Udar cieplny
Zapobieganie i profilaktyka

Udar cieplny oraz wyczerpanie cieplne stanowią poważne zagrożenia zdrowotne w warunkach wysokich temperatur i intensywnego wysiłku fizycznego, będąc elementami kontinuum zaburzeń termoregulacyjnych. Profilaktyka opiera się na odpowiednim nawodnieniu (zalecane spożycie 240 ml wody co 15-30 minut podczas wysiłku, minimum 8 szklanek dziennie, a przy wysiłku powyżej godziny napoje izotoniczne), ograniczeniu ekspozycji na słońce, stosowaniu lekkiej, przewiewnej odzieży oraz ochronie skóry kremami z filtrem SPF 15-30. Kluczowe jest także dostosowanie aktywności fizycznej do warunków atmosferycznych, unikanie wysiłku w godzinach 11:00-15:00, oraz proces aklimatyzacji trwający 7-14 dni. Szczególną uwagę należy zwrócić na grupy ryzyka, takie jak dzieci, osoby powyżej 70 roku życia, pacjenci z chorobami serca, płuc, cukrzycą, otyłością oraz osoby przyjmujące leki wpływające na termoregulację i gospodarkę wodną organizmu.

Udar cieplny – zapobieganie i profilaktyka

Udar cieplny i wyczerpanie cieplne to poważne stany medyczne, które mogą wystąpić podczas wysokich temperatur lub intensywnego wysiłku fizycznego. Obie te jednostki chorobowe stanowią część kontinuum zaburzeń związanych z ciepłem, przy czym wyczerpanie cieplne, jeśli nie jest leczone, może szybko postępować do udaru cieplnego, który jest stanem zagrożenia życia. Warto jednak podkreślić, że oba te stany są w pełni możliwe do zapobiegania poprzez odpowiednie działania prewencyjne i świadomość zagrożeń123.

Podstawowe zasady profilaktyki

Profilaktyka udaru cieplnego i wyczerpania cieplnego opiera się na kilku kluczowych zasadach, które powinny być przestrzegane szczególnie w okresach wysokich temperatur12:

  • Odpowiednie nawodnienie organizmu
  • Ograniczenie ekspozycji na wysokie temperatury
  • Dostosowanie aktywności fizycznej do warunków atmosferycznych
  • Odpowiedni ubiór
  • Ochrona przed bezpośrednim działaniem słońca
  • Aklimatyzacja do wysokich temperatur

12

Nawodnienie organizmu

Właściwe nawodnienie jest kluczowym elementem zapobiegania udarowi cieplnemu. Podczas wysokich temperatur organizm traci znaczne ilości wody i elektrolitów poprzez pocenie, co jest naturalnym mechanizmem chłodzenia12:

  • Należy pić dużo płynów, nawet gdy nie odczuwa się pragnienia – pragnienie może pojawić się dopiero, gdy organizm jest już częściowo odwodniony12
  • Zaleca się spożywanie 240 ml wody co 15-30 minut podczas intensywnego wysiłku lub przebywania w wysokiej temperaturze1
  • Dla dorosłych rekomenduje się wypijanie co najmniej 8 szklanek wody, soków owocowych lub warzywnych dziennie1
  • Przy dłuższym wysiłku (ponad godzinę) warto sięgnąć po napoje izotoniczne, które pomagają uzupełnić elektrolity12
  • Należy unikać napojów zawierających kofeinę, alkohol oraz dużą ilość cukru, gdyż mogą one powodować utratę płynów i nasilać ryzyko odwodnienia12

123

Przed aktywnością fizyczną w wysokiej temperaturze zaleca się wypicie ok. 600 ml płynów na 2 godziny przed rozpoczęciem wysiłku oraz dodatkowe 240 ml tuż przed aktywnością. W trakcie ćwiczeń należy pić kolejne 240 ml co 20 minut, nawet jeśli nie odczuwa się pragnienia1.

Odpowiedni ubiór

Właściwy dobór odzieży ma istotne znaczenie w zapobieganiu przegrzaniu organizmu12:

  • Należy nosić lekką, luźną, przewiewną odzież, która umożliwia odpowiednie odparowanie potu i chłodzenie ciała12
  • Preferowane są ubrania w jasnych kolorach, które odbijają światło słoneczne12
  • Naturalnie chłodzące materiały jak len, jedwab, bawełna czy konopie są szczególnie zalecane12
  • W czasie przebywania na słońcu należy zakładać nakrycie głowy z szerokim rondem, które chroni twarz, uszy i kark12
  • W przypadku aktywności sportowej, odzież powinna mieć właściwości odprowadzające wilgoć i zapewniające wentylację12
  • Przepocone ubrania powinny być zmieniane, gdyż nasycone potem ograniczają ewaporacyjne chłodzenie ciała1

123

Ochrona przed słońcem

Bezpośrednia ekspozycja na promienie słoneczne zwiększa ryzyko udaru cieplnego, dlatego istotna jest odpowiednia ochrona12:

  • Stosowanie kremów z filtrem przeciwsłonecznym (SPF co najmniej 15-30), które chronią skórę przed oparzeniami i zmniejszają absorpcję ciepła12
  • Kremy należy nakładać obficie i ponawiać aplikację co 2 godziny, a częściej w przypadku pływania lub intensywnego pocenia się12
  • Noszenie okularów przeciwsłonecznych z filtrem UV1
  • Korzystanie z parasoli lub przebywanie w cieniu, szczególnie podczas najgorętszych godzin dnia (11:00-15:00)12
  • Unikanie bezpośredniego nasłonecznienia, które może prowadzić do oparzeń słonecznych i upośledzać zdolność organizmu do regulacji temperatury12

123

Dostosowanie aktywności fizycznej

Odpowiednie planowanie i dostosowanie aktywności fizycznej do warunków atmosferycznych jest kluczowym elementem prewencji12:

  • Intensywne ćwiczenia i wysiłek fizyczny powinny być planowane na chłodniejsze pory dnia (wczesny poranek lub wieczór)12
  • Należy unikać aktywności fizycznej podczas najgorętszych godzin dnia, szczególnie między 11:00 a 15:0012
  • Podczas ćwiczeń w wysokiej temperaturze należy robić częste przerwy w zacienionych lub klimatyzowanych miejscach12
  • Ważne jest dostosowanie intensywności wysiłku do warunków atmosferycznych – w wysokiej temperaturze i wilgotności należy zmniejszyć tempo i intensywność treningu12
  • W przypadku pojawienia się objawów przegrzania (kołatanie serca, duszność, zawroty głowy) należy natychmiast przerwać aktywność i odpocząć w chłodnym miejscu12

123

Aklimatyzacja

Aklimatyzacja do wysokich temperatur jest procesem, w którym organizm stopniowo przystosowuje się do gorącego środowiska, co zmniejsza ryzyko wystąpienia chorób związanych z ciepłem12:

  • Proces aklimatyzacji powinien trwać od 7 do 14 dni12
  • Osoby nieprzyzwyczajone do wysokich temperatur są szczególnie narażone na choroby związane z ciepłem12
  • Aklimatyzację należy rozpocząć od krótszych sesji treningowych w cieple, stopniowo wydłużając ich czas trwania i intensywność12
  • Sesje aklimatyzacyjne powinny trwać co najmniej 60 minut dziennie i wywoływać wzrost temperatury ciała i skóry oraz stymulować pocenie1
  • Sportowcy powinni trenować przez dwa tygodnie w warunkach cieplnych porównywalnych do tych, w których będą rywalizować1

123

Chłodzenie organizmu

Aktywne metody chłodzenia organizmu mogą znacząco zmniejszyć ryzyko udaru cieplnego12:

  • Przebywanie w klimatyzowanych pomieszczeniach, szczególnie podczas fal upałów12
  • Jeśli klimatyzacja nie jest dostępna, należy korzystać z centrów chłodzenia (centra handlowe, biblioteki, kina)12
  • Stosowanie wentylatorów – choć przy temperaturach powyżej 37°C same wentylatory mogą być niewystarczające12
  • Chłodne prysznice lub kąpiele12
  • Stosowanie chłodnych, wilgotnych okładów na karku, pod pachami i w pachwinach1
  • W przypadku sportowców – stosowanie metod „prechłodzenia” przed zawodami oraz chłodzenia w trakcie przerw w aktywnościach12

123

Specjalne grupy ryzyka

Niektóre osoby są szczególnie narażone na ryzyko udaru cieplnego i wymagają specjalnej ochrony12:

Dzieci
  • Ciało dziecka nagrzewa się 3-5 razy szybciej niż ciało dorosłego1
  • Nigdy nie należy zostawiać dzieci samych w zaparkowanych samochodach, nawet na krótki czas i przy lekko uchylonych oknach12
  • Należy dbać o odpowiednie nawodnienie dzieci podczas zabawy i aktywności fizycznej12
  • Dzieci powinny nosić lekkie, przewiewne ubrania i nakrycia głowy12
  • Należy planować dodatkowy czas na odpoczynek, gdyż upał może powodować większe zmęczenie u dzieci12

123

Osoby starsze
  • Osoby powyżej 70 roku życia są bardziej podatne na udar cieplny z powodu współistniejących chorób i zmniejszonej zdolności termoregulacji1
  • Samotne osoby starsze powinny być regularnie kontrolowane podczas upałów12
  • Należy zapewnić im dostęp do klimatyzowanych pomieszczeń1
  • Szczególną uwagę należy zwrócić na odpowiednie nawodnienie i unikanie nadmiernego wysiłku1

12

Osoby z chorobami przewlekłymi
  • Osoby z chorobami serca, płuc, cukrzycą, otyłością są bardziej narażone na problemy związane z wysoką temperaturą12
  • Otyłość znacząco zwiększa ryzyko wystąpienia chorób związanych z ciepłem, ponieważ wpływa na zdolność organizmu do regulacji temperatury12
  • Osoby chorujące na cukrzycę powinny monitorować poziom glukozy, gdyż wysokie temperatury mogą wpływać na leki, materiały testowe i ogólny stan zdrowia1
  • Po przebytej infekcji (np. grypie) należy zachować ostrożność przy wysiłku w wysokich temperaturach1

123

Leki a ryzyko udaru cieplnego

Niektóre leki mogą zwiększać ryzyko udaru cieplnego poprzez wpływ na gospodarką wodną organizmu i mechanizmy termoregulacji12:

  • Należy skonsultować z lekarzem przyjmowane leki pod kątem ich wpływu na termoregulację i gospodarkę wodną organizmu12
  • Osoby przyjmujące leki zwiększające ryzyko chorób związanych z ciepłem powinny zachować szczególną ostrożność i szybko reagować na pierwsze objawy przegrzania12
  • Przed latem warto zoptymalizować dawki leków, które mogą zwiększać ryzyko chorób związanych z ciepłem12
  • Należy unikać nadmiernej ekspozycji na słońce podczas przyjmowania leków zwiększających wrażliwość na promienie UV1

123

Monitorowanie warunków atmosferycznych

Śledzenie prognoz pogody i ostrzeżeń przed wysokimi temperaturami jest istotnym elementem profilaktyki12:

  • Należy zwracać uwagę na ostrzeżenia meteorologiczne dotyczące wysokich temperatur12
  • Warto sprawdzać indeks ciepła (heat index), który uwzględnia zarówno temperaturę, jak i wilgotność powietrza12
  • Przy indeksie ciepła powyżej 90°F (32°C) należy zachować szczególną ostrożność1
  • Wiele społeczności wprowadza systemy alertów o wysokich temperaturach i plany reagowania na fale upałów12
  • Można korzystać z narzędzi online, takich jak Dashboard HeatRisk CDC, który zapewnia prognozy ryzyka związanego z ciepłem na poziomie powiatu1

123

Rozpoznawanie objawów

Znajomość wczesnych objawów udaru cieplnego i wyczerpania cieplnego jest kluczowa dla szybkiej interwencji i zapobiegania poważnym powikłaniom12:

  • Wyczerpanie cieplne objawia się: osłabieniem, zawrotami głowy, nadmiernym poceniem, bladą i zimną skórą, nudnościami, wymiotami, przyspieszonym tętnem i oddechem12
  • Objawy udaru cieplnego to: wysoka temperatura ciała (powyżej 40°C), sucha, gorąca skóra, dezorientacja, splątanie, utrata przytomności, silny ból głowy12
  • Należy natychmiast reagować na pierwsze objawy przegrzania – u sportowców wczesne oznaki obejmują zdezorientowanie, zataczanie się, spadek wydajności i nadmierne pocenie1
  • Szczególną uwagę należy zwrócić na objawy takie jak: zawroty głowy, nudności, splątanie, osłabienie, które mogą wskazywać na rozwijające się problemy związane z ciepłem12

