Objective To synthesize the evidence concerning targeted temperature management during emergency resuscitation of classic heat stroke patients, thereby providing an evidence-based foundation for clinical temperature-management practices in classical heat stroke.Methods We searched domestic and international bibliographic databases and professional society websites for literature addressing targeted temperature management in emergency care of heat stroke. Eligible materials included clinical decision reports, clinical practice guidelines, evidence summaries, consensus recommendations, systematic reviews, and high-quality original studies. The search time frame extended from database inception through 31 May 2025. Two reviewers independently assessed the methodological quality of included studies. Extracted evidence was organized and summarized according to thematic categories. Results Fourteen documents met inclusion criteria: one clinical decision document, three clinical practice guidelines, seven expert consensus reports, two systematic reviews, and one evidence summary. From these sources we synthesized 23 evidence statements grouped under six themes:assessment, temperature monitoring, cooling interventions, symptomatic support, traditional Chinese medicine diagnosis and treatment, and prevention. Conclusion The compiled evidence can provide clinicians and relevant healthcare personnel with a scientific basis for rapid recognition and management of classic (non-exertional) heat stroke in the emergency setting. Training of emergency staff should be strengthened with respect to recognition of classic heat stroke, cooling techniques, and monitoring care; selection of specific practices should be informed by the available evidence and adapted to clinical context.