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Hyperthermia-Induced Cardiac Arrest with Ice Pack Artifacts

Imaging findings

Frontal portable chest radiograph demonstrates diffuse, bilateral, blotchy, and high-density material overlying the chest wall and upper extremities, representing therapeutic ice chips packed around the patient.

Key takeaways

Severe hyperthermia during heat waves is a critical emergency, particularly in elderly populations. Emergent cooling techniques, such as packing the patient in ice, can create prominent, high-density overlying artifacts on portable radiographs that should be recognized as external therapeutic materials rather than intrathoracic abnormalities.

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