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Defeat Diabetes Foundation

Heat Related Illnesses

There are a range of heat related illnesses with increasing discomfort and severity including sunburn, heat rash, muscle cramps, heat exhaustion and heat stroke.

Sunburn. Sunburn should be avoided because it damages the skin and may cause skin cancer. The discomfort is usually minor and healing often occurs in about a week, although more severe sunburns may require medical attention.

Symptoms of sunburn are well known: the skin becomes red, painful, and abnormally warm after sun exposure.

What to Do

  • Avoid repeated sun exposure.
  • Apply cold compresses or immerse the sunburned area in cool water.
  • Apply aloe or moisturizing lotion to affected areas. Do not use salve, butter, or ointment.
  • Do not break blisters.

Consult a doctor if the sunburn affects an infant or if these symptoms are present:

  • Fever
  • Fluid-filled blisters
  • Severe pain

Heat Rash. Heat rash is a skin irritation caused by excessive sweating during hot, humid weather. It can occur at any age but is most common in young children.

Recognizing Heat Rash

Heat rash looks like a red cluster of pimples or small blisters. It is more likely to occur on the neck and upper chest, in the groin, under the breasts, and in elbow creases.

What to Do

The best treatment for heat rash is to provide a cooler, less humid environment. Keep the affected area dry and use talcum powder to increase comfort.

Heat Cramps. Heat cramps are muscle pains or spasms—usually in the abdomen, arms, or legs—that may occur in association with strenuous activity. If you have heart problems or are on a low-sodium diet, get medical attention for heat cramps.

What to Do

If medical attention is not necessary, take these steps:

  • Stop all activity, and sit quietly in a cool place.
  • Drink clear juice or a sports beverage.
  • Do not return to strenuous activity for a few hours after the cramps subside, because further exertion may lead to heat exhaustion or heat stroke.
  • Seek medical attention for heat cramps if they do not subside in 1 hour.

Heat Exhaustion. Heat exhaustion is a form of heat-related illness that can develop after several days of exposure to high temperatures and inadequate replacement of fluids. It is the body’s response to an excessive loss of the water and salt contained in sweat.

Recognizing Heat Exhaustion

Warning signs of heat exhaustion include the following:

  • Heavy sweating
  • Paleness
  • Muscle cramps
  • Tiredness
  • Weakness
  • Dizziness
  • Headache
  • Nausea or vomiting
  • Fainting

The skin may be cool and moist. The victim’s pulse rate will be fast and weak, and breathing will be fast and shallow. If heat exhaustion is untreated, it may progress to heat stroke.

Seek medical attention immediately if any of the following occurs:

  • Symptoms are severe
  • The victim has heart problems or high blood pressure

Otherwise, help the victim to cool off, and seek medical attention if symptoms worsen or last longer than 1 hour.

What to Do

Cooling measures that may be effective include the following:

  • Cool, nonalcoholic beverages
  • Rest
  • Cool shower, bath, or sponge bath
  • An air-conditioned environment
  • Lightweight clothing

Heat Stroke. Heat stroke occurs when the body is unable to regulate its temperature. The body’s temperature rises rapidly, the sweating mechanism fails, and the body is unable to cool down. Body temperature may rise to 106°F or higher within 10 to 15 minutes. Heat stroke can cause death or permanent disability if emergency treatment is not provided.

Recognizing Heat Stroke

Warning signs of heat stroke vary but may include the following:

  • An extremely high body temperature (above 103°F, orally)
  • Red, hot, and dry skin (no sweating)
  • Rapid, strong pulse
  • Throbbing headache
  • Dizziness
  • Nausea
  • Confusion
  • Unconsciousness

What to Do

If you see any of these signs, you may be dealing with a life-threatening emergency. Have someone call for immediate medical assistance while you begin cooling the victim. Do the following:

  • Get the victim to a shady area.
  • Cool the victim rapidly using whatever methods you can. For example, immerse the victim in a tub of cool water; place the person in a cool shower; spray the victim with cool water from a garden hose; sponge the person with cool water; or if the humidity is low, wrap the victim in a cool, wet sheet and fan him or her vigorously.
  • Monitor body temperature, and continue cooling efforts until the body temperature drops to 101-102°F.
  • If emergency medical personnel are delayed, call the hospital emergency room for further instructions.
  • Do not give the victim fluids to drink.
  • Get medical assistance as soon as possible.
  • Sometimes a victim’s muscles will begin to twitch uncontrollably as a result of heat stroke. If this happens, keep the victim from injuring himself, but do not place any object in the mouth and do not give fluids. If there is vomiting, make sure the airway remains open by turning the victim on his or her side.

Heat related illnesses can be prevented by paying attention to the weather and good hydration and cooling practices.

One other note: be good to your pets in hot weather and be sure to provide plenty of fresh water for your pets, and leave the water in a shady area.

Sources

Canadian Medical Association Journal (2009, August 26). Heat Stress In Older People And People With Chronic Diseases. ScienceDaily.

Centers for Disease Control and Prevention

The Endocrine Society (2010, June 21). Many people with diabetes do not know or heed dangers of hot weather. ScienceDaily.

Mayo Clinic

NCEH’s Health Studies Branch