Talk:Heat stroke

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 2 September 2021 and 14 December 2021. Further details are available on the course page. Student editor(s): Paulcm1464, Eierscj6816, Sparks Erin. Peer reviewers: Mames29.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 22:15, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Obliothepoint, Katie Pickle, Cait-the-great, Alexan13.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 23:15, 16 January 2022 (UTC)

Causes

This section is about children and pets being locked into cars, with a great deal of information about why and how children and pets become trapped inside of cars, along with the possible repercussions for the person responsible. But there is nothing in this section about what causes heatstroke. I don't know enough about it to change it, but someone needs to. This section is important, but it should only be a subheading under the "cause" section of the article. Primium mobile (talk) 13:20, 15 April 2014 (UTC)

"Children and pets in cars" is indeed a subheading under the "Causes" section. The lead sentence of the article states clearly that "Heat stroke is ... due to environmental heat exposure with lack of thermoregulation." —Patrug (talk) 04:15, 11 February 2015 (UTC)

Once again, this section is all about children and pets being locked into cars, with very little information about what causes heatstroke. There is more now than there was when I made this comment almost a year ago, but it is still lacking. There is very little about causes heatstroke, as in real world examples that are not "children and pets in cars", which are also real world examples. What are causes for the lack of thermoregulation? What level of environmental heat exposure is dangerous? And yes, as I said, that should be a subheading. When I commented, it was the whole section, save for two sentences. Now, it's the whole section, save four sentences. Being arranged under a subheading doesn't mean that it reads that way. You could eliminate the whole "causes" section and just call it "Children and Pets in Cars" Primium mobile (talk) 22:19, 3 March 2015 (UTC)

People of any age are vulnerable to heatstroke, including the infirm, the intoxicated, the mentally-impaired, and the handicapped. Cars are especially likely to be places of heatstroke as enclosed automobile interiors concentrate heat even if the external temperature seems comfortable enough (as around 25°C/77°F). Circumstances make the physical cause possible, and children and pets who either can't figure out what is going on or can't get out are especially vulnerable. Prevention is obvious enough: leave the children or pets at home on warm-to-hot days or make sure that you can take them out of the car.

People have gotten fatal heatstroke by remaining in an unventilated building without air conditioning. This is commonplace in poor areas with high crime rates in at least seasonally-hot climates (like Dallas, Texas) where such happens often. People are often more scared of crime than of heatstroke...

Prevention matters, too.Pbrower2a (talk) 17:46, 7 March 2015 (UTC)

I give up. I wanted some information in the article about what causes heatstroke, (what are the physiological changes in your body before, during, and after) and what it is about heatstroke that is deadly, other than the elevated temperature. It's apparent that isn't going to happen, so please forget my request. By the way, there is an excellent piece on heat stroke causes on the hyperthermia page, which is conveniently listed under the subheading of "Heatstroke."

"Heat stroke occurs when thermoregulation is overwhelmed by a combination of excessive metabolic production of heat (exertion), excessive environmental heat, and insufficient or impaired heat loss, resulting in an abnormally high body temperature.[7] In severe cases, temperatures can exceed 40 °C (104 °F).[8] Heat stroke may be non-exertional (classic) or exertional.

Significant physical exertion in hot conditions can generate heat beyond the ability to cool, because, in addition to the heat, humidity of the environment may reduce the efficiency of the body's normal cooling mechanisms.[7] Heat loss mechanisms are limited to vasodilation of skin vessels and increased rate of sweating. Vasodilation dissipates heat by convection and sweating by evaporation. However, thermoregulation can be assisted with shade or fans. Other factors, such as insufficient water intake, consuming alcohol, or lack of air conditioning, can worsen the problem.

The principles of physics involved include:

Newton's law of cooling which states that dry heat loss is proportional to temperature difference between the human body (shell) and surroundings;

Stefan-Boltzmann law which states that the higher the temperature of an object, the more it radiates, and the energy radiating from an object and received by the human body is proportional to temperature difference between object and skin.

The increase in body temperature that results from the break down in thermoregulation affects the body biochemically. Enzymes involved in metabolic pathways within the body such as cellular respiration fail to work effectively at higher temperatures and further increases can lead them to denature, reducing their ability to catalyse essential chemical reactions. This loss of enzymatic control affects the functioning of major organs with high energy demands such as the heart and brain.

