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Table 1 Comparison of Bouchama’s definition and the JAAM criteria for heat stroke

From: Heat stroke

 

Bouchama’s definition

JAAM criteria

JAAM-HS-WG criteria

Environment

Exposure to environmental heat (classic heat stroke)

Exposure to high environmental temperature

Body temperature

Core body temperature > 40 °C

–

–

Organ dysfunction

Central nervous system

Delirium, convulsions, or coma

Impaired consciousness JCS ≥ 2, cerebellar symptoms, convulsive seizures

GCS score ≤ 14

Coagulation

–

Diagnosed as DIC by JAAM

JAAM DIC score ≥ 4

Liver

–

Follow-up after admission to hospital, hepatic or renal impairments requiring inpatient hospital care

Creatinine or total bilirubin levels ≥ 1.2 mg/dL

Renal

–

Cardiovascular

–

–

–

Respiratory

–

–

–

  1. GCS Glasgow Coma Scale, JAAM Japanese Association of Acute Medicine, JAAM-HS-WG Japanese Association of Acute Medicine heat stroke committee working group, JCS Japan Coma Scale, DIC disseminated intravascular coagulation