Wyczerpanie cieplne
Leczenie

Wyczerpanie cieplne stanowi stan zagrożenia wymagający natychmiastowej interwencji, aby zapobiec progresji do udaru cieplnego. Leczenie opiera się na szybkim schłodzeniu organizmu (metody ewaporacyjne, chłodne okłady, zanurzenie w zimnej wodzie w warunkach szpitalnych) oraz odpowiednim nawadnianiu doustnym lub dożylnym (0,9% roztwór soli fizjologicznej, 1-2 litry z szybkością około 500 ml/godz). Kluczowe jest monitorowanie parametrów życiowych, stanu świadomości oraz równowagi elektrolitowej, zwłaszcza przy temperaturze ciała przekraczającej 40°C, co sugeruje ryzyko udaru cieplnego. Szczególną ostrożność należy zachować u osób starszych, dzieci oraz sportowców, dostosowując tempo nawadniania i metody chłodzenia do indywidualnych potrzeb i ryzyka powikłań.

Leczenie wyczerpania cieplnego

Wyczerpanie cieplne (heat exhaustion) to stan, który wymaga szybkiej interwencji, ponieważ nieleczone może prowadzić do udaru cieplnego. Leczenie wyczerpania cieplnego polega na schłodzeniu organizmu, nawodnieniu oraz monitorowaniu objawów w kierunku progresji do udaru cieplnego. Im szybciej rozpocznie się proces chłodzenia organizmu, tym lepsze są rokowania i mniejsze ryzyko powikłań12.

Natychmiastowe postępowanie

Natychmiastowe działania przy wyczerpaniu cieplnym powinny obejmować:

  • Przeniesienie osoby do chłodniejszego miejsca (najlepiej klimatyzowanego pomieszczenia, cienia lub miejsca z cyrkulacją powietrza)34
  • Ułożenie pacjenta w pozycji leżącej z uniesionymi nogami powyżej poziomu serca, co poprawia krążenie56
  • Poluzowanie lub usunięcie zbędnej i ciasnej odzieży78
  • Rozpoczęcie schładzania ciała9
  • Nawadnianie doustne (jeśli pacjent jest przytomny i może przełykać)10

Metody schładzania

Skuteczne schładzanie organizmu można osiągnąć za pomocą następujących metod:

  • Spryskiwanie lub moczenie skóry chłodną wodą i jednoczesne wentylowanie pacjenta (metoda ewaporacyjna)1112
  • Stosowanie chłodnych, mokrych okładów na skórę13
  • Umieszczenie zimnych okładów lub worków z lodem w strategicznych miejscach – pachy, pachwiny, kark (miejsca, gdzie duże naczynia krwionośne przebiegają blisko powierzchni skóry)1415
  • Chłodny prysznic lub kąpiel, jeśli stan pacjenta na to pozwala16
  • W przypadku ciężkiego wyczerpania cieplnego w warunkach szpitalnych może być stosowane zanurzenie w zimnej wodzie jako najbardziej efektywna metoda szybkiego obniżenia temperatury ciała17

Nawadnianie

Odpowiednie nawadnianie jest kluczowym elementem leczenia wyczerpania cieplnego:

  • Powolne podawanie małych ilości chłodnych płynów – wody lub napojów zawierających elektrolity (np. napoje sportowe)1819
  • Zalecane jest spożycie około 1 litra płynów na godzinę20
  • Należy unikać napojów zawierających kofeinę lub alkohol, które mogą nasilić odwodnienie21
  • Jeśli występują nudności lub wymioty uniemożliwiające doustne nawadnianie, może być konieczne dożylne podawanie płynów2223

Dożylne podawanie płynów

W przypadkach, gdy nawadnianie doustne jest niemożliwe lub niewystarczające, wskazane jest podawanie płynów dożylnie:

  • Najczęściej stosuje się 0,9% roztwór soli fizjologicznej24
  • Szybkość i objętość podawania płynów zależą od wieku, chorób współistniejących i odpowiedzi klinicznej pacjenta25
  • Zwykle podaje się 1-2 litry płynu z szybkością około 500 ml/godz26
  • U osób starszych i pacjentów z chorobami serca może być konieczne wolniejsze podawanie płynów27

Monitorowanie stanu pacjenta

Podczas leczenia wyczerpania cieplnego ważne jest dokładne monitorowanie stanu pacjenta:

Kiedy szukać pomocy medycznej

Pomoc medyczna przy wyczerpaniu cieplnym jest konieczna w następujących sytuacjach:

