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Multiple Choice

Why should you avoid overcooling a patient with heatstroke?

In heatstroke, you want to drop the core temperature quickly but without triggering the body's heat-preserving defenses. If you overcool, the body can respond with reflex vasoconstriction in the skin and shivering to generate heat. Those reflexes slow or counteract cooling and can even worsen the situation by increasing metabolic heat production. This protective response is why excessive cooling is problematic, hence the idea of reflex hypothermia.

In heatstroke, you want to drop the core temperature quickly but without triggering the body's heat-preserving defenses. If you overcool, the body can respond with reflex vasoconstriction in the skin and shivering to generate heat. Those reflexes slow or counteract cooling and can even worsen the situation by increasing metabolic heat production. This protective response is why excessive cooling is problematic, hence the idea of reflex hypothermia.