{"title":"Illicit Drug Induced Hyperthermia (IDIH)","authors":"Úna Nic Ionmhain, Kylie McArdle, Ingrid Berling","doi":"10.1111/1742-6723.70065","DOIUrl":null,"url":null,"abstract":"<div>\n \n <p>Illicit drug induced hyperthermia (IDIH) is a life-threatening emergency requiring timely recognition and management. The pathophysiology of hyperthermia secondary to illicit drug toxicity can be associated with and complicated by additional precipitants such as exertion and high ambient temperature (> 31°C). We present cases highlighting the clinical features, morbidity and mortality associated with IDIH. The priorities of management include interventions to decrease ongoing heat production, active cooling and targeted supportive care. Temperature control should ideally be achieved within 15 min to prevent irreversible organ injury. IDIH presentations may be viewed as a high acuity low occurrence (HALO) event. As such, we recommend the use of a specific IDIH protocol and early consultation with clinical toxicology specialists for hyperthermia presentations with suspected illicit drug use.</p>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 3","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency Medicine Australasia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.70065","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Illicit drug induced hyperthermia (IDIH) is a life-threatening emergency requiring timely recognition and management. The pathophysiology of hyperthermia secondary to illicit drug toxicity can be associated with and complicated by additional precipitants such as exertion and high ambient temperature (> 31°C). We present cases highlighting the clinical features, morbidity and mortality associated with IDIH. The priorities of management include interventions to decrease ongoing heat production, active cooling and targeted supportive care. Temperature control should ideally be achieved within 15 min to prevent irreversible organ injury. IDIH presentations may be viewed as a high acuity low occurrence (HALO) event. As such, we recommend the use of a specific IDIH protocol and early consultation with clinical toxicology specialists for hyperthermia presentations with suspected illicit drug use.
期刊介绍：
Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine.
Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.
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