Non-exertional heat stroke mostly affects the young and elderly. In the elderly in particular, it can be precipitated by medications such as anticholinergic drugs, antihistamines, and diuretics[7] that reduce vasodilation, sweating, and other heat-loss mechanisms. In this situation, the body's tolerance for high environmental temperature may be insufficient, even at rest."

That's what I was saying was absent from this article. I really don't see what was so difficult to understand about my request. Thanks anyway. Primium mobile (talk) 15:34, 9 March 2015 (UTC)

@Pbrower2a: I just expanded the lead paragraph with a sentence summarizing the Prevention section.

@Primium mobile: I just added 2 more sentences summarizing the Hyperthermia article that you cited, and a "See also" link for the Causes section. You probably could've made these revisions yourself in less time than it took to post your repeated criticisms, rather than making "requests" of other volunteer editors and griping about them for years. Please feel free to make further improvements directly to the article. That's how Wikipedia is supposed to work! —Patrug (talk) 10:02, 22 April 2015 (UTC)

@Patrug: Thanks for the not so nice reply. I made three entries in this talk page that happened to be separated by a year. That is not "griping about it for years". Secondly, I didn't make the changes because I don't know anything about heat stroke. I don't contribute to articles in which I am not knowledgeable. I came here looking for information from someone who knows about this. I wasn't looking to provide it. I don't have the first clue if the stuff I copied and pasted from the other article is true or not. I'm an engineer. I know next to nothing about biology, and I am unable to explain biology in a way that other people can understand. Wikipedia has enough problems with non-experts adding their own two cents to technical articles. That's why I came to the talk page. My issue was with people ignoring what I was saying and instead answering another question. Thanks for fixing the article. I appreciate that. I appreciate the extra helping of snark, too. It always makes my day better. Primium mobile (talk) 12:01, 22 April 2015 (UTC)

As you've noticed, busy MDs don't come here very often to edit at your impolite "request". I'm an engineer who doesn't "know anything about heat stroke" either, except for what I found here and in the online citations. But as general editors, that's ample basis for us to summarize reliably sourced info from other Wikipedia articles (already conveniently cited with medical footnotes as our "first clue") and to delete unsourced nonsense (Stefan-Boltzmann, since heat stroke clearly isn't caused by hot radiators). As the guideline says, WP: BE BOLD. Over 8 years, you've now made 10 edits posting complaints to this Talk page and 2 edits to its predecessor Talk:Hyperthermia, but 0 edits making improvements to either article directly – and I see that Talk pages are the majority of your edits across all subjects. I don't think it's the most productive approach, but suit yourself... Patrug (talk) 12:36, 24 April 2015 (UTC)

@Patrug: If you're an engineer, you have the absolute worst counting ability of any engineer I have ever seen. Those multiple edits were made to correct formatting in comments I was trying to leave from a mobile device and was having difficulty getting the format right. The number of actual comments was exactly what I said it was. You can see that with your own eyes. My edit to the hyperthermia talk page was in response to someone asking why the article said that it takes several people to hold someone in a bathtub full of water. Seriously, if you're going to be too lazy to even conduct the most basic research into what you are accusing someone of doing then you shouldn't even accuse them. This is just ridiculous.

My original comment on this article was asking for something to be added to a section. The specific issue was that I thought the biological causes should be added, and not just a giant section of animals and children trapped in cars. That's it. It was a very simple request. You could either fill it, ignore it, or pass it along to someone who could. (Ironically, that "passing along to someone who could") is what I was doing when I made this request on the talk page. I don't expect a "busy MD" to take time out of his or her fucking day to come and fix this. I was merely asking for someone who knew more about it than what I do to come and make the edit. That's it. There was nothing more to it. And it was never a criticism. It was a request for more information to be added. If you don't think that talk page requests contribute to Wikipedia articles then you really have no idea what Wikipedia is about. Primium mobile (talk) 14:18, 24 April 2015 (UTC)

I believe what you're looking for are the effects heat has on the cellular mechanisms. I'm surprised there is no connection or even link to heat shock which describes some of the changes to proteins/enzymes and RNA that is caused by the elevated temperature. High heat, at least if not sudden like a burn, will also lead to dehydration which creates separate biological injury (eg kidney damage) from a reduction in blood flow rather than direct cellular injury as well. I see this page has a couple of students assigned to it, and perhaps they can look at that.MartinezMD (talk) 02:08, 9 November 2017 (UTC)