123

Natychmiastowe działania

W przypadku pojawienia się objawów udaru cieplnego lub wyczerpania cieplnego, szybkie działanie jest kluczowe12:

  • Wyczerpanie cieplne: należy przenieść osobę do chłodnego miejsca, poluzować ubranie, zastosować chłodne okłady lub chłodną kąpiel, podać do picia małe łyki wody12
  • Należy natychmiast szukać pomocy medycznej, jeśli objawy wyczerpania cieplnego nasilają się, trwają dłużej niż godzinę lub wystąpią wymioty12
  • Udar cieplny jest stanem zagrożenia życia – należy natychmiast wezwać pogotowie (999 lub 112)12
  • W oczekiwaniu na pomoc medyczną, osobę z udarem cieplnym należy przenieść do chłodnego miejsca i aktywnie schładzać ciało (nie używając lodu)12
  • Nie należy podawać aspiryny ani paracetamolu osobie z udarem cieplnym12

123

Planowanie działań profilaktycznych

Systematyczne i planowe podejście do profilaktyki chorób związanych z ciepłem może znacząco zmniejszyć ryzyko ich wystąpienia12:

  • Opracowanie planu działania na wypadek wysokich temperatur, uwzględniającego dostęp do chłodnych miejsc, odpowiednie nawodnienie i monitorowanie stanu zdrowia12
  • Dla sportowców i aktywnych osób – przygotowanie planu aklimatyzacji przed sezonem oraz strategii nawadniania12
  • Regularne oceny ryzyka związanego z ciepłem w miejscu pracy, z identyfikacją potencjalnych zagrożeń i wdrożeniem odpowiednich środków kontrolnych12
  • Opracowanie planów awaryjnych i procedur na wypadek wystąpienia objawów choroby związanej z ciepłem12
  • Edukacja personelu medycznego, trenerów, nauczycieli i innych osób sprawujących opiekę w zakresie rozpoznawania i reagowania na choroby związane z ciepłem12

123

Profilaktyka w miejscu pracy

Miejsca pracy, szczególnie te związane z pracą na zewnątrz lub w gorących środowiskach, wymagają specjalnych działań prewencyjnych12:

  • Pracodawcy powinni opracować pisemny harmonogram przerw wypoczynkowych dla pracowników narażonych na indeks ciepła równy lub wyższy niż 32°C12
  • Zapewnienie odpowiedniej ilości chłodnej wody pitnej oraz możliwości odpoczynku w zacienionym lub klimatyzowanym miejscu12
  • Szkolenia pracowników i przełożonych w zakresie rozpoznawania i zapobiegania chorobom związanym z ciepłem12
  • Wdrożenie procedur awaryjnych na wypadek wystąpienia objawów chorób związanych z ciepłem12
  • Dostosowanie godzin pracy, aby unikać najgorętszych pór dnia12
  • Szczególne monitorowanie nowych pracowników lub osób powracających po nieobecności, którzy nie są zaaklimatyzowani do wysokich temperatur12
  • Zapewnienie możliwości komunikacji między pracownikami a przełożonymi w celu szybkiego zgłaszania objawów i uzyskania pomocy medycznej12

123

Profilaktyka w sporcie

Aktywność sportowa w wysokich temperaturach wiąże się ze szczególnym ryzykiem udaru cieplnego i wymaga specjalnych środków ostrożności12:

  • Opracowanie planu awaryjnego (Emergency Action Plan) na wypadek udaru cieplnego12
  • Stopniowa aklimatyzacja do wysiłku w wysokiej temperaturze przez 7-14 dni12
  • Regularne przerwy na nawodnienie i chłodzenie podczas treningów i zawodów12
  • Monitorowanie wskaźnika WBGT (Wet Bulb Globe Temperature) jako miary obciążenia cieplnego1
  • Szczególna uwaga dla sportowców z dużym stosunkiem masy do powierzchni skóry (np. otyłych)12
  • Stosowanie metod prechłodzenia przed zawodami (np. lodowe zawiesiny, kamizelki chłodzące)1
  • Minimalizacja sprzętu i odzieży, które utrudniają utratę ciepła w warunkach wysokiej temperatury i wilgotności12
  • Stosowanie systemu partnerskiego (buddy system) do monitorowania objawów u kolegów z drużyny12

123

Działania systemowe

Skuteczna profilaktyka udaru cieplnego wymaga również działań na poziomie społeczności i systemów opieki zdrowotnej12:

  • Tworzenie i promocja centrów chłodzenia w społecznościach (klimatyzowane budynki publiczne, centra handlowe, biblioteki)12
  • Systemy wczesnego ostrzegania przed falami upałów12
  • Edukacja publiczna na temat zagrożeń związanych z wysokimi temperaturami12
  • Szczególna opieka nad osobami wysokiego ryzyka (osoby starsze, samotne, bezdomne)12
  • Współpraca między lekarzami a liderami społeczności w celu informowania opinii publicznej o zagrożeniach związanych z upałami1
  • Łagodzenie zmian klimatycznych poprzez redukcję emisji gazów cieplarnianych, co w dłuższej perspektywie ograniczy częstotliwość i intensywność ekstremalnych upałów1
  • Wsparcie WHO dla sektora zdrowia w opracowywaniu planów działania na wypadek fal upałów, systemów wczesnego ostrzegania i planów reagowania kryzysowego1

123

Udar cieplny – kluczowe aspekty profilaktyki

Udar cieplny i wyczerpanie cieplne są poważnymi stanami medycznymi, które mogą prowadzić do trwałych uszkodzeń narządów, a nawet śmierci, jeśli nie zostaną szybko rozpoznane i leczone. Najważniejszą informacją jest jednak to, że są to stany w pełni możliwe do zapobiegania12.

Skuteczna profilaktyka udaru cieplnego opiera się na kilku kluczowych zasadach: odpowiednim nawodnieniu, dostosowaniu aktywności fizycznej do warunków atmosferycznych, właściwym ubiorze, aklimatyzacji do wysokich temperatur oraz umiejętności rozpoznawania wczesnych objawów przegrzania12.

Szczególnej ochrony wymagają grupy podwyższonego ryzyka: dzieci, osoby starsze, osoby z chorobami przewlekłymi oraz osoby przyjmujące leki wpływające na gospodarkę wodną organizmu i mechanizmy termoregulacji12.

Działania profilaktyczne powinny być podejmowane na różnych poziomach – od indywidualnego (odpowiednie nawodnienie, ubiór), przez instytucjonalny (miejsca pracy, szkoły, kluby sportowe), aż po systemowy (plany reagowania na fale upałów, centra chłodzenia, edukacja publiczna)12.