  • Objawy nie ustępują w ciągu 30-60 minut od rozpoczęcia leczenia3233
  • Stan pacjenta pogarsza się (spadek ciśnienia tętniczego, nasilenie nudności i wymiotów, zaburzenia świadomości)34
  • Temperatura ciała przekracza 40°C, co może wskazywać na progresję do udaru cieplnego35
  • Pacjent nie jest w stanie przyjmować płynów doustnie36
  • Występują zaburzenia świadomości, drgawki lub utrata przytomności37
  • Pacjent jest w grupie podwyższonego ryzyka (osoby starsze, z chorobami przewlekłymi, przyjmujące leki wpływające na termoregulację)38

Leczenie w warunkach szpitalnych

W warunkach szpitalnych leczenie wyczerpania cieplnego może obejmować:

  • Dokładniejszy monitoring parametrów życiowych i stanu klinicznego39
  • Dożylne uzupełnianie płynów i elektrolitów40
  • Bardziej zaawansowane metody schładzania organizmu41
  • Wykonanie badań laboratoryjnych (morfologia, elektrolity, parametry nerkowe i wątrobowe, badanie moczu)42
  • W ciężkich przypadkach, gdy istnieje podejrzenie progresji do udaru cieplnego – bardziej intensywne metody chłodzenia, takie jak zanurzenie w zimnej wodzie, specjalne koce chłodzące4344

Farmakoterapia

W leczeniu wyczerpania cieplnego stosuje się przede wszystkim metody fizyczne schładzania i nawadniania, ale w niektórych przypadkach może być konieczne zastosowanie leków:

  • Benzodiazepiny (np. diazepam) mogą być stosowane w celu zapobiegania dreszczom podczas intensywnego schładzania, ponieważ drżenia mięśniowe zwiększają produkcję ciepła4546
  • Leki przeciwbólowe i przeciwzapalne, takie jak ibuprofen, mogą być stosowane w leczeniu bólu mięśni i kurczów47
  • W przypadku ciężkiego wyczerpania cieplnego z zaburzeniami elektrolitowymi może być konieczne podawanie preparatów uzupełniających elektrolity48
  • Nie zaleca się stosowania leków przeciwgorączkowych (np. paracetamolu), ponieważ mechanizm hipertermii w wyczerpaniu cieplnym jest inny niż w gorączce49

Specjalne grupy pacjentów

Sportowcy

U sportowców z wyczerpaniem cieplnym należy zwrócić szczególną uwagę na:

  • Agresywne nawadnianie z uzupełnieniem elektrolitów50
  • Stopniowy powrót do aktywności fizycznej (zalecana przerwa minimum 24-48 godzin)5152
  • Monitoring stężenia sodu we krwi, aby uniknąć hiponatremii przy zbyt intensywnym nawadnianiu53
  • W celu pełnego uzupełnienia płynów, sportowcy powinni spożyć około 20 uncji (około 600 ml) płynu na każdy funt (około 450 g) masy ciała utraconej podczas aktywności54

Osoby starsze

U osób starszych leczenie wyczerpania cieplnego wymaga szczególnej ostrożności:

  • Wolniejsze tempo nawadniania, aby uniknąć przeciążenia układu krążenia55
  • Dokładniejsze monitorowanie parametrów życiowych i stanu świadomości56
  • Unikanie zanurzania w bardzo zimnej wodzie, które może być źle tolerowane57
  • Uwzględnienie przyjmowanych leków, które mogą wpływać na termoregulację i odpowiedź na leczenie58

Dzieci

Leczenie wyczerpania cieplnego u dzieci obejmuje:

  • Przeniesienie do chłodnego miejsca i rozluźnienie odzieży59
  • Nawadnianie dostosowane do wieku i masy ciała dziecka60
  • Chłodzenie poprzez aplikację chłodnych okładów61
  • Monitorowanie stanu świadomości i podstawowych parametrów życiowych62
  • W przypadku wymiotów lub niemożności przyjmowania płynów doustnie – dożylne nawadnianie63

Rekonwalescencja i powrót do aktywności

Po wyczerpaniu cieplnym organizm wymaga czasu na pełną regenerację:

  • Przez około tydzień po epizodzie wyczerpania cieplnego zwiększona jest wrażliwość na wysokie temperatury6465
  • Zaleca się unikanie wysiłku fizycznego i ekspozycji na wysokie temperatury do czasu uzyskania zgody lekarza na powrót do normalnej aktywności66
  • Powrót do aktywności powinien być stopniowy, z powolnym zwiększaniem intensywności wysiłku i czasu ekspozycji na ciepło67
  • Szczególnie u sportowców powrót do treningów powinien odbywać się pod nadzorem profesjonalisty medycznego68
  • Objawy wyczerpania cieplnego zwykle ustępują całkowicie w ciągu 24-48 godzin przy odpowiednim leczeniu69

Profilaktyka nawrotów

Aby zapobiec nawrotom wyczerpania cieplnego, zaleca się:

  • Odpowiednie nawadnianie przed, w trakcie i po wysiłku fizycznym lub ekspozycji na wysokie temperatury70
  • Noszenie lekkiej, przewiewnej odzieży podczas upałów71
  • Stopniową aklimatyzację do wysokich temperatur72
  • Planowanie aktywności fizycznej w chłodniejszych porach dnia73
  • Regularne spożywanie napojów zawierających elektrolity podczas długotrwałego wysiłku w wysokiej temperaturze74
  • Unikanie alkoholu i kofeiny, które mogą zwiększać ryzyko odwodnienia75

Podsumowanie leczenia wyczerpania cieplnego

Skuteczne leczenie wyczerpania cieplnego wymaga szybkiego działania i obejmuje kilka kluczowych elementów:

  1. Natychmiastowe przeniesienie do chłodnego otoczenia76
  2. Schładzanie organizmu przy użyciu dostępnych metod77
  3. Odpowiednie nawadnianie (doustne lub dożylne, w zależności od stanu pacjenta)78
  4. Monitorowanie stanu pacjenta pod kątem progresji do udaru cieplnego79
  5. Szukanie pomocy medycznej, jeśli objawy nie ustępują lub się nasilają80

Odpowiednio szybkie i właściwe postępowanie zwykle prowadzi do pełnego powrotu do zdrowia w ciągu 24-48 godzin81. Ważna jest również edukacja pacjenta na temat zwiększonej wrażliwości na wysokie temperatury po epizodzie wyczerpania cieplnego oraz metod zapobiegania nawrotom82.

