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Early Temperature Management Protocol Tested in Heat Stroke Patients

Tests an early hospital cooling protocol in adults with heat stroke, a life-threatening overheating condition.

Plain-language title generated from the registry record
Registry title: Application of an Early In-Hospital Temperature Management Protocol for Heat Stroke Patients

Key facts

Where
Dongyang, Guli, Hanzhou, Jinhua, Lanxi, and Yiwu, ChinaSee the 7 sites

Where in China

  • Dongyang People's HospitalDongyang, ChinaTaking people
  • Yongkang No.1 People's HospitalGuli, ChinaTaking people
  • The Second Affiliated Hospital of Zhejiang University School of MedicineHanzhou, ChinaTaking people
  • Jinhua Municipal Central HospitalJinhua, ChinaTaking people
  • Jinhua People's HospitalJinhua, ChinaTaking people
  • Lanxi People's HospitalLanxi, ChinaTaking people
  • Yiwu Central HospitalYiwu, ChinaTaking people

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Trial details

Who runs it
Second Affiliated Hospital, Zhejiang University, School of Medicine
Trial code
NCT06537557
Record updated
27 May 2026
Original description
Heat stroke is a life-threatening clinical syndrome characterized by an imbalance between heat production and heat dissipation in the body, resulting from exposure to hot and humid environments and/or strenuous exercise. It is defined by an elevated core temperature exceeding 40°C and central nervous system abnormalities, accompanied by multi-organ dysfunction. The severity of cellular and tissue damage in heat stroke patients depends on the peak temperature reached and the duration of hyperthermia. Rapid reduction of core temperature can halt cellular damage, quickly reverse organ dysfunction, and improve patient outcomes. Therefore, early identification and rapid cooling are crucial to prevent irreversible damage and death in heat stroke patients. However, there is a lack of systematic and specific protocols to guide emergency medical staff in the standardized and effective management of body temperature in heat stroke patients. To address this, our research team previously developed an early in-hospital temperature management protocol for heat stroke patients based on the best available evidence, expert consultations, and expert panel meetings. This study aims to validate the feasibility and effectiveness of the protocol through clinical research, providing a basis for clinical practice.Read full original descriptionShow less

Application of an Early In-Hospital Temperature Management Protocol for Heat Stroke Patients

Heat stroke is a life-threatening clinical syndrome characterized by an imbalance between heat production and heat dissipation in the body, resulting from exposure to hot and humid environments and/or strenuous exercise. It is defined by an elevated core temperature exceeding 40°C and central nervous system abnormalities, accompanied by multi-organ dysfunction. The severity of cellular and tissue damage in heat stroke patients depends on the peak temperature reached and the duration of hyperthermia. Rapid reduction of core temperature can halt cellular damage, quickly reverse organ dysfunction, and improve patient outcomes. Therefore, early identification and rapid cooling are crucial to prevent irreversible damage and death in heat stroke patients. However, there is a lack of systematic and specific protocols to guide emergency medical staff in the standardized and effective management of body temperature in heat stroke patients. To address this, our research team previously developed an early in-hospital temperature management protocol for heat stroke patients based on the best available evidence, expert consultations, and expert panel meetings. This study aims to validate the feasibility and effectiveness of the protocol through clinical research, providing a basis for clinical practice.

Inclusion: Patients admitted to the emergency department and diagnosed with heat stroke according to the China expert consensus on Heat Stroke.

Exclusion: transferred from another hospital and body temperature < 39.5℃; discharged within 4 hours, and subsequent body temperature or outcomes were unavailable; required immediate cardiopulmonary resuscitation; had other serious diseases, such as massive cerebral haemorrhage or severe trauma.

ClinicalTrials.gov NCT06537557