Znajomość zasad profilaktyki udaru cieplnego oraz umiejętność szybkiego rozpoznawania i reagowania na pierwsze objawy przegrzania organizmu mogą uratować życie i zapobiec poważnym komplikacjom zdrowotnym12.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Management of Heatstroke and Heat Exhaustion | AAFP
    https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000
    Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat. […] Communities should establish heat shelters, and visiting nurses should encourage vulnerable patients to take refuge in them during dangerously warm periods.
  • #1 Heatstroke – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-stroke/symptoms-causes/syc-20353581
    Heatstroke is predictable and preventable. Take these steps to prevent heatstroke during hot weather: […] Wear loose-fitting, lightweight clothing. Excess clothing or clothing that fits tightly doesn’t allow your body to cool properly. Clothes made of linen, silk, cotton or hemp are cooling. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses. And use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously, and reapply every two hours or more often if you’re swimming or sweating. […] Drink plenty of fluids. Stay hydrated to help your body sweat and maintain a normal body temperature. […] Take extra precautions with certain medicines. Be on the lookout for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and dissipate heat.
  • #1 Follow heatstroke prevention tips – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/when-temps-rise-remember-these-heatstroke-prevention-tips
    Summer can bring hot temperatures, and working or playing in the heat can be dangerous. As you head out this summer, remember to take precautionary measures to prevent heat-related injuries when you’re far from climate-controlled environments. […] The good news is that you can prevent heat exhaustion and heat stroke. […] Take these steps to prevent heatstroke during hot weather: Wear loose-fitting, lightweight clothing. Wearing excess 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, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with a sun protection factor, or SPF, of at least 30. Apply sunscreen generously and reapply every two hours, or more often if you’re swimming or sweating. Drink plenty of fluids. Staying hydrated will help your body sweat and maintain an average body temperature. Take extra precautions with certain medications. Ask your health care team your medications can affect your body’s ability to stay hydrated and dissipate heat. Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees F in 10 minutes. It’s unsafe to leave a person or pet in a parked car in warm or hot weather, even if the windows are cracked or the car is in the shade. Keep your car locked to prevent a child from getting inside when it is parked. Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently 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. It can take several weeks for your body to adjust to hot weather. Limit time spent working or exercising in the heat until you’re conditioned to it. People not used to hot weather are especially susceptible to heat-related illnesses. Be cautious if you’re at increased risk. If you take medications or have a condition that increases your risk of heat-related problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure medical services are available in case of a heat emergency. […] Heatstroke requires emergency treatment. Left untreated, it can quickly damage your brain, heart, kidneys and muscles. The damage worsens the longer treatment is delayed, increasing your risk of serious complications or death.
  • #1 Tips to Avoid Heatstroke and Heat Exhaustion
    https://www.rush.edu/news/tips-avoiding-heatstroke-and-heat-exhaustion
    Heat exhaustion can occur after you’ve been exposed to high temperatures. It’s often accompanied by dehydration, and if left untreated, it can progress into more serious heatstroke. […] Heatstroke can happen when your body gets too hot, and it’s considered a medical emergency. If it’s not treated quickly, heatstroke can be life-threatening. […] Here’s what you can do to reduce your risk of heat illness: Exercise early in the day, before it gets too hot or after sunset. Manage the intensity of your activity, and take breaks when you exercise. Stay hydrated! Make sure to drink enough fluids, such as water or sports drinks, while you are outdoors. And do not drink alcohol or a caffeinated beverage before exercising, as they both can dehydrate you. […] Pay attention to warnings about high temperatures, and avoid being outdoors as much as possible on days you know will be extremely hot. […] Know the symptoms of heat exhaustion and heatstroke. If you see signs, take immediate action.
  • #1 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx
    Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] When temperatures are very high, make sure to: Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.
  • #1
    https://www.healthychildren.org/English/tips-tools/symptom-checker/Pages/symptomviewer.aspx?symptom=Heat+Exposure+and+Reactions
    Prevention of heat exposure symptoms also covered […] Drink more water. When working or exercising in hot weather, have your child drink large amounts of cool water. This helps to prevent dehydration. For teens, this means at least 8 ounces (240 mL) every 15 to 30 minutes. Water is the ideal liquid for replacing lost sweat. Very little salt is lost. […] Sports drinks. Most often, special sports drinks offer no advantage over water. But, they are helpful if working out for longer than an hour. If that is the case, replace 1 water drink per hour with a sports drink. […] Take water breaks. Do this every 15 minutes in the shade. Drink some water even if you’re not thirsty. Thirst can be delayed until a person is almost dehydrated. […] Avoid salt tablets. They slow down stomach emptying and delay the absorption of fluids.
  • #1 Heatstroke (sunstroke): Signs, Symptoms, First Aid, and Treatment
    https://www.webmd.com/a-to-z-guides/heat-stroke-symptoms-and-treatment
    Heatstroke Prevention […] When the heat index is high, it’s best to stay in an air-conditioned environment. If you must go outdoors, you can prevent heatstroke by taking these steps: […] Dress for hot weather. Wear lightweight, light-colored, loose-fitting clothing, and a wide-brimmed hat. […] Use sunscreen with an SPF of 30 or more. Sunburn can make it harder for your body to cool itself. […] Drink extra fluids. To prevent dehydration, it’s generally recommended to drink at least eight glasses of water, fruit juice, or vegetable juice per day. Because heat-related illness also can result from salt depletion, it may be advisable to substitute an electrolyte-rich sports drink for water during extreme heat and humidity. […] Take additional precautions when exercising or working outdoors. The general recommendation is to drink 24 ounces of fluid two hours before exercise, and consider adding another 8 ounces of water or sports drink right before exercise. During exercise, you should consume another 8 ounces of water every 20 minutes, even if you don’t feel thirsty.
  • #1 Heat exhaustion – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250
    Heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related 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 15. 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 a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.
  • #1 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx
    The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.
  • #1 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    In addition to precooling, athletes can use cooling strategies during exercise. […] Athletes who participate in sports with regular breaks in play (eg, American football, tennis) can implement cooling methods during such breaks. […] Wear athletic clothing that ventilates well and allows for evaporative cooling when exercising in the heat. Clothing should be changed when it becomes saturated with sweat, which limits evaporative cooling.
  • #1 7 Tips to Avoid Heat Exhaustion and Heat Stroke.
    https://www.medstarhealth.org/blog/avoid-heat-related-illnesses
    People who are obese are at much greater risk for heat-related illnesses. Carrying excess weight can affect your bodys ability to regulate its temperature and cause you to retain more heat. Talk to your doctor if you need help managing your weight. […] Limit sun exposure when youre outside by wearing a wide-brimmed hat and light, loose-fitting clothing. Also consider bringing an umbrella, awning, or overhang to protect yourself from the sun. […] Infections such as the flu can cause your body temperature to spike. If youve recently overcome an illness, be cautious about the amount of time you spend outside and spend exercising for a couple of weeks. […] If youre older than 70, youre more susceptible to heat stroke due to underlying medical conditions that can affect their body temperature. If you live alone or cant get around well, the risk is increased, especially if your air conditioner breaks. Use the buddy systemfind a friend or relative who can help when the temperature rises.
  • #1 Heat exhaustion – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250
    Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees Fahrenheit (more than 11 C) in 10 minutes. […] 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-related 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 problems, 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.
  • #1 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx
    If you are not used to working or exercising in hot weather, start slowly and pick up the pace gradually. Take frequent, regularly scheduled breaks. If activity in the heat makes your heart pound or leaves you gasping for breath, stop activity, get into a cool or shady area, and rest. Especially if you become lightheaded, confused, weak or feel faint. […] During a heat wave, check on your friends and family and have someone do the same for you. If you know someone who is elderly or has a health condition, check on them twice a day during a heat wave. Watch for signs of heat exhaustion or heat stroke. High temperatures can cause serious health problems. Know the symptoms of heat-related illness and be ready to help.
  • #1
    https://www.cbsnews.com/news/heat-stroke-illness-symptoms-prevention-experts/
    With sweltering temperatures gripping much of the country which have been linked to multiple hiking deaths this year health experts say it’s important to know the risks and symptoms of heat-related illness and how to keep yourself and your family safe. […] The Centers for Disease Control and Prevention recommends trying to stay indoors with air-conditioning when possible in the peak summer heat. But if you need to head outside into the sizzling conditions, here’s some expert advice: […] The CDC suggests wearing „lightweight, loose-fitting clothing” in order to stay as cool as possible outdoors. […] If you’re not used to working or exercising in a hot environment, be sure to pace yourself. „If exertion in the heat makes your heart pound and leaves you gasping for breath, STOP all activity,” the CDC’s website warns. „Get into a cool area or into the shade, and rest, especially if you become lightheaded, confused, weak, or faint.”
  • #1 Heatstroke – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-stroke/symptoms-causes/syc-20353581
    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 in the car can rise 20 degrees Fahrenheit (more than 11 degrees Celsius) in 10 minutes. […] Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently 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 are not used to hot weather are especially susceptible to heat-related 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 problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure there are medical services available in case of a heat emergency.
  • #1 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    Exertional heat illness (EHI) is often preventable. Important principles for developing a prevention program for EHI and specific measures for reducing risk, including several recommendations included in consensus statements, are described below and in the accompanying table (table 2) [75-81]. […] Measures that can be taken to reduce the risk of EHI include the following: […] Long-term institutional measures: […] Institute prevention policies, including an emergency action plan (table 3). […] Educate staff and athletes about heat illness. […] Long-term and preparatory measures for athletes: […] Maintain a high level of fitness. […] Acclimatize gradually to exercising in hot and/or humid conditions. The process of heat acclimatization generally requires 7 to 14 days, but ideally, athletes should train for two weeks under a heat stress comparable to the target competition. Most adaptations occur during the first week.
  • #1 Heat Stroke: Symptoms, Treatment & Recovery
    https://my.clevelandclinic.org/health/diseases/21812-heatstroke
    Avoid or limit heat exposure. Try to schedule workouts at cooler times of the day (like early morning). On hot days, opt for an indoor workout in air conditioning. If you must exert yourself in the heat for example, for work talk to your employer about scheduled breaks and ways to lower the risk of heat-related illness. […] Acclimatize. This is a fancy word that simply means giving your body time to adjust to the heat. A coach or trainer can help you develop a plan thats right for you. In general, youll start with shorter workouts in the heat and gradually make them longer and more intense.
  • #1 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] Provide frequent breaks for hydration and cooling. […] Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] Carefully monitor those athletes with any history suggestive of prior heat illness. […] Minimize equipment and clothing that hinder heat loss in hot or humid conditions.
  • #1 Heat Stroke: Symptoms, Treatment & Recovery
    https://my.clevelandclinic.org/health/diseases/21812-heatstroke
    Yes, its often possible to prevent heat stroke. This can be harder to do if you have certain risk factors, but a little planning can go a long way. Here are some suggestions: […] Keep your home cool. Use fans and/or air conditioning. When the temperature is very high especially above 99 degrees Fahrenheit (37.2 degrees Celsius) fans wont be enough. […] Develop a plan for hot days. If your home isnt cool enough, identify places where you can go to cool down. These include community centers, shopping malls, movie theaters and loved ones homes. […] Stay hydrated. Drink plenty of water before, during and after physical activity in the heat. Make sure you also take in electrolytes for example, by adding electrolyte powders or tablets to your water. Its important to stay hydrated even if youre taking it easy, too. Your healthcare provider can advise you on how much water to drink to support your bodys needs.
  • #1 Heat Exhaustion and Heat Stroke | Prevention and Treatment
    https://patient.info/skin-conditions/sun-and-sunburn/heat-exhaustion-and-heat-stroke
    Avoid strenuous exercise in hot weather (especially between 11 am and 3 pm, when temperatures are usually highest). […] Wear loose clothes made from natural fibres such as cotton or linen, which allow your body to evaporate heat readily by sweating. […] Keep your home cool by pulling curtains in daytime. If the weather outside is hotter than inside, keep windows closed and use a fan. When the weather outside cools down, particularly at night, keep windows open. […] Take regular cool showers or baths. […] If you are feeling hot, put a damp flannel on the back of your neck and keep changing it. As the water evaporates from your skin, it will cool you down.
  • #1 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    Athlete measures immediately before and during activity: […] Hydrate before activity and keep well hydrated throughout activity. Before training and competition in the heat, athletes should drink 6 mL of fluid per kg of body mass every two to three hours in order to begin exercise properly hydrated. […] Avoid exercise in severe heat and/or humidity when ill. […] Stop exercising and notify medical staff immediately if severe exhaustion, lightheadedness, or other concerning symptoms develop in yourself or a teammate. […] „Precooling” (ie, implementing cooling measures before or especially during play) may benefit athletes whose sport involves sustained exercise (eg, middle- and long-distance running, cycling, tennis, and team sports) in hot environments. […] Precooling strategies can include both internal methods (eg, ice slurry) and external methods (eg, cooling vests).
  • #1 Heatstroke Prevention – Prevent Childhood Injuries
    https://pasafekids.org/risk-injury-areas/heatstroke-prevention/
