Heat exhaustion: It can get dangerous in the hot weather

Jul 15, 2018 Dr Zulfikar Bux, Features / Columnists

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By Dr Zulfikar Bux
Assistant Professor of Emergency Medicine
We are heading into the dry season and things are getting hot. As temperatures continue to climb, it is becoming risky for those that have to be in the sun for long periods. Heat exhaustion is one of those risks and I fear that this will become more common as temperatures continue to rise.
WHAT IS HEAT EXHAUSTION?
Heat exhaustion happens when your body gets too hot. If you don’t treat heat exhaustion, it can lead to heatstroke. This occurs when your internal temperature reaches at least 104°F. Heatstroke is much more serious than heat exhaustion. It can cause shock, organ failure, or brain damage. In extreme cases, heatstroke can kill you.
WHAT ARE THE SYMPTOMS OF HEAT EXHAUSTION AND HEATSTROKE?
Symptoms of heat exhaustion are:
• muscle cramps
• heavy sweating
• pale or cold skin
• weakness and/or confusion
• dizziness
• headache
• nausea or vomiting
• fast heartbeat
• dark-colored urine, which indicates dehydration.
In addition to these symptoms, warning signs of heatstroke also include:
• fever of 104°F or higher
• flushed or red skin
• lack of sweating
• trouble breathing
• fainting
• seizures.
WHAT CAUSES HEAT EXHAUSTION AND HEATSTROKE?
Heat-related illnesses occur when your body can’t keep itself cool. As the temperature rises, your body dissolves sweat to stay cool. On hot, humid days, the increased moisture in the air slows down this process. When your body can’t cool, your temperature rises and you can become ill.
Hot weather and exercise are the main causes of heat exhaustion and heatstroke. In hot settings, you need to be mindful of the temperature outside.
HOW ARE HEAT EXHAUSTION AND HEATSTROKE DIAGNOSED?
If a person is displaying known heat illness symptoms, take their temperature. A reading of 104°F or more means they probably have heatstroke. You should take them to an emergency room right away.
CAN HEAT EXHAUSTION AND HEATSTROKE BE PREVENTED OR AVOIDED?
There are many things you can do to prevent heat-related illnesses. Babies, children, and elderly people are more sensitive to heat and require extra attention. You also are at greater risk if you are ill or obese, or have heart disease. People who work outside or in a hot setting also are at risk of heat exhaustion and heatstroke.
Don’t go outside unnecessarily when temperatures are high. If possible, stay indoors in cooler areas. If you must go outside, take the following precautions.
• Wear lightweight, light-colored, loose-fitting clothing.
• Protect yourself from the sun by wearing a hat or using an umbrella.
• Use sunscreen with a sun protection factor (SPF) of 15 or higher.
• Drink plenty of water throughout the day. Dehydration and lack of salt contribute to heat-related illnesses. Some sports drinks can help replenish the salt in your body lost through sweating. Drink water or other fluids every 15 to 20 minutes, even if you don’t feel thirsty. If your urine is clear, you are probably drinking enough fluids. Dark-colored urine is a sign that you’re dehydrated.
• Avoid or limit drinks that contain caffeine (such as tea, coffee, and soda) or alcohol.
• Schedule outdoor activities for cooler times of the day — before 10 a.m. and after 6 p.m.
• Take frequent breaks from the heat and outdoor activities.
• Do not stay or leave a child in your car when it is hot out. Even if you open the windows, the intense heat can be extremely dangerous.
Certain medicines can put you in danger of heatstroke. They affect the way your body reacts to heat. Talk to your doctor if you take any of these or have an ongoing health problem. They can help you manage the heat with your condition.
HOW CAN HEAT EXHAUSTION AND HEATSTROKE TREATED?
If you or someone else has heat exhaustion, treat symptoms in the following ways.
• Get out of the heat quickly and into a cool place, or at least shade.
• Lie down and elevate your legs to get blood flowing to your heart.
• Take off any tight or extra clothing.
• Apply cool towels to your skin or take a cool bath. This will help regulate and lower your internal body temperature.
• Drink fluids, such as water or a sports drink. Do not guzzle them, but take sips. Do not drink fluids with caffeine or alcohol.
Rush to the emergency room if:
• Symptoms don’t improve or they still have a fever of 102°F after 30 minutes of initial treatment.
• The person goes into shock, faints, or has seizures.
• The person is not breathing. You also should begin CPR right away to try and revive them.
If you’ve had heat exhaustion or heatstroke, you will be sensitive to heat. This can last for about a week. It’s important to rest and let your body recover. Avoid hot weather and exercise. Ask your doctor when it’s safe to return to your normal activities. So be careful and avoid the heat, if you can’t, then be aware of the signs of heat exhaustion and take precautions to prevent them from escalating into a heat stroke.

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