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Thursday, May 1, 2014

Heat Stroke

Source Credit:
This article was originally posted in http://www.medicinenet.com/

Photo taken from: http://hvac.bondedmechanical.com/
Heat Stroke
Heat stroke (heatstroke or sun stroke) is a form of hyperthermia. Heat stroke is a true medical emergency that can be fatal if not promptly and properly treated. Symptoms of heat stroke include: high body temperature, absence of sweating, with hot red or flushed dry skin, rapid pulse, difficulty breathing, strange behavior, hallucinations, confusion, agitation, disorientation, seizure, and coma. A victim of heat stroke must receive immediate treatment to avoid permanent organ damage.

Heat stroke facts

  • Heat stroke is a form of hyperthermia in which the body temperature is elevated dramatically. 
  • Heat stroke is a medical emergency and can be fatal if not promptly and properly treated. 
  • Cooling the victim is a critical step in the treatment of heat stroke. Always notify emergency services immediately. 
  • The most important measures to prevent heat strokes are to avoid becoming dehydrated and to avoid vigorous physical activities in hot and humid weather. 
  • Infants, the elderly, athletes, and outdoor workers are the groups at greatest risk for heat stroke. 

What is, and who is at risk for heat stroke?

Heat stroke is a form of hyperthermia, an abnormally elevated body temperature with accompanying physical symptoms including changes in the nervous system function. Unlike heat cramps and heat exhaustion, two other forms of hyperthermia that are less severe, heat stroke is a true medical emergency that is often fatal if not properly and promptly treated. Heat stroke is also sometimes referred to as heatstroke or sun stroke. Severe hyperthermia is defined as a body temperature of 104 F (40 C) or higher.

The body normally generates heat as a result of metabolism, and is usually able to dissipate the heat by radiation of heat through the skin or by evaporation of sweat. However, in extreme heat, high humidity, or vigorous physical exertion under the sun, the body may not be able to dissipate the heat and the body temperature rises, sometimes up to 106 F (41.1 C) or higher. Another cause of heat stroke is dehydration. A dehydrated person may not be able to sweat fast enough to dissipate heat, which causes the body temperature to rise.
Heat stroke is not the same as a stroke. "Stroke" is the general term used to describe decreased oxygen flow to an area of the brain.

Those most susceptible (at risk) individuals to heat strokes include:

  • infants, 
  • the elderly (often with associated heart diseases, lung diseases, kidney diseases, or who are taking medications that make them vulnerable to dehydration and heat strokes), 
  • athletes, and 
  • individuals who work outside and physically exert themselves under the sun. 

What are heat stroke symptoms and signs?

  • Symptoms of heat stroke can sometimes mimic those of heart attack or other conditions. 
  • Sometimes a person experiences symptoms of heat exhaustion before progressing to heat strokes.

Signs and symptoms of heat exhaustion include:

  • nausea, 
  • vomiting, 
  • fatigue, 
  • weakness, 
  • headache, 
  • muscle cramps and aches, and 
  • dizziness. 
However, some individuals can develop symptoms of heat stroke suddenly and rapidly without warning.Different people may have different symptoms and signs of heatstroke.

Common symptoms and signs of heat stroke include:

  • high body temperature, 
  • the absence of sweating, with hot red or flushed dry skin, 
  • rapid pulse, 
  • difficulty breathing, 
  • strange behavior, 
  • hallucinations, 
  • confusion, 
  • agitation, 
  • disorientation, 
  • seizure, and/or 
  • coma.

What about heat stroke in children?


While the elderly are at greatest risk for heat stroke, infants and children are also at risk. In particular, infants or young children who are unattended in locked car may suffer heat-related illness quickly, since the indoor temperature of a locked care can rise to dangerous levels even in moderate weather. Rarely, infants have died of heat stroke when overly bundled in their cribs. It is critically important that parents understand the medical dangers inherent in leaving children unattended in cars in addition to the obvious safety risks. Further, cars should always be kept locked when not in use so that children may not enter them and become trapped.

Among older children and teens, heat stroke or heat-related illness is a risk for athletes who train in hot environmental conditions. Among reported heat-related illnesses in U.S. high school athletes, the majority of cases occur in football players during the month of August.


How can heat stroke be prevented?

The most important measures to prevent heat strokes are to avoid becoming dehydrated and to avoid vigorous physical activities in hot and humid weather.

If you have to perform physical activities in hot weather, drink plenty of fluids (such as water and sports drinks), but avoid alcohol, caffeine (including soft drinks and tea), and tea which may lead to dehydration.

Your body will need replenishment of electrolytes (such as sodium) as well as fluids if you sweat excessively or perform vigorous activity in the sunlight for prolonged periods.

Take frequent breaks to hydrate yourself. Wear hats and light-colored, lightweight, loose clothes.

Keep cars locked when not in use and never, ever, leave infants or children unattended in a locked car.

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