    When your body is dehydrated and cannot cool itself (with sweat) then heat illness can occur, which can take a few different forms, like heat cramps (painful muscle spasms often in legs, stomach, arms, or back), heat exhaustion (muscle cramping, faintness or dizziness, rapid heartbeat, emotional instability), or heatstroke. Both heat exhaustion and heatstroke require immediate medical care for treatment. […] Young children are particularly at risk, as their bodies heat up three to five times faster than an adults. These tragedies are completely preventable. […] Never leave children in your parked car, even with the windows open. […] Avoid heatstroke-related injuries and death by never leaving your child alone in a car, even for a minute. Its not worth the risk! […] If your child is missing, get help and check swimming pools, vehicles and trunks. If your children are locked in a car, get them out as quickly as possible and dial 911 immediately. Emergency personnel are trained to evaluate and check for signs of heatstroke. […] Make sure that children stay hydrated when playing and exercising.
  • #1 Heat Stroke and Illness Awareness and Prevention | Atrium Health Wake Forest Baptist
    https://www.wakehealth.edu/stories/heat-stroke-and-illness-awareness-tips
    As we prepare to see record high temperatures reached across our state, Bret Nicks, MD, co-medical director of Adult Emergency Services, warns people to take precautions to avoid heat stroke and other serious heat-related health problems. […] Nicks says staying in an air-conditioned area, either at home or in a public place such as a mall, library or recreation center is the most effective way to combat heat. […] A cool shower or bath also is an effective way to cool off. […] Children especially can quickly become dehydrated. They need to drink fluids frequently, especially water, and wear light-colored, loose-fitting clothes. […] Heat illness symptoms include: […] People with these symptoms should: […] If fluids are not replaced soon enough, heat stroke can follow. […] Heat stroke symptoms can lead to brain damage, loss of consciousness and death.
  • #1
    https://www.healthychildren.org/English/safety-prevention/at-home/Pages/Protecting-Children-from-Extreme-Heat-Information-for-Parents.aspx
    Take steps to protect your children from extreme heat events as much as possible, watch for symptoms of heat illness, and call your pediatrician if you see any develop. […] If you are going to be outside, there are several steps you can take to beat the heat and protect your child from heat-related illness and hazards: […] Stay hydrated: Encourage your children to drink water frequently and have it readily available even before they ask for it. […] Dress lightly: Light-colored clothing can help kids stay cool and prevent heat stress from excessive heat absorption; darker colored clothes typically provide slightly better sun protection. […] Plan for extra rest time: Heat can often make children (and their parents) feel tired. […] Cool off with water. When your child is feeling hot, give them a cool bath or water mist to cool down.
  • #1 Additional Information on Heat-Related Illness and Prevention | Hyperthermia | Health & Senior Services
    https://health.mo.gov/living/healthcondiseases/hyperthermia/heatprecautions.php
    While outdoors, rest frequently in a shady area so that your body has a chance to recover. […] Schedule outdoor activities carefully, preferably before noon or in the evening, […] If unaccustomed to working or exercising in a hot environment, start slowly, pick up the pace gradually and limit your exercise or work time. […] Wear sunscreen to protect skin from the sun’s harmful rays. Sunburn affects your body’s ability to cool itself and causes a loss of body fluids. […] Wear lightweight, light-colored, loose-fitting clothing. […] When working in the heat, monitor the condition of your co-workers and have someone do the same for you. […] If you are 65 years of age or older, have a friend or relative call to check on you twice a day when hot weather heat advisories have been issued.
  • #1 Additional Information on Heat-Related Illness and Prevention | Hyperthermia | Health & Senior Services
    https://health.mo.gov/living/healthcondiseases/hyperthermia/heatprecautions.php
    Stay indoors and in an air-conditioned environment. If air conditioning is not available, consider a visit to a shopping mall, public library, movie theater, supermarket or other air-conditioned location for a few hours. […] Increase your fluid intake regardless of your activity level. Don’t wait until you feel thirsty to drink fluids. Ensure infants and children drink adequate amounts of liquids. […] Avoid drinks containing caffeine, alcohol, or large amounts of sugar because they can cause you to lose more fluid. […] Electric fans may be useful to increase comfort and to draw cool air into your home at night, but do not rely on a fan as your primary cooling device during a heat wave. […] Check regularly on those at greatest risk of heat-related illness: […] Avoid hot foods and heavy meals. […] Ask your doctor whether medications you take affect your body’s response to the heat. […] Do not leave infants, children or pets unattended in a parked car or other hot environment.
  • #1 Heatstroke Prevention | University Health
    https://www.universityhealth.com/public-health/community-programs/injury-prevention/heatstroke-prevention
    Our pediatric safety partner, Safe Kids Worldwide, developed a program to reduce the number of pediatric deaths from heatstroke. Its called ACT: A Avoid leaving your child alone in a vehicle, C Create drop-off reminders by putting an item in the back seat you will need at your final destination, such as your purse, briefcase or cell phone, T Take immediate action if you see a child alone in a car. […] High heat and humidity can affect medication, testing supplies and your general health if you have diabetes. To avoid the complications of heat-related illnesses, including heatstroke, its important to take good care of your diabetes medications and yourself. […] Just as infants are more vulnerable to heatstroke than healthy adults, seniors are, too. […] The National Institute on Aging, part of the NIH, provides a list of symptoms and illnesses prevalent among seniors once the weather turns warm. Respond quickly and appropriately to signs of heat illness, which include: Heavy sweating, Weakness, Cold, pale or clammy skin, Nausea or vomiting, Fainting. […] If you suspect heat exhaustion or heatstroke, move to a cooler location, apply cool, wet cloths to as much of the body as possible and sip water. Its also very important to seek medical attention quickly from a trainer or team doctor, or in an emergency room.
  • #1 Practical strategies for prevention and treatment of heat-induced illness | The College of Family Physicians of Canada
    https://www.cfp.ca/content/60/8/729
    Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.
  • #1 Secondary Injury Prevention: Heat Stress | Ohioline
    https://ohioline.osu.edu/factsheet/AEX-981.4-10
    People with a pre-existing condition, such as limited mobility, heart disease, and taking certain medications can be at higher risk to a heat stress injury. The most serious are heat stroke and heat exhaustion. With or without a pre-existing condition, heat stroke and exhaustion are both serious medical emergencies and action should be taken immediately. […] Prevention: Water consumption every 15 to 20 minutes. Carbohydrate-electrolyte replacement beverages help prevent a loss of sodium caused by excessive sweating. […] Prevention: Gradually become acclimatized to the hot environment. People need to be reacclimatized to the heat after any „time off” or hospitalization. […] Eight Steps to Safely Working in Extreme Heat: 1. Slow down. When possible, strenuous work should be scheduled for the coolest time of day. 2. Dress lightly. Lightweight, light-colored clothing reflects heat and sunlight and helps your body maintain normal temperatures. Even in extreme heat, safety gear needs to be worn if using tools or removing heavy debris. 3. Avoid foods that are high in protein because they increase metabolism, increasing body heat and water loss. 4. Drink water. Water cools the body. People with epilepsy, heart, kidney, or liver disease, are on fluid-restricted diets, or have a problem with fluid retention should consult a physician if possible before increasing fluid consumption. 5. Do not drink alcoholic beverages. 6. Certain medications increase heat and ultraviolet sensitivity. Also consult with a doctor or pharmacist about current medications before working in extreme heat. 7. Spend time in air-conditioned places. Spending some time each day in an air-conditioned environment will give some protection. If working in the fields try sitting in the truck for a few minutes to cool off. 8. Do not get too much sun and use sunscreen. Sunburn makes reducing body temperature more difficult.
  • #1 7 Tips to Avoid Heat Exhaustion and Heat Stroke.
    https://www.medstarhealth.org/blog/avoid-heat-related-illnesses
    Keep in mind the time of day youll be outside, as early mornings and late evenings are the coolest times of the day. And always check the heat index, or the combination of the temperature and humidity levels, on a mobile app or online. When you see heat indexes in the high 90s or above, be especially careful about the amount of time you spend outside.
  • #1 Heat Cramps, Exhaustion, Stroke
    https://www.weather.gov/safety/heat-illness
    Heat exhaustion and heatstroke can be prevented by recognizing the symptoms and taking appropriate actions. […] It is important to know the symptoms of extreme heat exposure and the appropriate responses. […] Heat exhaustion can be addressed by moving the person to a cooler environment, preferably a well air-conditioned room, loosening clothing, applying cool, wet cloths, or having the person sit in a cool bath. […] Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour. […] Heat stroke is a severe medical emergency that requires immediate action, including calling 911 or getting the victim to a hospital immediately. […] Delay in treating heat stroke can be fatal.
  • #1 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-treating-heat-related-illness.aspx
    Heat stroke happens when the body can no longer control its temperature and the body’s core temperature rises rapidly. The body begins to lose its ability to sweat and is unable to cool itself. Warning signs of heat stroke include red, hot, dry skin; very high body temperature; dizziness; nausea; confusion, strange behavior or unconsciousness; rapid pulse or throbbing headache. It can cause death or disability if treatment is not provided as soon as possible. Here’s how to help someone suffering from heat stroke: […] Heat exhaustion is less intense than heat stroke, but is still a serious health threat. It happens when the body has lost too much water and salt through sweat. Warning signs include heavy sweating, cramps, headache, nausea or vomiting, tiredness, weakness, dizziness and fainting. If heat exhaustion is not treated, it can turn into heat stroke. Help the victim cool off with:
  • #1 Preventing and Treating Exertional Heat Stroke
    https://www.nfl.com/playerhealthandsafety/health-and-wellness/player-care/preventing-and-treating-exertional-heat-stroke
    Team medical and coaching staff can identify heat stroke early based on specific changes in player behavior. Early signs of struggle include disorientation, staggering, decreased performance and profuse sweating. […] According to Dr. Casa, prevention strategies such as heat acclimatization, practice and game modifications based on environmental conditions, proper hydration and adequate rest can help minimize the risk of exertional heat stroke. […] Clubs are encouraged to take proactive measures to ensure that players are protected.
  • #1 Heat – Heat-Related Illnesses and First Aid | Occupational Safety and Health Administration
    http://www.osha.gov/heat-exposure/illness-first-aid
    Employers and workers should become familiar with the heat symptoms. When any of these symptoms is present, promptly provide first aid. Do not try to diagnose which illness is occurring. Diagnosis is often difficult because symptoms of multiple heat-related illnesses can occur together. Time is of the essence. These conditions can worsen quickly and result in fatalities. […] Workers who are new to working in warm environments are at increased risk of heat-related illness. See the Protecting New Workers section of this website for more details. Especially during a worker’s first few days, absolutely all symptoms should be taken seriously. Workers who develop symptoms should be allowed to stop working. They should receive evaluation for possible heat-related illness.
  • #1 Heat Exhaustion and Heat Stroke – Mississippi State Department of Health
    https://msdh.ms.gov/page/43,3942,98,261.html
    High summer temperatures bring the risk of heat exhaustion and heat stroke, especially if you are out of doors. […] Basic steps can keep children and adults safer in times of high heat and humidity. […] Drink plenty of fluids, especially water. […] Avoid alcohol and caffeinated drinks. […] Relax. Avoid sports and strenuous activity, especially after noon, when the heat is highest. […] Seek medical attention immediately if any of the following occurs: Symptoms are severe. […] Otherwise, help the victim to cool off, and seek medical attention if symptoms worsen or last longer than 1 hour. […] Call for immediate medical assistance. […] Get the victim out of the sun or heat. […] Cool the victim rapidly using whatever methods you can. […] Protection against sun and heat is even more important for older Mississippians. Drink plenty of fluids, and if your home doesn’t stay cool enough, be sure to spend time in air-conditioned places in the heat of the day.
  • #1 Heat-related illness signs, symptoms and treatment | SA Health
    https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/healthy+living/protecting+your+health/environmental+health/healthy+in+the+heat/heat-related+illness+signs+symptoms+and+treatment
    Heatstroke is a severe illness where a persons temperature is greater than 40C, resulting from exposure to high heat or strenuous physical exercise. […] If you notice any of the above signs of heatstroke in yourself or others, call Triple Zero (000) immediately for an ambulance. […] Heatstroke is an extreme medical emergency. If not treated immediately, it can lead to permanent damage to vital organs or even death. […] While waiting for the ambulance to arrive: move the person to somewhere cool and keep them still if possible; do not give aspirin or paracetamol to a person affected by heat. […] If the person is conscious: move them to a cool area and keep them still; give them small sips of fluid; bring their temperature down using any method available; loosen their clothes, sprinkle them with cool water, or wrap them in a damp sheet; place cool, damp cloths in their armpits, on the back of their neck and on their forehead to cool them down as quickly as possible; use a fan to help cool them down if one is available; do not give them aspirin or paracetamol.
  • #1 7 Heat Stress Prevention Tips | Vector Solutions
    https://www.vectorsolutions.com/resources/blogs/heat-stress-prevention/
    When employees are working in extreme heat, it’s important to provide them with frequent breaks. […] Keeping track of weather forecasts and heat index values is crucial for anticipating and responding to potential heat stress risks. […] Performing regular heat stress risk assessments allows organizations to identify potential hazards, evaluate existing control measures, and implement additional preventive actions as needed. […] By conducting thorough risk assessments, you can proactively address heat stress risks and ensure continuous improvement in your heat stress prevention efforts.
  • #1 Heat Stroke – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK537135/
    Prevention is the definitive treatment for heat stroke. It is essential to check on the elderly frequently, especially individuals who do not have access to air-conditioning. Wear appropriate clothing, avoid leaving children unattended in cars, and reschedule strenuous activities if there is hot, humid weather.[6] Individuals should seek shade if experiencing the signs and symptoms of heat stroke. Once the clinician has diagnosed heat stroke, rapid cooling should be initiated immediately with careful monitoring and reassessment. After treatment for exertional heat stroke, the patient must abstain from exercise for 7 days minimum. Follow-up in all cases should occur a week after presentation to screen for signs of end-organ damage.[12][6] […] Optimal treatment in heatstroke patients relies on early recognition and expedition of rapid cooling. If expecting a heatwave, a designated area with equipment for multiple patients should be available in the emergency department. The physician should understand what resources are available for cooling patients, as each facility may use evaporative, ice-bath, or other methodologies depending on its protocol. Careful coordination with nursing staff is necessary. Close monitoring of patients with a continuous rectal or esophageal temperature probe is necessary, with careful communication to stop cooling measures at the desired 38 to 39C. The physician should identify patients requiring cardiac monitoring, and additional consultants, including intensivists, should be contacted early in the management if other end-organ damage has occurred.
