How to Recognize Heat Related Illness

Heat Cramps, Heat Exhaustion and Heat Stroke

By Linda Miller, published Aug 11, 2006
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Heat related illness can range from mild cramping to seizures and death. It pays to learn the signs of heat cramps, dehydration, heat exhaustion and heat stroke. It is important to know what to do when you recognize the signs of trouble. Heat related emergencies require prompt action and should never be taken lightly.

The three most often encountered heat related illnesses are:
1. Heat Cramps: Caused by salt loss through sweating during exercise or work, generally people who suffer heat cramps are drinking water but not replacing electrolytes. Signs and Symptoms of heat cramps are localized muscle cramps, usually in the arms and legs but sometimes in the abdomen. The person suffering heat cramps is awake and alert, their pulse may be a bit fast but otherwise their vital signs are normal. Their skin will feel cool or maybe slightly warm. Prevention can be as simple as adding sport drinks, tomato juice or chilled bouillon drinks to the fluid replacement regimen. The recommended treatment is to get the affected person to a cool environment, give them electrolyte balanced fluids and consult your physician. If the cramps are serious the Doctor may want to give IV therapy and monitor the victim for a time. Do not give salt tablets. 

2. Heat Exhaustion: The person with heat exhaustion is awake, but may respond slowly, and complain of dizziness or lightheadedness and a headache. They usually have a fast pulse and are breathing fast. Skin is generally pale and damp and feels normal or a little warm. This person needs to be seen in the emergency room. If the affected person is lying down they may become very dizzy or pass out if they sit up. If they are sitting they may faint when they stand. If the person is still responsive get them into an air-conditioned car and give them some sports drink to sip while you take them to the emergency room. Call an ambulance if the person is nauseated or fainting. 

Takeaways
  • Get the affected person to a cool environment
  • If they are conscious give them sports drinks or water to drink
  • Cool with cold packs to the head, armpits and groin.
Did You Know?
High heat coupled with high humidity is the most dangerous environmental condition because there is no evaporation of sweat to keep the body naturally cooler. Heat illness can progress from dehydration and heat cramps to heat exhaustion and then heat stroke. Heat stroke is a life threatening condition and needs immediate and aggressive emergency treatment.
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