A Bitcoin Miner Heatstroked In His Sleep. This Is What Happened To His Organs.

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Heatstroke is a serious problem and the heatwaves that cause it, claim more lives on average than any other weather event in USA. While generally thought to affect the elderly and the very young, it can affect people of all ages, not just because of the heat in the environment (classic heatstroke) but also because of activity (exertional heatstroke). The problems caused by heatstroke sometimes happen but don’t appear clinically, like GI ischemia.

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Radiographic image courtesy Dr Bruno Di Muzio,, rID: 57738

These cases are patients who I, or my colleagues have seen. They are de-identified and many instances have been presented in more depth in an academic setting. These videos are not individual medical advice and are for general educational purposes only. I do not give medical advice over the internet, see your own physician in person for that.


[0] [Intestinal] Perforation as a Critical Complication of Exertional Heat Stroke. Intern Med 49: 2473-2476, 2010.

[1] Heatstroke. N Engl J Med 2019; 380:2449-2459.

[2] Mechanisms of circulatory and intestinal barrier dysfunction during whole body hyperthermia. Am J Physiol Heart Circ Physiol 280: H509–H521, 2001.

[3] The Impact of Mild Heat Stress During Prolonged Running On Gastrointestinal Integrity, Gastrointestinal Symptoms, Systemic Endotoxin and Cytokine Profiles. Int J Sports Med 2018; 39: 255–263.

[4] Heat stroke: Role of the systemic inflammatory response. J Appl Physiol (1985). 2010 Dec;109(6):1980-8.

[5] Endotoxaemia in exhausted runners after a long-distance race. S Afr Med J. 1988 May 7;73(9):533-6.

[6] Near-fatal heat stroke during the 1995 heat wave in Chicago. Ann Intern Med. 1998 Aug 1;129(3):173-81.

[7] Pathogenesis of nonocclusive ischemic colitis. Ann Surg. 1986 Jun;203(6):590-9.




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