The first case is Mr. T.M. H, 45 years old, residing in Phu Tho, working as a worker in Quang Ninh.
The patient was admitted to the emergency room in a state of impaired consciousness after about 30 minutes of working outdoors in the hot sun.
According to family members, the patient appeared exhausted, dizzy, did not respond to calls, had localized convulsions in both arms and quickly fell into a drowsy state.
At the time of admission, the patient was in a coma, Glasgow 9 points, localized convulsions in both arms, body temperature increased to 41 degrees Celsius.
Doctors urgently infused fluids, applied cool compresses, controlled the seizure and transferred the patient to intensive care treatment.
Test results showed that the patient had severe acidosis, high lactate levels in the blood, increased liver enzymes, and electrolyte disorders.
Diagnostic results showed that the patient had heat shock accompanied by gastrointestinal infection.
After intensive treatment with antibiotics, fluid and electrolyte replacement, hypothermia and close monitoring at the Intensive Care Unit, the patient's condition improved significantly. The patient was awake, self-ventilated with intravenous oxygen, vital signs were stable, and body temperature returned to normal.
The second case is Ms. B.T. T, 61 years old, residing in Viet Hung ward, Quang Ninh. The patient was found by her family to be in a coma after going to work in the fields from about 8:30 am to nearly noon in harsh hot weather conditions.
When taken to the emergency room at Bai Chay Hospital, the patient was in a coma, had a high fever of 40.5 degrees, a rapid pulse of 139 beats/minute, blood pressure dropped 90/40 mmHg, and showed signs of obvious dehydration.
Doctors quickly deployed intensive care, including body cooling, intravenous fluids, respiratory support, electrolyte imbalance control and close monitoring at the Intensive Care Unit.
Diagnostic results showed that the patient had heat shock, kidney failure, scoliosis, and localized myocardial ischemia.
After intensive treatment, the patient's condition gradually stabilized.
Doctors at Bai Chay Hospital recommend that extreme hot weather increases the risk of heat shock, especially in outdoor workers, construction workers, high-intensity workers or in closed, hot environments.
Heat shock is a dangerous emergency condition, which can cause damage to the brain, heart, liver, kidneys, and even death if not treated promptly.
People need to limit working outdoors during hot weather, supplement enough water, rest reasonably and take people with abnormal signs to medical facilities early.
