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Published on: 11/18/2024

What Should I Do When I Have Heat Stroke?

If you suspect you have heat stroke, it is crucial to act quickly, as it is a medical emergency. Immediate cooling and hydration are essential, and you should seek medical attention as soon as possible.

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Explanation

Recognizing Heat Stroke:

Heat stroke occurs when the body overheats, typically due to prolonged exposure to high temperatures or strenuous physical activity in hot weather. Symptoms may include:

  • High body temperature (above 104°F or 40°C)
  • Altered mental state or confusion
  • Rapid heartbeat
  • Nausea or vomiting
  • Hot, dry skin (lack of sweating)
  • Headache
  • Dizziness or fainting

If you or someone else exhibits these symptoms, it is important to take action immediately.

Immediate Actions to Take:

  • Move to a Cooler Place: Get the person to a shaded or air-conditioned area as quickly as possible. Reducing exposure to heat is the first step in managing heat stroke.
  • Cool the Body: Begin cooling the body using one or more of the following methods:
  • Hydrate: If the person is conscious and able to drink, provide cool water or electrolyte drinks to help rehydrate. Avoid giving them alcohol or caffeine, as these can worsen dehydration.

Seek Medical Attention:

Even after taking these initial steps, it is essential to seek medical help. Heat stroke can lead to serious complications, including organ damage, and may require intravenous fluids and further medical treatment.

Prevention Tips:

To prevent heat stroke in the future, consider the following strategies:

  • Stay hydrated by drinking plenty of fluids, especially in hot weather.
  • Avoid strenuous activities during the hottest parts of the day.
  • Wear lightweight, loose-fitting clothing.
  • Take regular breaks in the shade or indoors when working or exercising in the heat.

(References)

  • Glazer JL. Management of heatstroke and heat exhaustion. Am Fam Physician. 2005 Jun 1;71(11):2133-40. PMID: 15952443.

  • Asmara IGY. Diagnosis and Management of Heatstroke. Acta Med Indones. 2020 Jan;52(1):90-97. PMID: 32291378.

  • Costrini A. Emergency treatment of exertional heatstroke and comparison of whole body cooling techniques. Med Sci Sports Exerc. 1990 Feb;22(1):15-8. PMID: 2406541.

  • Groot E, Abelsohn A, Moore K. Practical strategies for prevention and treatment of heat-induced illness. Can Fam Physician. 2014 Aug;60(8):729-30, e392-4. PMID: 25122818; PMCID: PMC4131963.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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