  • #1
    https://osha.oregon.gov/pages/topics/heat-stress.aspx
    Heat stress can lead to heat exhaustion and heat stroke. […] You can prevent heat stress when you are working in a hot environment by drinking water frequently (even if you are not thirsty), resting in the shade when you need to cool down, and wearing a hat and light-colored clothing. […] Employers must develop and implement a written rest break schedule that protects employees exposed to a heat index equal to or greater than 90 degrees Fahrenheit. […] This online course is designed to satisfy 5 of the 7 training requirements found in Oregon OSHA’s rules to address heat illness prevention. […] Practical tips for preventing heat stress: This video focuses on the importance of water, rest, and shade.
  • #1 Be Heat Smart
    https://www.lni.wa.gov/safety-health/safety-training-materials/workshops-events/beheatsmart
    Provide adequate shade (or alternative cooling methods) at all times, to allow for access to prevent or respond to heat illness. […] Encourage and allow workers to take paid, preventative cool down rest periods so they don’t overheat. […] Closely observe employees not acclimatized to the heat, including new employees, those returning from absences, and all workers during a heat wave. […] Have emergency procedures to respond appropriately to any employee with symptoms of heat-related illness. […] Make sure supervisors and employees always have a way to communicate with each other so they can promptly report heat illness and get medical assistance. […] Heat Illness training covers heat safety basics including preventing heat-related illnesses through shade, rest breaks, and acclimatization.
  • #1 Be Heat Smart
    https://www.lni.wa.gov/safety-health/safety-training-materials/workshops-events/beheatsmart
    Employers need to prepare their workers for hot temperatures through planning, training, and other measures. […] Workers unprepared for outdoor heat have an increased risk for heat-related illnesses including heat exhaustion and life-threatening heat stroke. […] The rules and resources on this page can help employers plan, prepare, and train for heat illness prevention. […] Current Outdoor Heat Exposure rules include requirements to: Address outdoor heat exposure safety as part of your required Accident Prevention Program. […] Provide annual training to employees and supervisors on symptoms of outdoor heat exposure and policies in place to prevent heat-related illness. […] Provide both a sufficient amount of cool drinking water to employees along with opportunities to drink the water.
  • #1 NFHS Learn | Interscholastic Education, Made Easy
    https://nfhslearn.com/courses/heat-illness-prevention-2
    Exertional Heat Stroke is the leading cause of preventable death in high school athletics. To help you minimize the risk of heat illness at your school, this course has designed to provide the fundamentals of a strong heat acclimatization plan and guidelines for limiting activities to account for changing environmental conditions and other contributing risk factors. It highlights the importance of an appropriate hydration plan and establishing an Emergency Action Plan in case of a suspected exertional heat stroke. […] Have An Emergency Action Plan.
  • #1 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia
    https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines
    Allow extra time for rest. Heat is tiring, and especially tiring for children. […] Help your kids cool off. Give them a cool bath or spray them with a water mist. […] Never leave a child unattended in the car. […] Keep your home cool. If you dont have air conditioning, open windows for ventilation and run a fan. […] Find air-conditioned public spaces. You might spend part of your day at the library or a mall. […] To stay cool while playing sports in the summer and early fall, Dr. Naomi Brown, a pediatric sports medicine specialist at CHOP, offers the following tips: […] Stay hydrated. Water is most important for young athletes, but they can also benefit from electrolyte replacement if they are sweating more than usual. […] Use the buddy system. Tell your child the symptoms of heat illness: dizziness, headache, vomiting, unusual behavior and disorientation.
  • #1
    https://www.who.int/news-room/fact-sheets/detail/climate-change-heat-and-health
    Mitigating climate change by reducing greenhouse gas emissions is imperative and urgent to limit the magnitude of human costs from extreme heat. WHO is addressing climate change through the Alliance for Transformational Change in Climate and Health (ATACH), as well as country support of technical and policy resources to help the health sector and communities adapt to the risks of climate change. […] WHO works with the health sector to strengthen governance, preparedness and response to acute impacts of heatwaves by developing heat action plans, heat early warning systems and advisories, and emergency response plans that map the risks, vulnerable populations, available capacities and resources.
  • #1 Management of Heatstroke and Heat Exhaustion | AAFP
    https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html
    While many cities distribute fans among at-risk populations to prevent heat-related deaths, fans are inadequate at extremes of heat and humidity; in the absence of temperature and humidity gradients, evaporative and convective cooling with a fan is ineffective. […] Communities should establish heat shelters, and visiting nurses should encourage vulnerable patients to take refuge in them during dangerously warm periods. […] Partnerships created between community leaders and physicians to inform the public about heat dangers by radio, newspaper, and television have been shown to improve outcomes.
  • #2 Practical strategies for prevention and treatment of heat-induced illness | The College of Family Physicians of Canada
    https://www.cfp.ca/content/60/8/729
    Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.
  • #2 Tips to Avoid Heatstroke and Heat Exhaustion
    https://www.rush.edu/news/tips-avoiding-heatstroke-and-heat-exhaustion
    Heat exhaustion can occur after you’ve been exposed to high temperatures. It’s often accompanied by dehydration, and if left untreated, it can progress into more serious heatstroke. […] Heatstroke can happen when your body gets too hot, and it’s considered a medical emergency. If it’s not treated quickly, heatstroke can be life-threatening. […] Here’s what you can do to reduce your risk of heat illness: Exercise early in the day, before it gets too hot or after sunset. Manage the intensity of your activity, and take breaks when you exercise. Stay hydrated! Make sure to drink enough fluids, such as water or sports drinks, while you are outdoors. And do not drink alcohol or a caffeinated beverage before exercising, as they both can dehydrate you. […] Pay attention to warnings about high temperatures, and avoid being outdoors as much as possible on days you know will be extremely hot. […] Know the symptoms of heat exhaustion and heatstroke. If you see signs, take immediate action.
  • #2 Heatstroke – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-stroke/symptoms-causes/syc-20353581
    Heatstroke is predictable and preventable. Take these steps to prevent heatstroke during hot weather: […] Wear loose-fitting, lightweight clothing. Excess clothing or clothing that fits tightly doesn’t allow your body to cool properly. Clothes made of linen, silk, cotton or hemp are cooling. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses. And use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously, and reapply every two hours or more often if you’re swimming or sweating. […] Drink plenty of fluids. Stay hydrated to help your body sweat and maintain a normal body temperature. […] Take extra precautions with certain medicines. Be on the lookout for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and dissipate heat.
  • #2 Follow heatstroke prevention tips – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/when-temps-rise-remember-these-heatstroke-prevention-tips
    Summer can bring hot temperatures, and working or playing in the heat can be dangerous. As you head out this summer, remember to take precautionary measures to prevent heat-related injuries when you’re far from climate-controlled environments. […] The good news is that you can prevent heat exhaustion and heat stroke. […] Take these steps to prevent heatstroke during hot weather: Wear loose-fitting, lightweight clothing. Wearing excess 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, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with a sun protection factor, or SPF, of at least 30. Apply sunscreen generously and reapply every two hours, or more often if you’re swimming or sweating. Drink plenty of fluids. Staying hydrated will help your body sweat and maintain an average body temperature. Take extra precautions with certain medications. Ask your health care team your medications can affect your body’s ability to stay hydrated and dissipate heat. Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees F in 10 minutes. It’s unsafe to leave a person or pet in a parked car in warm or hot weather, even if the windows are cracked or the car is in the shade. Keep your car locked to prevent a child from getting inside when it is parked. Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently 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. It can take several weeks for your body to adjust to hot weather. Limit time spent working or exercising in the heat until you’re conditioned to it. People not used to hot weather are especially susceptible to heat-related illnesses. Be cautious if you’re at increased risk. If you take medications or have a condition that increases your risk of heat-related problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure medical services are available in case of a heat emergency. […] Heatstroke requires emergency treatment. Left untreated, it can quickly damage your brain, heart, kidneys and muscles. The damage worsens the longer treatment is delayed, increasing your risk of serious complications or death.
  • #2
    https://www.healthychildren.org/English/tips-tools/symptom-checker/Pages/symptomviewer.aspx?symptom=Heat+Exposure+and+Reactions
    Prevention of heat exposure symptoms also covered […] Drink more water. When working or exercising in hot weather, have your child drink large amounts of cool water. This helps to prevent dehydration. For teens, this means at least 8 ounces (240 mL) every 15 to 30 minutes. Water is the ideal liquid for replacing lost sweat. Very little salt is lost. […] Sports drinks. Most often, special sports drinks offer no advantage over water. But, they are helpful if working out for longer than an hour. If that is the case, replace 1 water drink per hour with a sports drink. […] Take water breaks. Do this every 15 minutes in the shade. Drink some water even if you’re not thirsty. Thirst can be delayed until a person is almost dehydrated. […] Avoid salt tablets. They slow down stomach emptying and delay the absorption of fluids.
  • #2 Heat stroke – Wikipedia
    https://en.wikipedia.org/wiki/Heat_stroke
    Some measures that can help protect workers from heat stress include: Know signs/symptoms of heat-related illnesses. Block out direct sun and other heat sources. Drink fluids often, and before you are thirsty. Wear lightweight, light-colored, loose-fitting clothes. Avoid beverages containing alcohol or caffeine.
  • #2 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx
    Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] When temperatures are very high, make sure to: Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.
  • #2 Heat exhaustion – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250
    Heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related 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 15. 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 a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.
  • #2 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx
    The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.
  • #2 Heatstroke (sunstroke): Signs, Symptoms, First Aid, and Treatment
    https://www.webmd.com/a-to-z-guides/heat-stroke-symptoms-and-treatment
    Heatstroke Prevention […] When the heat index is high, it’s best to stay in an air-conditioned environment. If you must go outdoors, you can prevent heatstroke by taking these steps: […] Dress for hot weather. Wear lightweight, light-colored, loose-fitting clothing, and a wide-brimmed hat. […] Use sunscreen with an SPF of 30 or more. Sunburn can make it harder for your body to cool itself. […] Drink extra fluids. To prevent dehydration, it’s generally recommended to drink at least eight glasses of water, fruit juice, or vegetable juice per day. Because heat-related illness also can result from salt depletion, it may be advisable to substitute an electrolyte-rich sports drink for water during extreme heat and humidity. […] Take additional precautions when exercising or working outdoors. The general recommendation is to drink 24 ounces of fluid two hours before exercise, and consider adding another 8 ounces of water or sports drink right before exercise. During exercise, you should consume another 8 ounces of water every 20 minutes, even if you don’t feel thirsty.
  • #2 Heat exhaustion and heatstroke
    https://www.nhs.uk/conditions/heat-exhaustion-heatstroke/
    Heat exhaustion and heatstroke are serious conditions that can occur during hot weather or exercise. To help prevent heat exhaustion or heatstroke: […] drink more cold drinks, especially if you’re active or exercising […] wear light-coloured, loose clothing […] avoid the sun between 11am and 3pm […] avoid excess alcohol […] avoid extreme exercise […] if you’re inside on a very hot day, close curtains, close windows if it’s hotter outside than in your home and turn off electrical equipment and lights that get hot. […] This will also prevent dehydration and help your body keep itself cool. […] Children, older people and people with long-term health conditions (such as diabetes or heart problems) are more at risk of heat exhaustion or heatstroke.
  • #2 Heat exhaustion or heat stroke? Know the signs of heat illness | National Oceanic and Atmospheric Administration
    https://www.noaa.gov/stories/heat-exhaustion-or-heat-stroke-know-signs-of-heat-illness
    DO NOT stay in the sun for long periods. […] AVOID alcoholic beverages; they can dehydrate you and increase your risk of heat stroke and other potentially fatal heat-related illnesses. […] Take the precautions listed above and be on the lookout for these warning signs that you may be in trouble: […] Heat stroke is a severe medical emergency. […] Summon emergency medical assistance or get the individual to a hospital immediately. […] Delay can be fatal.
  • #2 Heatstroke – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-stroke/symptoms-causes/syc-20353581
    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 in the car can rise 20 degrees Fahrenheit (more than 11 degrees Celsius) in 10 minutes. […] Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently 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 are not used to hot weather are especially susceptible to heat-related 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 problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure there are medical services available in case of a heat emergency.
  • #2 7 Tips to Avoid Heat Exhaustion and Heat Stroke.
    https://www.medstarhealth.org/blog/avoid-heat-related-illnesses
    Keep in mind the time of day youll be outside, as early mornings and late evenings are the coolest times of the day. And always check the heat index, or the combination of the temperature and humidity levels, on a mobile app or online. When you see heat indexes in the high 90s or above, be especially careful about the amount of time you spend outside.
  • #2
    https://www.rakenapp.com/features/toolbox-talks/heat-stroke-safety
    Awareness, prevention, and a quick response can help prevent heat-related deaths. […] Prevention is key when it comes to heat stroke. Here are some things you can do to help reduce your risk of heat stroke: Allow your body to acclimate to hot environments. […] Take plenty of breaks in a shaded or cool area. […] Stay properly hydrated by drinking plenty of water before you are thirsty. […] Be aware of your coworkers and monitor each other for signs of heat illness. […] Pace yourself and don’t push yourself too hard when your work environment is extremely hot. […] Preventing heat related illnesses before they become an issue in the workplace is very important. […] Knowing the symptoms, signs, and treatment of heat illnesses, especially heat stroke, can be life-saving in some instances. […] Don’t hesitate when dealing with serious medical conditions such as heat-related illnesses.
