[laughs]

Second, be on the lookout for a V-tach, which was seen in three out of these four cases.

This life-threatening dysrhythmia is likely driven by the sympathetic surge, and in two cases may have been refractory due to QTC prolongation.

Additionally, all of these patients had in common severe hyperthermia.

They all were aggressively cooled but still had a poor outcome, which I suspect was due to presenting too far into the initial assault.

We know that exertion in heat stroke is time-dependent, so it would not surprise me if hyperthermia due to that sympathetic surge, vasoconstriction, and muscle breakdown that impairs heat dissipation is also time-dependent.

So it's important to get benzodiazepines on board early in addition to those cooling measures.

That's right.