Forgotten baby syndrome

Split parts of section - Forgotten baby syndrome is becoming a widely publicized problem as of late. I therefore recommend that an article be created about this epidemic, though I am open to suggestions for the title, for which I propose "Forgotten baby syndrome". Thoughts? --Jax 0677 (talk) 03:06, 20 June 2014 (UTC)

I figure it's a fad in reportage rather than a long term trend towards a previously rare way to die. If I'm guessing right, the fad will fade and be replaced as this northern hemisphere summer passes. We might want to put in some statistics and even a trend chart supported by whatever firn, comprehensive data we can cite, but there's no need to build up the section to the point where a separate article would be appropriate. Jim.henderson (talk) 11:17, 21 June 2014 (UTC)

Comment - You can try expanding the section in this article first. If you can find enough sources to do that, then proceed with the splitting (if WP:NOTABLE). While user Jim.henderson's concern is important, I managed to find sources from at least 2009. Mentions are seasonal, but it looks like the term is here to stay, given the popularization of medical issues. Which brings us to: if you're up to it, please find medical sources (WP:MEDRS) about heat stroke in small children. It's no point discussing the term exclusively as a media thing. The article should be about a medical condition. Finnusertop (talk) 09:55, 26 June 2014 (UTC)

a syndrome refers specifically to medical condition where the underlying genetic cause has been identified, and the collection of symptoms is pathogenetically related.

Let's be smarter than that, parents forgetting their child in the car is not a medical condition.

True, but many medical issues - both actual conditions (such as a "cold" or in fact heat "stroke") as well as social phenomena (eg. we call laughter "contagious") - have medically inaccurate colloquial names. This is particularly relevant if the article will be split and a title is warranted (WP:RECOGNIZABLE). As noted in the discussion above, this section or article is bound to partially discuss the term as a term and its use in the media. A part of that is to point out what is it colloquially called, what meaning it tries to convey, and what is possibly wrong with the term.

The article currently states that it is not an actual or accurate medical term. Finnusertop (talk | guestbook | contribs) 15:22, 23 July 2014 (UTC)

"Forgotten baby syndrome" was a separate Wikipedia stub article in 2010–2011, and was merged & re-directed into the "Heat stroke" article by consensus. This still seems appropriate. —Patrug (talk) 04:15, 11 February 2015 (UTC)

An obvious means of preventing heatstroke in children, the elderly, or in pets is to not take them to places where they might be exposed to the extreme heat that can develop in a closed vehicle even in warm (let alone hot) weather. Hire a sitter for a person who might be vulnerable or place the pet in a kennel for the time if necessary. Pbrower2a (talk) 00:36, 3 March 2015 (UTC)

Prognosis contradiction

Prognosis section seems to contradict itself. The first statement says that heat stroke rarely causes long term problems, and then the rest of the section describes how a Chicago study (the same one referenced by the first sentence) showed that one third of people seem to have long term problems. Crazycasta (talk) 00:21, 6 November 2014 (UTC)

Thanks, it should be clearer now. —Patrug (talk) 04:15, 11 February 2015 (UTC)

Forgotten baby syndrome removal

@Doc James: Regarding this revert, I'm not sure why you characterize the source as "spam", as I was not trying to advance a commercial interest in adding it. I was trying to remedy the weird situation where forgotten baby syndrome redirects here, but isn't explained on this page. I was trying to figure out if this meant that heat stroke caused people to forget about their children, or if children forgotten for other reasons were suffering heat stroke. I found this article written by an MD which says it's the latter and gives a common cause. If it's not a reliable source, we could find a better one. In addition to web search results, the term is linked to from Child care#see also, and the phenomenon, whatever name you might give it, seems noteworthy enough to cross-reference. -- Beland (talk) 01:16, 16 March 2020 (UTC)

Just looks at this source. https://www.bundoo.com/articles/forgotten-baby-syndrome-why-parents-leave-children-in-hot-cars/

Will look for a better one. Doc James (talk · contribs · email) 01:19, 16 March 2020 (UTC)

Queen's University Student Editing Initiative

Hello, we are a group of medical students from Queen's University. We are working to improve this article over the next month and will be posting our planned changes on this talk page. We look forward to working with the existing Wikipedia medical editing community to improve this article and share evidence. We welcome feedback and suggestions as we learn to edit. Thank you. Ceelteamsix (talk) 20:18, 23 November 2020 (UTC)

Hello again, we are a group of medical students editing this page as part of our class assignment. We have compiled a list of suggestions to improve this article and would appreciate community feedback before we proceed with these edits. Here is a list of our suggestions:

Signs and symptoms:

1. We propose to add the following sentences into the Heat Stroke#Signs and Symptoms section: "However, high body temperature does not necessarily indicate that heat stroke is present, such as with people in high-performance endurance sports or with people experiencing fevers. When diagnosing exertional heat stroke, it may be best to avoid relying on a specific temperature threshold, and instead focus on other symptoms.”--ILoveCarl (talk) 01:22, 5 December 2020 (UTC)

The second sentence sounds a little bit like a How-To and may benefit from a little rephrasing. Maybe something like "Heat stroke is more accurately diagnosed based on a constellation of symptoms rather than a specific temperature" or something like that. MartinezMD (talk) 02:06, 5 December 2020 (UTC)

2. We propose to update the second paragraph in the signs and symptoms section with more in depth information and rearrangement of previous text to fit the added timeline. We also included additional hyperlinks. The edited paragraph is as follows:

Early symptoms of heat stroke include behavioral changes, confusion, delirium, dizziness, weakness, agitation, combativeness, slurred speech, nausea, and vomiting. In some individuals suffering from exertional heatstroke, seizures and sphincter incontinence have also been reported.

• Rationale for proposed change: Clearer distinction between early and late signs/symptoms, also more wikilinks.

3. Additionally, in exertional heat stroke, the affected person may sweat excessively. If treatment is delayed, patients could develop vital organ damage, unconsciousness and even organ failure. In the absence of prompt and adequate treatment, heatstroke can be fatal.

• Rationale for proposed change: Clearer flow, implied timeline of heatstroke progression and severity. Agoczi (talk) 01:35, 7 December 2020 (UTC)

References

Pathophysiology:

We propose to create a section called Pathophysiology. Our proposed paragraph is as follows: The pathophysiology of heat stroke involves an intense heat overload followed by a failure of the body’s thermoregulatory mechanisms. More specifically, heat stroke leads to inflammatory and coagulation responses that can damage the vascular endothelium and result in numerous platelet complications, including decreased platelet counts, platelet clumping, and suppressed platelet release from bone marrow. Ceelteamsix (talk) 22:14, 4 December 2020 (UTC)

Could you try to wikilink some of these terms, if they are not already linked earlier in the article? Coagulation, thermoregulation, vascular endothelium, etc JenOttawa (talk) 02:37, 5 December 2020 (UTC)

We propose the addition of a second paragraph to the Pathophysiology section as follows: Growing evidence also suggests the existence of a second pathway underlying heat stroke that involves heat and exercise-driven endotoxemia. Although its exact mechanism is not yet fully understood, this model theorizes that extreme exercise and heat disrupt the intestinal barrier by making it more permeable and allowing lipopolysaccharides (LPS) from gram-negative bacteria within the gut to move into the circulatory system. High blood LPS levels can then trigger a systemic inflammatory response and eventually lead to sepsis and related consequences like blood coagulation, multi-organ failure, necrosis, and central nervous system dysfunction.

Since the existing page lacks any mention of heat stroke pathophysiology, we believe creating this section fills a gap in understanding that offers readers a short and broad introduction to the two existing pathophysiological mechanisms described in current literature. --Adriyan Hrycyshyn (talk) 00:26, 5 December 2020 (UTC)

I added a few citation needed tags. Please re-use your citation after each sentence. It seems redundent, but if a different Wikipedian comes in after you and accidentally truncates this paragraph, these sentences will not have a reference to support the evidence. Also, citations go immediately after the punctuation like this. This is picky, but helps keep the article clean and standardizes it for readers. Nice work here!! JenOttawa (talk) 02:37, 5 December 2020 (UTC)

References

Treatment section:

We propose to edit the second paragraph of the Treatment section to state as follows: The body temperature must be lowered quickly via conduction, convection, or evaporation. The person should be moved to a cool area, such as indoors or to a shaded area. Clothing should be removed to promote heat loss through passive cooling. Conductive cooling methods such as ice-water immersion should also be used, if possible. Evaporative and convective cooling by a combination of cool water spray or cold compresses with constant air flow over the body, such as with a fan or air-conditioning unit, is also an effective alternative.. The person should not be wrapped in wet towels or clothing as this can act as insulation and increase the body temperature

We feel that that this will improve the flow of the paragraph. In addition, we propose removing the claim that a hyperthermia vest is an effective treatment, as we found this study that concluded that immersion cooling should remain the standard of care as opposed to the use of a hyperthermia vest: - Alexandrab96 (talk) 22:30, 4 December 2020 (UTC)