  • #2
    https://www.oregon.gov/heat
    Heat-related deaths and illness are preventable, yet annually many people succumb to extreme heat. […] Here is how you can recognize heat exhaustion and heat stroke and what to do: […] If the person has vomited and it continues, seek medical attention immediately. […] Call 911 immediately – heat stroke is a medical emergency. […] Drink more water than usual and don’t wait until you’re thirsty to drink. […] Seek medical care immediately if you or someone you know experiences symptoms of heat-related illness. […] If you are pregnant, there are ways to protect yourself and your baby: Develop a Heat Action Plan. […] Learn to recognize and respond to heat-stroke, heat exhaustion and other heat-related illnesses. […] STOP all activity and get to a cool environment if you feel faint or weak.
  • #2 Heat exhaustion – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250
    Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees Fahrenheit (more than 11 C) in 10 minutes. […] 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-related 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 problems, 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.
  • #2 Heat-Related Illnesses | Kaiser Permanente
    https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.heat-related-illnesses.htske
    Acclimation helps you remain active in a hot environment with less risk of a heat-related illness. You can acclimate yourself to a hot environment by gradually increasing the amount of time you exercise in the heat each day. Do this over 8 to 14 days. […] When recognized in the early stages, mild heat exhaustion can be treated at home. […] Call a doctor if any of the following occur during self-care at home: A seizure. Decreased mental alertness. Shortness of breath. Symptoms occur more often or are more severe.
  • #2 Heat – Heat-Related Illnesses and First Aid | Occupational Safety and Health Administration
    http://www.osha.gov/heat-exposure/illness-first-aid
    Employers and workers should become familiar with the heat symptoms. When any of these symptoms is present, promptly provide first aid. Do not try to diagnose which illness is occurring. Diagnosis is often difficult because symptoms of multiple heat-related illnesses can occur together. Time is of the essence. These conditions can worsen quickly and result in fatalities. […] Workers who are new to working in warm environments are at increased risk of heat-related illness. See the Protecting New Workers section of this website for more details. Especially during a worker’s first few days, absolutely all symptoms should be taken seriously. Workers who develop symptoms should be allowed to stop working. They should receive evaluation for possible heat-related illness.
  • #2 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    Exertional heat illness (EHI) is often preventable. Important principles for developing a prevention program for EHI and specific measures for reducing risk, including several recommendations included in consensus statements, are described below and in the accompanying table (table 2) [75-81]. […] Measures that can be taken to reduce the risk of EHI include the following: […] Long-term institutional measures: […] Institute prevention policies, including an emergency action plan (table 3). […] Educate staff and athletes about heat illness. […] Long-term and preparatory measures for athletes: […] Maintain a high level of fitness. […] Acclimatize gradually to exercising in hot and/or humid conditions. The process of heat acclimatization generally requires 7 to 14 days, but ideally, athletes should train for two weeks under a heat stress comparable to the target competition. Most adaptations occur during the first week.
  • #2 Extreme Heat Safety | Heat Exhaustion Safety | Red Cross
    https://www.redcross.org/get-help/how-to-prepare-for-emergencies/types-of-emergencies/extreme-heat-safety.html?srsltid=AfmBOooCBoY2zLVIfJa-9b34UfQ8UG62CE_eGgd7_WvVF3AgQivX886-
    Learn how to stay safe during a heat wave and how to treat heat-related illness like heat exhaustion. […] You need to drink enough water to prevent heat illness. An average person needs to drink about 3/4 of a gallon of water daily. […] Gather food, water and medicine. […] Do not rely only on electric fans during extreme heat. When temperatures are in the high 90s, fans may not prevent heat-related illness. Taking a cool shower or bath or moving to an air-conditioned place is a much better way to cool off. […] Learn how to recognize and respond to heat illness. […] Check on your friends, family, and neighbors. Help them prevent heat illness. Act fast if you notice someone with symptoms. […] Heat Exhaustion is severe and may require emergency medical treatment. […] Move to a cool place. Loosen tight clothing. Cool the body using wet cloths, misting, fanning, or a cool bath. Sip water slowly. […] Get medical help right away if: Vomiting occurs, Symptoms last longer than 1 hour or get worse, Confusion develops.
  • #2 Heat Stroke and Illness Awareness and Prevention | Atrium Health Wake Forest Baptist
    https://www.wakehealth.edu/stories/heat-stroke-and-illness-awareness-tips
    As we prepare to see record high temperatures reached across our state, Bret Nicks, MD, co-medical director of Adult Emergency Services, warns people to take precautions to avoid heat stroke and other serious heat-related health problems. […] Nicks says staying in an air-conditioned area, either at home or in a public place such as a mall, library or recreation center is the most effective way to combat heat. […] A cool shower or bath also is an effective way to cool off. […] Children especially can quickly become dehydrated. They need to drink fluids frequently, especially water, and wear light-colored, loose-fitting clothes. […] Heat illness symptoms include: […] People with these symptoms should: […] If fluids are not replaced soon enough, heat stroke can follow. […] Heat stroke symptoms can lead to brain damage, loss of consciousness and death.
  • #2 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    In addition to precooling, athletes can use cooling strategies during exercise. […] Athletes who participate in sports with regular breaks in play (eg, American football, tennis) can implement cooling methods during such breaks. […] Wear athletic clothing that ventilates well and allows for evaporative cooling when exercising in the heat. Clothing should be changed when it becomes saturated with sweat, which limits evaporative cooling.
  • #2
    https://www.healthychildren.org/English/safety-prevention/at-home/Pages/Protecting-Children-from-Extreme-Heat-Information-for-Parents.aspx
    Take steps to protect your children from extreme heat events as much as possible, watch for symptoms of heat illness, and call your pediatrician if you see any develop. […] If you are going to be outside, there are several steps you can take to beat the heat and protect your child from heat-related illness and hazards: […] Stay hydrated: Encourage your children to drink water frequently and have it readily available even before they ask for it. […] Dress lightly: Light-colored clothing can help kids stay cool and prevent heat stress from excessive heat absorption; darker colored clothes typically provide slightly better sun protection. […] Plan for extra rest time: Heat can often make children (and their parents) feel tired. […] Cool off with water. When your child is feeling hot, give them a cool bath or water mist to cool down.
  • #2 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia
    https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines
    Watch for these signs of overheating and heat-related illness: […] Heat exhaustion and heat stroke sound scary, and they are. But your child is unlikely to experience them if you follow simple precautions. […] Dr. Pollack offers these precautions and suggestions to stay safe and comfortable on hot days and prevent overheating. […] When your children are old enough to understand and communicate how theyre feeling, remind them to pay attention to their bodies in the heat, and to tell an adult if they dont feel well or need to take a break. […] Keep them hydrated. Remind your kids to drink water regularly, all day long. […] Dress them in light clothes. Children, like adults, need light clothes in hot weather light in weight and color. […] Go outside when the sun is low and the air is at its coolest, in the morning and late afternoon or evening.
  • #2 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia
    https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines
    Allow extra time for rest. Heat is tiring, and especially tiring for children. […] Help your kids cool off. Give them a cool bath or spray them with a water mist. […] Never leave a child unattended in the car. […] Keep your home cool. If you dont have air conditioning, open windows for ventilation and run a fan. […] Find air-conditioned public spaces. You might spend part of your day at the library or a mall. […] To stay cool while playing sports in the summer and early fall, Dr. Naomi Brown, a pediatric sports medicine specialist at CHOP, offers the following tips: […] Stay hydrated. Water is most important for young athletes, but they can also benefit from electrolyte replacement if they are sweating more than usual. […] Use the buddy system. Tell your child the symptoms of heat illness: dizziness, headache, vomiting, unusual behavior and disorientation.
  • #2 7 Tips to Avoid Heat Exhaustion and Heat Stroke.
    https://www.medstarhealth.org/blog/avoid-heat-related-illnesses
    People who are obese are at much greater risk for heat-related illnesses. Carrying excess weight can affect your bodys ability to regulate its temperature and cause you to retain more heat. Talk to your doctor if you need help managing your weight. […] Limit sun exposure when youre outside by wearing a wide-brimmed hat and light, loose-fitting clothing. Also consider bringing an umbrella, awning, or overhang to protect yourself from the sun. […] Infections such as the flu can cause your body temperature to spike. If youve recently overcome an illness, be cautious about the amount of time you spend outside and spend exercising for a couple of weeks. […] If youre older than 70, youre more susceptible to heat stroke due to underlying medical conditions that can affect their body temperature. If you live alone or cant get around well, the risk is increased, especially if your air conditioner breaks. Use the buddy systemfind a friend or relative who can help when the temperature rises.
  • #2 Additional Information on Heat-Related Illness and Prevention | Hyperthermia | Health & Senior Services
    https://health.mo.gov/living/healthcondiseases/hyperthermia/heatprecautions.php
    While outdoors, rest frequently in a shady area so that your body has a chance to recover. […] Schedule outdoor activities carefully, preferably before noon or in the evening, […] If unaccustomed to working or exercising in a hot environment, start slowly, pick up the pace gradually and limit your exercise or work time. […] Wear sunscreen to protect skin from the sun’s harmful rays. Sunburn affects your body’s ability to cool itself and causes a loss of body fluids. […] Wear lightweight, light-colored, loose-fitting clothing. […] When working in the heat, monitor the condition of your co-workers and have someone do the same for you. […] If you are 65 years of age or older, have a friend or relative call to check on you twice a day when hot weather heat advisories have been issued.
  • #2
    https://www.who.int/news-room/fact-sheets/detail/climate-change-heat-and-health
    Heat stress is the leading cause of weather-related deaths and can exacerbate underlying illnesses including cardiovascular disease, diabetes, mental health, asthma, and can increase the risk of accidents and transmission of some infectious diseases. […] The negative health impacts of heat are predictable and largely preventable with specific public health and multi-sectoral policies and interventions. WHO has issued guidance for public health institutions to identify and manage extreme heat risks. Action on climate change combined with comprehensive preparedness and risk management can save lives now and in the future. […] Practical, feasible and often low-cost interventions at the individual, community, organizational, governmental and societal levels can save lives. […] Deaths and hospitalizations triggered by extreme hot weather occur rapidly (same day and following days), which means interventions also need to be rapid when a heat alert is issued.
  • #2 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] Provide frequent breaks for hydration and cooling. […] Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] Carefully monitor those athletes with any history suggestive of prior heat illness. […] Minimize equipment and clothing that hinder heat loss in hot or humid conditions.
  • #2 Heat Stroke Symptoms, Treatment, Prevention and More – Dr. Axe
    https://draxe.com/health/heat-stroke-symptoms/
    In order to avoid dehydration and the possibility of heat stroke, eat fruits and vegetables that are hydrating. […] It’s important to prevent dehydration by avoiding the consumption of sugary, sweetened drinks, alcohol and caffeine. […] To avoid developing heat stroke or other heat-related illnesses, limit your time outdoors on those hot days, especially midday when the sun is at its hottest. […] You have to keep your body temperature cool during times of extreme heat. […] If you don’t have access to an air conditioner in your home, find an air-conditioned shelter in your community, and get some relief there for a few hours. […] Some medications can increase your risk of heat stroke because they affect how your body reacts to the heat or they interfere with your salt and water balance.
  • #2 Heat Injury and Heat Exhaustion – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/heat-injury-and-heat-exhaustion/
    Heat-related illnesses are preventable. Prevention begins with understanding the causes of heat illness, and making sure to stay cool and hydrated during hot weather. In addition, knowing the signs of heat injury and being able to treat it immediately will reduce the number of severe cases. […] There are many ways to reduce your risk for heat injury. […] Consult with your doctor before starting a new exercise activity if you have a health condition, like heart or lung disease, or take medication that could cause dehydration. […] Take time to adapt to a new activity or climate. Coaches should plan pre-season conditioning programs. These should be held during weather conditions similar to a typical practice. […] Increase the intensity and duration of your exercise program gradually. If you participate in sports that require protective equipment, avoid wearing it at the start of training.
  • #2 Heat exhaustion or heat stroke? Know the signs of heat illness | National Oceanic and Atmospheric Administration
    https://www.noaa.gov/stories/heat-exhaustion-or-heat-stroke-know-signs-of-heat-illness
    No matter what your job is or how you spend your free time, prevention of heat-related illness is key. […] Here’s what you can do: […] Pay close attention to heat advisories or warnings that have been issued for your community. […] Plan for periods of extreme heat […] Visit your physician for a check-up to find out if you have a health condition that may be exacerbated by hot weather. […] Know what to do, and what not to do, in hot weather […] Slow down, and reduce strenuous activity. […] Dress in lightweight, nonrestrictive, light-colored clothing. […] Drink plenty of water or other nonalcoholic fluids. […] Seek immediate medical attention if you experience symptoms of heat illness. […] Please remember: […] DO NOT leave children, the elderly, or pets in the car for any reason, for any length of time.
  • #2 7 Heat Stress Prevention Tips | Vector Solutions
    https://www.vectorsolutions.com/resources/blogs/heat-stress-prevention/
    When employees are working in extreme heat, it’s important to provide them with frequent breaks. […] Keeping track of weather forecasts and heat index values is crucial for anticipating and responding to potential heat stress risks. […] Performing regular heat stress risk assessments allows organizations to identify potential hazards, evaluate existing control measures, and implement additional preventive actions as needed. […] By conducting thorough risk assessments, you can proactively address heat stress risks and ensure continuous improvement in your heat stress prevention efforts.
  • #2
    https://www.who.int/news-room/fact-sheets/detail/climate-change-heat-and-health
