5) Patients suspected of cerebral edema should be given mannitol for dehydration.

6) Patients with acute renal failure can undergo hemodialysis.

7) When disseminated intravascular coagulation occurs, heparin should be used as appropriate, and antifibrinolytic drugs should be added if necessary.

8) Adrenal cortical hormones have certain effects on the body's stress and tissue response caused by high temperature, as well as on the prevention and treatment of cerebral edema and pulmonary edema. However, the dosage should not be too large and the medication time should not be too long to avoid secondary infection.

9) Actively prevent and control infection.