| What are the effects of extreme temperatures and resultant atmospheric conditions on people? | various Heat Related Illnesses (HRI), physiological stress, sometimes resulting in death. | Higher daily peak temperatures and longer, more intense heat waves are becomingly increasingly frequent globally due to climate change. The extreme temperatures and resultant atmospheric conditions adversely affect people as they cause various Heat Related Illnesses (HRI), physiological stress, sometimes resulting in death. India has a tropical climate and there are strong variations in seasons. | 236 | relationship | 0.970 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | The extreme temperatures and resultant atmospheric conditions adversely affect people as they cause various Heat Related Illnesses (HRI), physiological stress, sometimes resulting in death. India has a tropical climate and there are strong variations in seasons. | 3 | page=3,block=1 | 0.700 | valid |
| What communication should be maintained regarding patient condition and prognosis? | Inform / communicate with next of kin regarding patient condition & prognosis | Prevent shivering (Benzodiazepines (Midazolam / Lorazepam) can be used in conscious patients; by paralyzing patient if intubated) 6. Look for signs of coagulopathy 7. Arterial Blood Gases (ABG) regularly – look for metabolic acidosis 8. CT brain – to look for complications or rule out intracranial pathology 9. Continue management and referral to intensive care unit 10. Inform / communicate with next of kin regarding patient condition & prognosis | 372 | summary | 0.970 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | Continue management and referral to intensive care unit 10. Inform / communicate with next of kin regarding patient condition & prognosis | 9 | page=9,block=12 | 0.700 | valid |
| What features should a heat stroke room have to maintain optimal ambient temperature? | appropriate natural shading and ventilation and should have continuous electricity supply or generator backup | Heatstroke Room for Emergency Management of Severe Heat-Related Illnesses (HRI) For Community Health Centre and District Hospitals A. Setting up Heatstroke Room in Health Facility Logistic requirements 1. Dedicated heat stroke room (at least 2 beds, 14’X16’) (with cooling equipment: AC/ cooler/ fans/ water sprinkler/ refrigerator / ice packs) Selecting a heatstroke room: A room in the health center be designated where the ambient temperature could be maintained optimally with appropriate natural shading and ventilation and should have continuous electricity supply or generator backup. It should not be on the top floor and can be cooled effectively with fans and desert coolers wherever air conditioning is not available. This room should contain refrigerator, ice box, ice packs, ice cool water, cool blankets, wet linens, garden sprayer round the clock. 2. | 481 | summary | 0.970 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | Dedicated heat stroke room (at least 2 beds, 14’X16’) (with cooling equipment: AC/ cooler/ fans/ water sprinkler/ refrigerator / ice packs) Selecting a heatstroke room: A room in the health center be designated where the ambient temperature could be maintained optimally with appropriate natural shading and ventilation and should have continuous electricity supply or generator backup. |
| What is the aim of the healthcare facility preparedness guideline? | to provide a baseline framework for preparing, implementing, coordinating, and evaluating extreme heat response activities in health facilities in States/UTs. | This healthcare facility preparedness guideline aims to provide a baseline framework for preparing, implementing, coordinating, and evaluating extreme heat response activities in health facilities in States/UTs. This includes planning in pre-heat season, during heat season and post-heat season. | 53 | summary | 0.970 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | This healthcare facility preparedness guideline aims to provide a baseline framework for preparing, implementing, coordinating, and evaluating extreme heat response activities in health facilities in States/UTs. This includes planning in pre-heat season, during heat season and post-heat season. | 5 | page=5,block=1 | 0.700 | valid |