    Mitigating climate change by reducing greenhouse gas emissions is imperative and urgent to limit the magnitude of human costs from extreme heat. WHO is addressing climate change through the Alliance for Transformational Change in Climate and Health (ATACH), as well as country support of technical and policy resources to help the health sector and communities adapt to the risks of climate change. […] WHO works with the health sector to strengthen governance, preparedness and response to acute impacts of heatwaves by developing heat action plans, heat early warning systems and advisories, and emergency response plans that map the risks, vulnerable populations, available capacities and resources.
  • #2 Heat Cramps, Exhaustion, Stroke
    https://www.weather.gov/safety/heat-illness
    Heat exhaustion and heatstroke can be prevented by recognizing the symptoms and taking appropriate actions. […] It is important to know the symptoms of extreme heat exposure and the appropriate responses. […] Heat exhaustion can be addressed by moving the person to a cooler environment, preferably a well air-conditioned room, loosening clothing, applying cool, wet cloths, or having the person sit in a cool bath. […] Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour. […] Heat stroke is a severe medical emergency that requires immediate action, including calling 911 or getting the victim to a hospital immediately. […] Delay in treating heat stroke can be fatal.
  • #2
    https://www.cbsnews.com/news/heat-stroke-illness-symptoms-prevention-experts/
    No matter your activity level, drink plenty of fluids, the CDC says, and don’t wait until you’re thirsty. Water is a good option, or a sports drink can help replenish salt and minerals lost through sweat. „Stay away from very sugary or alcoholic drinks these actually cause you to lose more body fluid,” the organization adds. […] Don’t skip sunscreen, since „sunburn affects your body’s ability to cool down and can make you dehydrated,” the CDC notes. A broad spectrum sunscreen with an SPF of 30 or higher is your best defense against the sun’s harmful rays. […] Children and the elderly are especially susceptible to heat exhaustion and should be especially careful. […] If these symptoms arise, „get out of the sun, try to bring your temperature down and seek medical attention if your symptoms continue to get worse,” the Cleveland Clinic advises.
  • #2 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx
    If you are not used to working or exercising in hot weather, start slowly and pick up the pace gradually. Take frequent, regularly scheduled breaks. If activity in the heat makes your heart pound or leaves you gasping for breath, stop activity, get into a cool or shady area, and rest. Especially if you become lightheaded, confused, weak or feel faint. […] During a heat wave, check on your friends and family and have someone do the same for you. If you know someone who is elderly or has a health condition, check on them twice a day during a heat wave. Watch for signs of heat exhaustion or heat stroke. High temperatures can cause serious health problems. Know the symptoms of heat-related illness and be ready to help.
  • #2 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-treating-heat-related-illness.aspx
    Heat stroke happens when the body can no longer control its temperature and the body’s core temperature rises rapidly. The body begins to lose its ability to sweat and is unable to cool itself. Warning signs of heat stroke include red, hot, dry skin; very high body temperature; dizziness; nausea; confusion, strange behavior or unconsciousness; rapid pulse or throbbing headache. It can cause death or disability if treatment is not provided as soon as possible. Here’s how to help someone suffering from heat stroke: […] Heat exhaustion is less intense than heat stroke, but is still a serious health threat. It happens when the body has lost too much water and salt through sweat. Warning signs include heavy sweating, cramps, headache, nausea or vomiting, tiredness, weakness, dizziness and fainting. If heat exhaustion is not treated, it can turn into heat stroke. Help the victim cool off with:
  • #2
    https://www.cbsnews.com/news/heat-stroke-illness-symptoms-prevention-experts/
    For heat stroke, the CDC says to call 911. Move the person to a cooler place, try lowering their temperature with cooler clothes or a cool bath, and don’t give the person additional liquid to drink. […] For heat exhaustion, moving to a cooler place with cooler clothes can help, in addition to sipping water. If the person begins throwing up, has worsening symptoms or symptoms that last for more than an hour, the CDC recommends getting medical help.
  • #2 Heat-related illness signs, symptoms and treatment | SA Health
    https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/healthy+living/protecting+your+health/environmental+health/healthy+in+the+heat/heat-related+illness+signs+symptoms+and+treatment
    Heatstroke is a severe illness where a persons temperature is greater than 40C, resulting from exposure to high heat or strenuous physical exercise. […] If you notice any of the above signs of heatstroke in yourself or others, call Triple Zero (000) immediately for an ambulance. […] Heatstroke is an extreme medical emergency. If not treated immediately, it can lead to permanent damage to vital organs or even death. […] While waiting for the ambulance to arrive: move the person to somewhere cool and keep them still if possible; do not give aspirin or paracetamol to a person affected by heat. […] If the person is conscious: move them to a cool area and keep them still; give them small sips of fluid; bring their temperature down using any method available; loosen their clothes, sprinkle them with cool water, or wrap them in a damp sheet; place cool, damp cloths in their armpits, on the back of their neck and on their forehead to cool them down as quickly as possible; use a fan to help cool them down if one is available; do not give them aspirin or paracetamol.
  • #2 Heat-related illness signs, symptoms and treatment | SA Health
    https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/healthy+living/protecting+your+health/environmental+health/healthy+in+the+heat/heat-related+illness+signs+symptoms+and+treatment
    If the person is unconscious: move the person to somewhere cool and keep them still if possible; lay them on their side (recovery position) and check they can breathe properly; perform CPR if needed; do not give aspirin or paracetamol to a person affected by heat; stay with them until the ambulance arrives.
  • #2 NFHS Learn | Interscholastic Education, Made Easy
    https://nfhslearn.com/courses/heat-illness-prevention-2
    Exertional Heat Stroke is the leading cause of preventable death in high school athletics. To help you minimize the risk of heat illness at your school, this course has designed to provide the fundamentals of a strong heat acclimatization plan and guidelines for limiting activities to account for changing environmental conditions and other contributing risk factors. It highlights the importance of an appropriate hydration plan and establishing an Emergency Action Plan in case of a suspected exertional heat stroke. […] Have An Emergency Action Plan.
  • #2 Be Heat Smart
    https://www.lni.wa.gov/safety-health/safety-training-materials/workshops-events/beheatsmart
    Employers need to prepare their workers for hot temperatures through planning, training, and other measures. […] Workers unprepared for outdoor heat have an increased risk for heat-related illnesses including heat exhaustion and life-threatening heat stroke. […] The rules and resources on this page can help employers plan, prepare, and train for heat illness prevention. […] Current Outdoor Heat Exposure rules include requirements to: Address outdoor heat exposure safety as part of your required Accident Prevention Program. […] Provide annual training to employees and supervisors on symptoms of outdoor heat exposure and policies in place to prevent heat-related illness. […] Provide both a sufficient amount of cool drinking water to employees along with opportunities to drink the water.
  • #2 Heat Illness Prevention – USC Environmental Health & Safety
    https://ehs.usc.edu/occhealth/injury-prevention/heat/
    Heat Illness is a serious medical condition resulting from the bodys inability to cope with a particular heat load and may include heat cramps, heat exhaustion, heat syncope, and heat stroke. To protect employees, employers are required by Cal/OSHA T8 CCR 3395 to develop and implement a Heat Illness Prevention Program (PDF). Managers and supervisors must: Make drinking water available and plentiful. Make shaded areas available when requested by the employee. NOTE: Shading is required at 80 degrees or more. Monitor the weather (current and forecast) and adjust workloads accordingly. You are required to implement high-heat procedures when temperatures equal or exceed 95 degrees. Be vigilant for signs of heat illness and respond quickly. Have an emergency plan ready. Ensure that all employees are trained on heat illness prevention. Employees must: Stay hydrated; drink water frequently. Note the locations of Water Filling Stations (UPC | HSC). Use shaded areas; take frequent breaks. Notify supervisor if shading is unavailable. Report heat illness symptoms to the supervisor. Report heat illness symptoms of coworkers to the supervisor. Comply with all provisions of the Heat Illness Prevention Program (PDF). […] Heat Illness Prevention Program (PDF) […] Heat Illness Fact Sheet for Employees (PDF) […] Heat Illness Fact Sheet for Employees (Spanish) (PDF) […] Heat Illness Fact Sheet for Supervisors (PDF) […] Heat Illness Prevention Training on Trojan Learn […] Indoor Heat Illness Prevention (PDF)
  • #2 Preventing and Treating Exertional Heat Stroke
    https://www.nfl.com/playerhealthandsafety/health-and-wellness/player-care/preventing-and-treating-exertional-heat-stroke
    Team medical and coaching staff can identify heat stroke early based on specific changes in player behavior. Early signs of struggle include disorientation, staggering, decreased performance and profuse sweating. […] According to Dr. Casa, prevention strategies such as heat acclimatization, practice and game modifications based on environmental conditions, proper hydration and adequate rest can help minimize the risk of exertional heat stroke. […] Clubs are encouraged to take proactive measures to ensure that players are protected.
  • #2 Be Heat Smart
    https://www.lni.wa.gov/safety-health/safety-training-materials/workshops-events/beheatsmart
    Provide adequate shade (or alternative cooling methods) at all times, to allow for access to prevent or respond to heat illness. […] Encourage and allow workers to take paid, preventative cool down rest periods so they don’t overheat. […] Closely observe employees not acclimatized to the heat, including new employees, those returning from absences, and all workers during a heat wave. […] Have emergency procedures to respond appropriately to any employee with symptoms of heat-related illness. […] Make sure supervisors and employees always have a way to communicate with each other so they can promptly report heat illness and get medical assistance. […] Heat Illness training covers heat safety basics including preventing heat-related illnesses through shade, rest breaks, and acclimatization.
  • #2
    https://osha.oregon.gov/pages/topics/heat-stress.aspx
    Heat stress can lead to heat exhaustion and heat stroke. […] You can prevent heat stress when you are working in a hot environment by drinking water frequently (even if you are not thirsty), resting in the shade when you need to cool down, and wearing a hat and light-colored clothing. […] Employers must develop and implement a written rest break schedule that protects employees exposed to a heat index equal to or greater than 90 degrees Fahrenheit. […] This online course is designed to satisfy 5 of the 7 training requirements found in Oregon OSHA’s rules to address heat illness prevention. […] Practical tips for preventing heat stress: This video focuses on the importance of water, rest, and shade.
  • #2 Heat Illness Prevention | Pacific Northwest Agricultural Safety and Health Center
    https://deohs.washington.edu/pnash/heat_illness
    Heat illness is preventable but, if left unchecked, could lead to death. […] The adopted rule for agriculture (WAC 296-307-097) includes requirements for shade, rest, and acclimatization, and lowers the temperatures at which some preventive actions must be taken. […] Overall, the adopted requirements address access to shade; drinking water; high heat practices, including the development of heat illness prevention break schedules for certain temperature thresholds; emergency medical and actions plans; acclimatization plan; heat illness prevention plan; supervisor and employee training; and training documentation.
  • #2 Heat Injury and Illness Prevention | NC DOL
    https://www.labor.nc.gov/safety-and-health/training/heat-illness-prevention-campaign
    Every year, thousands of workers across the country suffer from serious heat-related illnesses. If not quickly addressed, heat exhaustion can become heat stroke, which has killed – on average – more than 30 workers annually since 2003. […] It is the employer’s responsibility to protect workers from injury and illness. […] Avoid heavy exertion, extreme heat, sun exposure, and high humidity when possible. When these cannot be avoided, some of the preventative steps that can be taken include: […] Take more breaks when doing heavier work, and in high heat and humidity; take breaks in the shade or a cool area. […] Drink water frequently. […] Be aware that protective clothing or personal protective equipment may increase the risk of heat-related illnesses.
  • #2 Be Heat Smart
    https://www.lni.wa.gov/safety-health/safety-training-materials/workshops-events/beheatsmart
    5 Tips to be Heat Smart is a 1 minute video that helps remind workers about basic heat illness prevention. […] Protect your Workers from Heat Stress educates employers and workers on the dangers of working in the heat. […] Employees are most vulnerable to experiencing heat illness when they are new or returning to working in the heat, or during a heat wave when there hasn’t been time to acclimatize. […] Close observation is intended to ensure rapid response to signs and symptoms of heat-related illness during these vulnerable times. […] Preventative cool-down rest periods are for workers when they feel they need to cool down to prevent overheating. […] To prevent heat-related illnesses, workers should not wait until they feel sick to cool down.
  • #2 Heat Illness Prevention | Safety, Health, & Sustainability | CSUSM
    https://www.csusm.edu/shs/safetyprograms/occheatillness.html
    Heat-related illnesses include heat cramps, heat exhaustion, heat rash, or heat stroke, each with its own symptoms and treatments. […] The Heat Illness Prevention Standard (CCR, Title 8, Section 3395) requires employers to implement measures to prevent heat-related illnesses in all outdoor places of employment. […] For days with temperatures above 95 degrees, supervisors must implement high-heat procedures: Employee observation/monitoring: Supervisor or designee directly observe employees. […] Conduct pre-shift meetings before work starts to review prevention procedures, encourage hydration, and promote cool-down rests as necessary (Water, Rest Shade). […] Drink water often, even if you aren’t thirsty. […] Report heat symptoms early. Watch out for co-workers and immediately inform supervisor(s) know if anyone exhibits heat stress symptoms.
  • #2 Heat Injury and Heat Exhaustion – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/heat-injury-and-heat-exhaustion/
    Allow frequent periods of rest and hydration during activity. Fluid replacement is essential to preventing heat injury. […] Make sure you are well hydrated before, during, and after exercise. Replace your fluids, whether you feel thirsty or not. […] A general recommendation is to drink 24 ounces of non-caffeinated fluid 2 hours before exercise. Drinking an additional 8 ounces of water or sports drink right before exercise is also helpful. While you are exercising, break for an 8 oz. cup of water every 20 minutes. […] Monitor the color of your urine. The darker your urine, the less hydrated you are and the greater your risk for heat injury. Drink enough fluids to keep your urine a very light color. […] Gradually increase activity in the heat over a period of 7 to 10 days to allow adequate acclimatization.
  • #2 Heat Injury and Heat Exhaustion – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/heat-injury-and-heat-exhaustion/
    Wear lightweight and light-colored clothing. […] Protect against sun exposure with sunscreen. […] Schedule outdoor exercise at the coolest time of day, either early morning or after sunset. […] Routinely monitor changing weather conditions. Pay close attention to temperature and humidity on playing surfaces (indoor/outdoor). […] Strongly consider postponing or cancelling your activity when there are extreme heat and humidity conditions.
