Heat exhaustion

Symptoms

Symptoms of heat exhaustion may start suddenly or progress over time, especially with prolonged periods of exercise. Heat exhaustion symptoms may include:

• Cool, moist skin with goose bumps when in the heat.
• Heavy sweating.
• Faintness.
• Dizziness.
• Fatigue.
• Weak, rapid pulse.
• Low blood pressure upon standing.
• Muscle cramps.
• Nausea.
• Headache.

When to see a doctor

If you think you have heat exhaustion:

• Stop all activity and rest.
• Move to a cooler place.
• Drink cool water or sports drinks.

Contact your healthcare professional if your symptoms get worse or they don't improve within one hour.

If you're with someone who has symptoms of heat exhaustion, seek immediate medical help if the person becomes confused or distressed, loses consciousness, or cannot drink. If the person's core body temperature — measured by a rectal thermometer — reaches 104 degrees Fahrenheit (40 degrees Celsius) or higher, get help right away. The person needs immediate cooling and urgent medical attention.

Risk factors

Anyone can get heat illness, but certain factors increase your sensitivity to heat. They include:

• Young age or old age. Infants, children younger than 4 and adults older than 65 are at higher risk of heat exhaustion. The body's ability to regulate its temperature isn't fully developed in children. In older adults, illness, medicines or other factors can affect the body's ability to control temperature.
• Certain medicines and drugs. Some medicines can affect your body's ability to stay hydrated and respond properly to heat. These include some medicines used to treat high blood pressure and heart conditions, such as beta blockers and diuretics. They include antihistamines, which are medicines to reduce allergy symptoms. They include medicines to calm you, called tranquilizers. And they include antipsychotics, which are medicines to reduce psychiatric symptoms such as delusions. Some illicit drugs, such as cocaine and amphetamines, can increase your core temperature.
• Obesity. Carrying excess weight can affect your body's ability to regulate its temperature and cause your body to keep more heat.
• Sudden temperature changes. If you're not used to the heat, you're more susceptible to heat illnesses, such as heat exhaustion. The body needs time to get used to higher temperatures. Traveling to a warm climate from a cold one or living in an area that experiences an early heat wave can put you at risk of a heat illness. The body hasn't had a chance to get used to the higher temperatures.
• A high heat index. The heat index is a single temperature value that considers how both the outdoor temperature and humidity make you feel. When the humidity is high, your sweat can't evaporate as easily, and your body has more trouble cooling itself. This makes you more prone to heat exhaustion and heatstroke. When the heat index is 91 degrees Fahrenheit (33 degrees Celsius) or higher, take precautions to keep cool.

Prevention

You can prevent heat exhaustion and other heat illnesses. When temperatures climb, remember to:

• Wear loose-fitting, lightweight clothing. Wearing too much clothing or clothing that fits tightly won't allow your body to cool properly.
• Protect against sunburn. Sunburn affects your body's ability to cool itself. Protect yourself outdoors with a wide-brimmed hat and sunglasses. Use a broad-spectrum sunscreen with an SPF of at least 30. Apply sunscreen generously and reapply every two hours. Reapply more often if you're swimming or sweating.
• Drink plenty of fluids. Staying hydrated helps your body sweat and keep your body temperature from rising too high.
• Be careful with certain medicines. Watch for heat-related issues if you take medicines that can affect your body's ability to stay hydrated and respond to heat.
• Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When a car is parked in the sun, the temperature inside the car can rise 20 degrees Fahrenheit (more than 11 degrees Celsius) in 10 minutes. Keep parked cars locked to prevent a child from getting inside.
• Take it easy during the hottest parts of the day. If you can't avoid strenuous activity in hot weather, drink fluids and rest often in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening.
• Get acclimated. Limit time spent working or exercising in heat until you're conditioned to it. People who aren't used to hot weather are especially susceptible to heat illness. It can take several weeks for your body to adjust to hot weather.
• Be cautious if you're at increased risk. If you take medicines or have a condition that increases your risk of heat-related issues, such as a history of prior heat illness, be cautious. Avoid the heat and act quickly if you notice symptoms of overheating. If you take part in a strenuous sporting event or activity in hot weather, make sure there are medical services ready in case of a heat emergency.

Treatment

In most cases, you can treat heat exhaustion yourself by doing the following:

• Rest in a cool place. Getting into an air-conditioned building is best. If that's not an option, find a shady spot or sit in front of a fan. Rest on your back with your legs raised higher than your heart level.
• Drink cool fluids. Stick to water or sports drinks. Don't drink any alcoholic beverages, which can add to dehydration.
• Try cooling measures. If possible, take a cool shower, soak in a cool bath or put towels soaked in cool water on your skin. If you're outdoors and not near shelter, soaking in a cool pond or stream can help bring your temperature down.
• Loosen clothing. Remove any unnecessary clothing and make sure your clothes are lightweight and nonbinding.

If you don't begin to feel better within one hour of using these treatment measures, seek prompt medical attention.

To cool your body to its typical temperature, your healthcare team may use these heatstroke treatment techniques:

• Immerse you in cold water. A bath of cold or ice water is the most effective way to quickly lower the core body temperature. The quicker you can receive cold water immersion, the less risk there is of organ damage and death.
• Use evaporation cooling techniques. If cold water immersion is not an option, healthcare professionals may try to lower your body temperature using an evaporation method. Cool water is misted on your body while warm air is fanned over you. This causes the water to evaporate and cool your skin.
• Pack you with ice and cooling blankets. Another method to lower your temperature is to wrap you in a special cooling blanket and apply ice packs to your groin, neck, back and armpits.
• Give you medicine to stop your shivering. If treatments to lower your body temperature make you shiver, your care team may give you a muscle relaxant, such as benzodiazepine. Shivering increases your body temperature, making treatment less effective.