| What is the purpose of the guidance document issued by MoHFW? | to strengthen public health systems across the country for management of HRIs. | Purpose of the guidance Document The MoHFW envisages to strengthen public health systems across the country for management of HRIs. This guidance document will help in invoking preparedness and building capacity of states and Union territories towards combating HRIs attributed to heat wave. This challenge is faced by the entire country, as a consequence of the global climate change. The areas of guidance will be for Community Health Centre (CHC) and District Hospital level across three key thematic areas which are as follows: 1. | 53 | summary | 0.970 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | Purpose of the guidance Document The MoHFW envisages to strengthen public health systems across the country for management of HRIs. This guidance document will help in invoking preparedness and building capacity of states and Union territories towards combating HRIs attributed to heat wave. | 3 | page=3,block=1 | 0.700 |
| What method of cooling is recommended for exertional heat stroke in adults? | whole-body cold-water immersion (CWI) | *TACO: Tarp-assisted cooling with oscillation [TACO]. Recommended treatment for exertional heat stroke includes whole-body cold-water immersion (CWI). remote locations or monetary or spatial restrictions can challenge the feasibility of CWI. | 112 | definition | 0.940 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | Recommended treatment for exertional heat stroke includes whole-body cold-water immersion (CWI). | 10 | page=10,block=1 | 0.700 | valid |
| What challenges can affect the feasibility of cold-water immersion in remote locations? | monetary or spatial restrictions | *TACO: Tarp-assisted cooling with oscillation [TACO]. Recommended treatment for exertional heat stroke includes whole-body cold-water immersion (CWI). remote locations or monetary or spatial restrictions can challenge the feasibility of CWI. | 171 | relationship | 0.890 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | remote locations or monetary or spatial restrictions can challenge the feasibility of CWI. | 10 | page=10,block=1 | 0.700 | valid |
| What is causing higher daily peak temperatures and more intense heat waves globally? | climate change. | Higher daily peak temperatures and longer, more intense heat waves are becomingly increasingly frequent globally due to climate change. The extreme temperatures and resultant atmospheric conditions adversely affect people as they cause various Heat Related Illnesses (HRI), physiological stress, sometimes resulting in death. India has a tropical climate and there are strong variations in seasons. | 120 | relationship | 0.890 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | Higher daily peak temperatures and longer, more intense heat waves are becomingly increasingly frequent globally due to climate change. The extreme temperatures and resultant atmospheric conditions adversely affect people as they cause various Heat Related Illnesses (HRI), physiological stress, sometimes resulting in death. | 3 | page=3,block=1 | 0.700 | valid |
| Which temperature measurement site is considered more precise for diagnosing heatstroke? | Rectal temperature | Core body temperature can be measured from the sites like esophagus, oral cavity, and rectum. Rectal temperature is required for the same. | 94 | comparison | 0.840 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | Core body temperature can be measured from the sites like esophagus, oral cavity, and rectum. Rectal temperature is required for the same. | 8 | page=8,block=1 | 0.700 | valid |
| What are the potential complications of treatment for hypotension despite fluid resuscitation? | Acute pulmonary edema b. Hypothermia | Hypotension despite fluid resuscitation to be preferably corrected by I.V. dopamine or dobutamine. 5. Look out for complications of treatment: - a. Acute pulmonary edema b. Hypothermia 6. Treat seizure with benzodiazepines (name of commonly available as per EDL) (avoid barbiturates) 7. Prevent shivering (by paralyzing patient if intubated) 8. Look for signs of coagulopathy (bleeding, etc. signs) 9. Arterial Blood Gas (ABG) analysis regularly – look for metabolic acidosis 10. CT brain – to look for complications or rule out intracranial pathology, if facility exists. 11. Co-management and referral to intensive care unit 12. Inform / communicate with next of kin regarding patient condition & prognosis | 148 | list | 0.820 | https://ncdc.mohfw.gov.in/uploads/resource/1769333208_4_Strengthening-Health-Systems-Preparedness-for-Heat-Related-Illnesses-HRI-in-India_180423.pdf | Look out for complications of treatment: - a. Acute pulmonary edema b. Hypothermia 6. | 7 | page=7,block=1 | 0.700 | valid |