Hi, I think that you can use wikilinks on some of these terms when editing the actual article if they are not linked earlier in the article. Also, please note my message above regarding the placement of the citation immediately after the punctuation. I changed yours above (moved it from before the punctuation to after) to demonstrate how it should look. Thanks so much for sharing here!JenOttawa (talk) 02:42, 5 December 2020 (UTC)

When re-using the same reference in an article, please choose "reuse" from the citation tool, find your citation in the list (you can search by PMID), and then add it using the tool. This will ensure that references are not duplicated in the reference list. You can practice this in your sandbox to be ready for when you add it to Wikipedia on Monday. If you have any questions please let me know. JenOttawa (talk) 02:42, 5 December 2020 (UTC)

We propose to edit the fourth paragraph in the Treatment section to state as follows: Immersion in very cold water was once thought to be counterproductive by reducing blood flow to the skin and thereby preventing heat from escaping the body core. However, research has shown that this mechanism does not play a dominant role in the decrease in core body temperature brought on by cold water. Ice and cold water immersion is the most efficient cooling method. Dantrolene, a muscle relaxant used to treat other forms of hyperthermia, is not an effective treatment for heat stroke. Aggressive ice-water immersion remains the gold standard for life-threatening heat stroke.

We feel that this will improve the flow of the paragraph, it removes a sentence that had no source and it provides an updated reference regarding dantrolene. Charlie5858 (talk) 23:09, 4 December 2020 (UTC)

Thanks for these suggestions. Your group is doing very well so far. Please note that the references go immediately after the punctuation, without spaces between multiple citations.JenOttawa (talk) 02:25, 5 December 2020 (UTC)

When re-using the same reference in an article, please choose "reuse" from the citation tool, find your citation in the list (you can search by PMID), and then add it using the tool. This will ensure that references are not duplicated in the reference list. You can practice this in your sandbox to be ready for when you add it to Wikipedia on Monday. Thanks!JenOttawa (talk) 02:27, 5 December 2020 (UTC)

References

Prevention section:

We propose to replace the 1st paragraph in the Prevention section with two focused lists of bullet points, outlining prevention in environmental situations (e.g. hot weather), and in the case of individuals who are at high risk. These will precede and slightly overlap the recommendations relating to hydration in hot weather, and the Occupational Safety and Health Administration checklist for workers, outlined in the remainder of the Prevention section. Our proposed changes will be as follows: — Preceding unsigned comment added by Snacksareimportant (talk • contribs) 03:38, 5 December 2020 (UTC)

1. CDC Recommendations for Hot Weather (Overview):

1. Keep cool

• Wear lightweight, light-colored, loose-fitting clothing or equipment when in hot environments
• Stay in air-conditioned locations as much as possible, e.g. shopping mall, public library or local heat-relief shelters. Limit outdoor activities to coolest times of the day.

• If exercising, do so indoors or when it is not too hot outside, and take frequent breaks.

• Take a cool shower when possible
• Use the stove and oven less, when indoors

2. Remain hydrated

• Drink plenty of fluids, whether or not you will be exercising, without waiting until thirsty.
• Avoid very sugary, alcoholic, as they can cause loss of body fluid. Avoid very cold drinks, as they can cause stomach cramps.
• Ice salt and minerals lost by sweating: can use sports drinks

• If you have are on a low-salt diet or have other health conditions, please ask your doctor before doing consuming sports, or other drinks with high amounts of salt and/or minerals

3. Stay aware

• Check your local news for extreme heat alerts, safety tips and local heat relief shelters.
• Learn the signs and symptoms of heatstroke.
• Check on your friends, colleagues and family, and have them check on you as well. This can be done in person if possible, or through phone/message.
  

• This section should be kept short and not sound like an instruction manual. See WP:NOTHOWTO. It could be condensed to 2 sentences. MartinezMD (talk) 04:55, 5 December 2020 (UTC)

• Thanks @MartinezMD:. I am wondering if there is not a need to call it "CDC recommendations for hot weather" and keep it to just "Safety recommendations for hot weather" and then cite the CDC resource for those interested in where it came from. In some cases it may be important to share the source- especially if there are differences in suggestions/recommendations between organizations. In this case, unless there are disagreements in what is safe (I assume there are not big ones), I would lean towards removing the CDC from the title.JenOttawa (talk) 14:21, 5 December 2020 (UTC)

I agree. Certainly it isn't needed in the title as future recommendations from other sources could be added or substituted. MartinezMD (talk) 18:00, 5 December 2020 (UTC)

2. CDC and Wilderness Medicine Society Recommendations for High-Risk Individuals:

• People who are high risk might be: infants and young children, people 65+ years , people who are overweight, people with high exertion during work or exercise, with physical illnesses

• People with physical illnesses, such as: heart disease, high blood pressure, who take certain medications, such as for depression, insomnia, or poor circulation.