  • #2 Management of Heatstroke and Heat Exhaustion | AAFP
    https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000
    Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat. […] Communities should establish heat shelters, and visiting nurses should encourage vulnerable patients to take refuge in them during dangerously warm periods.
  • #2 Guidelines for Prevention of Heat Related Illness in Schools
    http://www.idph.state.il.us/public/hb/hbheatschools.htm
    To aid in the prevention of heat-related illness in schools, the Illinois Department of Public Health recommends the following interventions: […] Ensure that students are well hydrated. […] Encourage students to wear loose fitting summer clothing. […] In order to prevent heat fatigue, offer regularly scheduled rest periods. […] Allow students to utilize alternative areas located on the lower or ground level of the school or shady areas on the school grounds. […] Encourage the school district to establish both a policy and a plan to deal with extreme temperatures. […] Age-appropriate prevention education regarding heat related illnesses should be made available for all students, parents and staff.
  • #2 Heat Stroke – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK537135/
    Prevention is the definitive treatment for heat stroke. It is essential to check on the elderly frequently, especially individuals who do not have access to air-conditioning. Wear appropriate clothing, avoid leaving children unattended in cars, and reschedule strenuous activities if there is hot, humid weather.[6] Individuals should seek shade if experiencing the signs and symptoms of heat stroke. Once the clinician has diagnosed heat stroke, rapid cooling should be initiated immediately with careful monitoring and reassessment. After treatment for exertional heat stroke, the patient must abstain from exercise for 7 days minimum. Follow-up in all cases should occur a week after presentation to screen for signs of end-organ damage.[12][6] […] Optimal treatment in heatstroke patients relies on early recognition and expedition of rapid cooling. If expecting a heatwave, a designated area with equipment for multiple patients should be available in the emergency department. The physician should understand what resources are available for cooling patients, as each facility may use evaporative, ice-bath, or other methodologies depending on its protocol. Careful coordination with nursing staff is necessary. Close monitoring of patients with a continuous rectal or esophageal temperature probe is necessary, with careful communication to stop cooling measures at the desired 38 to 39C. The physician should identify patients requiring cardiac monitoring, and additional consultants, including intensivists, should be contacted early in the management if other end-organ damage has occurred.
  • #3 Follow heatstroke prevention tips – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/when-temps-rise-remember-these-heatstroke-prevention-tips
    Summer can bring hot temperatures, and working or playing in the heat can be dangerous. As you head out this summer, remember to take precautionary measures to prevent heat-related injuries when you’re far from climate-controlled environments. […] The good news is that you can prevent heat exhaustion and heat stroke. […] Take these steps to prevent heatstroke during hot weather: Wear loose-fitting, lightweight clothing. Wearing excess 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, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with a sun protection factor, or SPF, of at least 30. Apply sunscreen generously and reapply every two hours, or more often if you’re swimming or sweating. Drink plenty of fluids. Staying hydrated will help your body sweat and maintain an average body temperature. Take extra precautions with certain medications. Ask your health care team your medications can affect your body’s ability to stay hydrated and dissipate heat. Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees F in 10 minutes. It’s unsafe to leave a person or pet in a parked car in warm or hot weather, even if the windows are cracked or the car is in the shade. Keep your car locked to prevent a child from getting inside when it is parked. Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently 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. It can take several weeks for your body to adjust to hot weather. Limit time spent working or exercising in the heat until you’re conditioned to it. People not used to hot weather are especially susceptible to heat-related illnesses. Be cautious if you’re at increased risk. If you take medications or have a condition that increases your risk of heat-related problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure medical services are available in case of a heat emergency. […] Heatstroke requires emergency treatment. Left untreated, it can quickly damage your brain, heart, kidneys and muscles. The damage worsens the longer treatment is delayed, increasing your risk of serious complications or death.
  • #3
    https://www.healthychildren.org/English/tips-tools/symptom-checker/Pages/symptomviewer.aspx?symptom=Heat+Exposure+and+Reactions
    Prevention of heat exposure symptoms also covered […] Drink more water. When working or exercising in hot weather, have your child drink large amounts of cool water. This helps to prevent dehydration. For teens, this means at least 8 ounces (240 mL) every 15 to 30 minutes. Water is the ideal liquid for replacing lost sweat. Very little salt is lost. […] Sports drinks. Most often, special sports drinks offer no advantage over water. But, they are helpful if working out for longer than an hour. If that is the case, replace 1 water drink per hour with a sports drink. […] Take water breaks. Do this every 15 minutes in the shade. Drink some water even if you’re not thirsty. Thirst can be delayed until a person is almost dehydrated. […] Avoid salt tablets. They slow down stomach emptying and delay the absorption of fluids.
  • #3 What’s New
    https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx
    The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.
  • #3 Heat exhaustion – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250
    Heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related 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 15. 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 a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.
  • #3 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    Exertional heat illness (EHI) is often preventable. Important principles for developing a prevention program for EHI and specific measures for reducing risk, including several recommendations included in consensus statements, are described below and in the accompanying table (table 2) [75-81]. […] Measures that can be taken to reduce the risk of EHI include the following: […] Long-term institutional measures: […] Institute prevention policies, including an emergency action plan (table 3). […] Educate staff and athletes about heat illness. […] Long-term and preparatory measures for athletes: […] Maintain a high level of fitness. […] Acclimatize gradually to exercising in hot and/or humid conditions. The process of heat acclimatization generally requires 7 to 14 days, but ideally, athletes should train for two weeks under a heat stress comparable to the target competition. Most adaptations occur during the first week.
  • #3 Heat Stroke: Symptoms, Treatment & Recovery
    https://my.clevelandclinic.org/health/diseases/21812-heatstroke
    Yes, its often possible to prevent heat stroke. This can be harder to do if you have certain risk factors, but a little planning can go a long way. Here are some suggestions: […] Keep your home cool. Use fans and/or air conditioning. When the temperature is very high especially above 99 degrees Fahrenheit (37.2 degrees Celsius) fans wont be enough. […] Develop a plan for hot days. If your home isnt cool enough, identify places where you can go to cool down. These include community centers, shopping malls, movie theaters and loved ones homes. […] Stay hydrated. Drink plenty of water before, during and after physical activity in the heat. Make sure you also take in electrolytes for example, by adding electrolyte powders or tablets to your water. Its important to stay hydrated even if youre taking it easy, too. Your healthcare provider can advise you on how much water to drink to support your bodys needs.
  • #3 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia
    https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines
    Watch for these signs of overheating and heat-related illness: […] Heat exhaustion and heat stroke sound scary, and they are. But your child is unlikely to experience them if you follow simple precautions. […] Dr. Pollack offers these precautions and suggestions to stay safe and comfortable on hot days and prevent overheating. […] When your children are old enough to understand and communicate how theyre feeling, remind them to pay attention to their bodies in the heat, and to tell an adult if they dont feel well or need to take a break. […] Keep them hydrated. Remind your kids to drink water regularly, all day long. […] Dress them in light clothes. Children, like adults, need light clothes in hot weather light in weight and color. […] Go outside when the sun is low and the air is at its coolest, in the morning and late afternoon or evening.
  • #3
    https://www.who.int/news-room/fact-sheets/detail/climate-change-heat-and-health
    Heat stress is the leading cause of weather-related deaths and can exacerbate underlying illnesses including cardiovascular disease, diabetes, mental health, asthma, and can increase the risk of accidents and transmission of some infectious diseases. […] The negative health impacts of heat are predictable and largely preventable with specific public health and multi-sectoral policies and interventions. WHO has issued guidance for public health institutions to identify and manage extreme heat risks. Action on climate change combined with comprehensive preparedness and risk management can save lives now and in the future. […] Practical, feasible and often low-cost interventions at the individual, community, organizational, governmental and societal levels can save lives. […] Deaths and hospitalizations triggered by extreme hot weather occur rapidly (same day and following days), which means interventions also need to be rapid when a heat alert is issued.
  • #3 Practical strategies for prevention and treatment of heat-induced illness | The College of Family Physicians of Canada
    https://www.cfp.ca/content/60/8/729
    Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.
  • #3 7 Tips to Avoid Heat Exhaustion and Heat Stroke.
    https://www.medstarhealth.org/blog/avoid-heat-related-illnesses
    Keep in mind the time of day youll be outside, as early mornings and late evenings are the coolest times of the day. And always check the heat index, or the combination of the temperature and humidity levels, on a mobile app or online. When you see heat indexes in the high 90s or above, be especially careful about the amount of time you spend outside.
  • #3 Heatstroke Prevention | University Health
    https://www.universityhealth.com/public-health/community-programs/injury-prevention/heatstroke-prevention
    Our pediatric safety partner, Safe Kids Worldwide, developed a program to reduce the number of pediatric deaths from heatstroke. Its called ACT: A Avoid leaving your child alone in a vehicle, C Create drop-off reminders by putting an item in the back seat you will need at your final destination, such as your purse, briefcase or cell phone, T Take immediate action if you see a child alone in a car. […] High heat and humidity can affect medication, testing supplies and your general health if you have diabetes. To avoid the complications of heat-related illnesses, including heatstroke, its important to take good care of your diabetes medications and yourself. […] Just as infants are more vulnerable to heatstroke than healthy adults, seniors are, too. […] The National Institute on Aging, part of the NIH, provides a list of symptoms and illnesses prevalent among seniors once the weather turns warm. Respond quickly and appropriately to signs of heat illness, which include: Heavy sweating, Weakness, Cold, pale or clammy skin, Nausea or vomiting, Fainting. […] If you suspect heat exhaustion or heatstroke, move to a cooler location, apply cool, wet cloths to as much of the body as possible and sip water. Its also very important to seek medical attention quickly from a trainer or team doctor, or in an emergency room.
  • #3 Extreme Heat Safety | Heat Exhaustion Safety | Red Cross
    https://www.redcross.org/get-help/how-to-prepare-for-emergencies/types-of-emergencies/extreme-heat-safety.html?srsltid=AfmBOooCBoY2zLVIfJa-9b34UfQ8UG62CE_eGgd7_WvVF3AgQivX886-
    Learn how to stay safe during a heat wave and how to treat heat-related illness like heat exhaustion. […] You need to drink enough water to prevent heat illness. An average person needs to drink about 3/4 of a gallon of water daily. […] Gather food, water and medicine. […] Do not rely only on electric fans during extreme heat. When temperatures are in the high 90s, fans may not prevent heat-related illness. Taking a cool shower or bath or moving to an air-conditioned place is a much better way to cool off. […] Learn how to recognize and respond to heat illness. […] Check on your friends, family, and neighbors. Help them prevent heat illness. Act fast if you notice someone with symptoms. […] Heat Exhaustion is severe and may require emergency medical treatment. […] Move to a cool place. Loosen tight clothing. Cool the body using wet cloths, misting, fanning, or a cool bath. Sip water slowly. […] Get medical help right away if: Vomiting occurs, Symptoms last longer than 1 hour or get worse, Confusion develops.
  • #3 NFHS Learn | Interscholastic Education, Made Easy
    https://nfhslearn.com/courses/heat-illness-prevention-2
    Exertional Heat Stroke is the leading cause of preventable death in high school athletics. To help you minimize the risk of heat illness at your school, this course has designed to provide the fundamentals of a strong heat acclimatization plan and guidelines for limiting activities to account for changing environmental conditions and other contributing risk factors. It highlights the importance of an appropriate hydration plan and establishing an Emergency Action Plan in case of a suspected exertional heat stroke. […] Have An Emergency Action Plan.
  • #3 Be Heat Smart
    https://www.lni.wa.gov/safety-health/safety-training-materials/workshops-events/beheatsmart
    Provide adequate shade (or alternative cooling methods) at all times, to allow for access to prevent or respond to heat illness. […] Encourage and allow workers to take paid, preventative cool down rest periods so they don’t overheat. […] Closely observe employees not acclimatized to the heat, including new employees, those returning from absences, and all workers during a heat wave. […] Have emergency procedures to respond appropriately to any employee with symptoms of heat-related illness. […] Make sure supervisors and employees always have a way to communicate with each other so they can promptly report heat illness and get medical assistance. […] Heat Illness training covers heat safety basics including preventing heat-related illnesses through shade, rest breaks, and acclimatization.
  • #3 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate
    https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention
    Athlete measures immediately before and during activity: […] Hydrate before activity and keep well hydrated throughout activity. Before training and competition in the heat, athletes should drink 6 mL of fluid per kg of body mass every two to three hours in order to begin exercise properly hydrated. […] Avoid exercise in severe heat and/or humidity when ill. […] Stop exercising and notify medical staff immediately if severe exhaustion, lightheadedness, or other concerning symptoms develop in yourself or a teammate. […] „Precooling” (ie, implementing cooling measures before or especially during play) may benefit athletes whose sport involves sustained exercise (eg, middle- and long-distance running, cycling, tennis, and team sports) in hot environments. […] Precooling strategies can include both internal methods (eg, ice slurry) and external methods (eg, cooling vests).
  • #3 Management of Heatstroke and Heat Exhaustion | AAFP
    https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000
    Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat. […] Communities should establish heat shelters, and visiting nurses should encourage vulnerable patients to take refuge in them during dangerously warm periods.