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Heat Stroke a Thermoregulatory Incompetency.

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By SMITH EBEN E.. , Lt. Commander, Medical Corps, U. S. N. (U. S. N. Med. Bull.. , Vol. 26., (No. s) , 1928.).

Ann Intern Med. 1929;2(10):1113. doi:10.7326/0003-4819-2-10-1113_1
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The present discussion is concerned with those phenomena resulting from failure of a normal individual to maintain normal physiology under influences favorable to heat accumulation. Smith draws the following conclusions: Heat stroke is a thermoregulatory incompetency resulting from exposure to heat. The clinical manifestations of heat stroke are of several types, but these various conditions have a common pathogenesis. Thermoregulatory failure may occur through cardiovascular collapse before hyperthermia develops. Hyperthermia develops through failure to dissipate heat. It results from an unbalance of reaction between complex physical and physiological factors. Profound acute metabolic disturbances occur in heat stroke. The trauma resulting


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