• Adults at risk should be watched twice a day at least, children and infants should be watched more closely: for signs of heat stroke.
• If taking medications, speak with your doctor to ensure these medications are not affecting your body’s response to higher temperatures.

Please note: the in-text citations will be corrected on Monday (or as soon as feedback is obtained re formatting), so that there are only two repeated citations (as opposed to 7). My apologies - thank you! --Snacksareimportant (talk) 04:19, 5 December 2020 (UTC)

Thanks for sharing these suggestions. I can help you with citations! JenOttawa (talk) 05:05, 5 December 2020 (UTC)

Multiple use of the same reference- tech tip. When you add your references while editing, you can see the options "automatic... Manual... Re-use". The first time you add the citation (if it is not already used in an article, click "automatic" and add your PMID, DOI, or website, then click "generate" to fill the template. The second time you want to use the same citation in an article, click "reusue" and search for your citation in the list. This adds in the a,b,c versus duplicating the citation in the list. If possible, practice this in your sandbox before editing live on Monday.JenOttawa (talk) 05:05, 5 December 2020 (UTC)

Hi again @Snacksareimportant: See note to CDC recommendations hot weather editor (immediately above, unless this is the same editor) regarding my suggestion for removing CDC from the title of this section. Also, do these have to be in two separate sections- suggestions for hot weather safety and wilderness medicine recommendations. Could these two be merged into one heat stroke "Prevention" type of a section that has a general prevention intro (with the first part) and then a small subsection that includes information related to high-risk individuals? I think that even the Wilderness Medicine Society name can be removed here. This information can go in the citation (as you have included it already) for those interested in the source of the evidence/recommendations.JenOttawa (talk) 14:21, 5 December 2020 (UTC)

References

Recent epidemiology improvements

Hi @Sparks Erin: thanks for the great ideas to improve this article. I removed the primary research references that you added as they do not meet Wikipedia's Guideline for Reliable Sources in Medicine (WP:MEDRS) and also were outdated (WP:MEDDATE). I think you have some terrific ideas and the systematic review that you suggested looks good. If you want to share your ideas (including using sources that meet the guideline) here, many in the community are happy to help make these improvements.JenOttawa (talk) 15:56, 1 December 2021 (UTC)

First sentence

The first sentence seems odd to me, a layman. It is "Heat stroke, also known as sun stroke, is a type of severe heat illness that results in a body temperature greater than 40.0 °C (104.0 °F)" Shouldn't that be "Heat stroke, also known as sun stroke, is a type of severe heat illness that results from a body temperature greater than 40.0 °C (104.0 °F)"?

If the sequence really is 1) you get heat stroke, 2) you body gets really hot, what causes the heat stroke in the first place? The first sentence of the "Causes" section says "Heat stroke occurs when thermoregulation is overwhelmed by a combination of excessive metabolic production of heat (exertion), excessive heat in the physical environment, and insufficient or impaired heat loss, resulting in an abnormally high body temperature" which possibly contradicts the lede? Not sure, but could be clearer. Herostratus (talk) 03:39, 5 February 2022 (UTC)

Note of article recreation

Hello! In 2011, an article called Forgotten baby syndrome was merged into this article. The article was pretty paltry at the time (this is the old id), and I don't see any of its contents present in the page today. Since 2011, the syndrome has received pretty significant media attention (including coverage by ABC News, NBC News, Consumer Reports, and more), and there have been technological efforts to address the phenomenon—two countries have even mandated such technology. As such, I recreated the page. If I'm blunt, it's a pretty paltry stub (in my defense—that type of article is well outside of my limited experience at Wikipedia) that overlies on David Diamond—the leading researcher in the field who it seems every media reporter goes to whenever they write a story on the subject, but I think it meets WP:NOTABLE and there's enough content there, even as a stub, to warrant a separate article. Still, I wanted to flag that I had recreated a previously merged page in case anyone who disagrees would like to contest the recreated through WP:AFD or WP:PAM.--Jerome Frank Disciple 18:17, 5 June 2023 (UTC)