Exertional heat stroke: a rapidly progressive pre-hospital presentation

On a day when outdoor temperatures reached 30 °C, the ambulance service responded to a 19-year-old male who had collapsed in the late afternoon. His first day of employment for a local building company had been spent working outside on the roof of a residential property. He had applied sun cream and hydrated often. His work colleagues were emphatic that he’d been well all day but within 10 minutes he had become disorientated, vomited and collapsed.

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