Kolejne rozdziały

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

  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Heat Exhaustion: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21480-heat-exhaustion
    Heat exhaustion treatment involves cooling your body, hydrating and monitoring for signs of heat stroke. […] Treatment often begins on-site, wherever heat exhaustion happens this is because the faster you cool your body down, the better your chances of preventing a progression to heat stroke. […] If you have signs or symptoms of heat exhaustion, do these things right away: Call for medical help. Move to a cooler or shaded area. Loosen or remove excess clothes. Lie down with your legs elevated. Use any available means to cool your body like fanning yourself or soaking towels in ice water and applying them to your skin. Slowly sip water or other fluids. But do NOT drink anything if you suspect you might have heat stroke. Wait until help arrives. People with heat stroke are at risk of inhaling fluids (aspiration), which can be dangerous.
  • #2 Heat exhaustion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/diagnosis-treatment/drc-20373253
    In most cases, you can treat heat exhaustion yourself by doing the following: […] If you don’t begin to feel better within one hour of using these treatment measures, seek prompt medical attention. […] To cool your body to a normal temperature, your health care team may use these heatstroke treatment techniques: […] Immerse you in cold water. A bath of cold or ice water has proven to be the most effective way of quickly lowering the core body temperature. The quicker you can receive cold water immersion, the less risk of organ damage and death. […] Use evaporation cooling techniques. If cold water immersion is not an option, health care professionals may try to lower your body temperature using an evaporation method. Cool water is misted on your body while warm air is fanned over you. This causes the water to evaporate and cool your skin.
  • #3 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #4 Heat exhaustion and heatstroke
    https://www.nhs.uk/conditions/heat-exhaustion-heatstroke/
    Heat exhaustion does not usually need emergency medical help if you can cool down within 30 minutes. If someone is showing signs of heat exhaustion they need to be cooled down and given fluids. […] If someone has heat exhaustion, follow these 4 steps: Move them to a cool place. Remove all unnecessary clothing like a jacket or socks. Get them to drink a sports or rehydration drink, or cool water. Cool their skin spray or sponge them with cool water and fan them. Cold packs, wrapped in a cloth and put under the armpits or on the neck are good too. Stay with them until they’re better. They should start to cool down and feel better within 30 minutes. […] You can call 111 or get help from 111 online. […] The person you speak to at 999 will give you advice about what to do.
  • #5 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #6 Heat exhaustion: First aid
    https://www.mayoclinic.org/first-aid/first-aid-heat-exhaustion/basics/art-20056651
    Heat exhaustion can happen when the body loses too much water or salt usually because of heavy sweating or dehydration. […] If you suspect heat exhaustion, take these steps immediately: Move the person out of the heat and into a shady or air-conditioned place. Lay the person down and raise the legs and feet slightly. Remove tight or heavy clothing. Have the person sip chilled water, a sports drink containing electrolytes or another nonalcoholic beverage without caffeine. Cool the person by spraying or sponging with cool water and fanning. Monitor the person carefully. […] Contact a healthcare professional if symptoms get worse or if the person doesn’t improve after taking first-aid measures.
  • #7 Heat exhaustion and heatstroke
    https://www.nhs.uk/conditions/heat-exhaustion-heatstroke/
    Heat exhaustion does not usually need emergency medical help if you can cool down within 30 minutes. If someone is showing signs of heat exhaustion they need to be cooled down and given fluids. […] If someone has heat exhaustion, follow these 4 steps: Move them to a cool place. Remove all unnecessary clothing like a jacket or socks. Get them to drink a sports or rehydration drink, or cool water. Cool their skin spray or sponge them with cool water and fan them. Cold packs, wrapped in a cloth and put under the armpits or on the neck are good too. Stay with them until they’re better. They should start to cool down and feel better within 30 minutes. […] You can call 111 or get help from 111 online. […] The person you speak to at 999 will give you advice about what to do.
  • #8 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #9 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #10 Heat exhaustion and heatstroke
    https://www.nhs.uk/conditions/heat-exhaustion-heatstroke/
    Heat exhaustion does not usually need emergency medical help if you can cool down within 30 minutes. If someone is showing signs of heat exhaustion they need to be cooled down and given fluids. […] If someone has heat exhaustion, follow these 4 steps: Move them to a cool place. Remove all unnecessary clothing like a jacket or socks. Get them to drink a sports or rehydration drink, or cool water. Cool their skin spray or sponge them with cool water and fan them. Cold packs, wrapped in a cloth and put under the armpits or on the neck are good too. Stay with them until they’re better. They should start to cool down and feel better within 30 minutes. […] You can call 111 or get help from 111 online. […] The person you speak to at 999 will give you advice about what to do.
  • #11 Heat exhaustion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/diagnosis-treatment/drc-20373253
    In most cases, you can treat heat exhaustion yourself by doing the following: […] If you don’t begin to feel better within one hour of using these treatment measures, seek prompt medical attention. […] To cool your body to a normal temperature, your health care team may use these heatstroke treatment techniques: […] Immerse you in cold water. A bath of cold or ice water has proven to be the most effective way of quickly lowering the core body temperature. The quicker you can receive cold water immersion, the less risk of organ damage and death. […] Use evaporation cooling techniques. If cold water immersion is not an option, health care professionals may try to lower your body temperature using an evaporation method. Cool water is misted on your body while warm air is fanned over you. This causes the water to evaporate and cool your skin.
  • #12 Heat Exhaustion: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21480-heat-exhaustion
    Heat exhaustion treatment involves cooling your body, hydrating and monitoring for signs of heat stroke. […] Treatment often begins on-site, wherever heat exhaustion happens this is because the faster you cool your body down, the better your chances of preventing a progression to heat stroke. […] If you have signs or symptoms of heat exhaustion, do these things right away: Call for medical help. Move to a cooler or shaded area. Loosen or remove excess clothes. Lie down with your legs elevated. Use any available means to cool your body like fanning yourself or soaking towels in ice water and applying them to your skin. Slowly sip water or other fluids. But do NOT drink anything if you suspect you might have heat stroke. Wait until help arrives. People with heat stroke are at risk of inhaling fluids (aspiration), which can be dangerous.
  • #13 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #14 Heat exhaustion and heatstroke
    https://www.nhs.uk/conditions/heat-exhaustion-heatstroke/
    Heat exhaustion does not usually need emergency medical help if you can cool down within 30 minutes. If someone is showing signs of heat exhaustion they need to be cooled down and given fluids. […] If someone has heat exhaustion, follow these 4 steps: Move them to a cool place. Remove all unnecessary clothing like a jacket or socks. Get them to drink a sports or rehydration drink, or cool water. Cool their skin spray or sponge them with cool water and fan them. Cold packs, wrapped in a cloth and put under the armpits or on the neck are good too. Stay with them until they’re better. They should start to cool down and feel better within 30 minutes. […] You can call 111 or get help from 111 online. […] The person you speak to at 999 will give you advice about what to do.
  • #15 Heat exhaustion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/diagnosis-treatment/drc-20373253
    Pack you with ice and cooling blankets. Another method to lower your temperature is to wrap you in a special cooling blanket and apply ice packs to your groin, neck, back and armpits. […] Give you medications to stop your shivering. If treatments to lower your body temperature make you shiver, your doctor may give you a muscle relaxant, such as a benzodiazepine. Shivering increases your body temperature, making treatment less effective.
  • #16 Heat Exhaustion Signs and Treatment
    https://www.webmd.com/fitness-exercise/heat-exhaustion
    If you have symptoms of heat exhaustion, it’s essential to immediately get out of the heat and rest, ideally in an air-conditioned room. If you can’t get inside, try to find the nearest cool and shady place. […] You should also: […] Drink water or sports drinks (avoid caffeine and alcohol) — taking small sips rather than big guzzles over about an hour […] Remove any tight or unnecessary clothing […] Take a cool shower, bath, or sponge bath […] Apply other cooling measures such as fans or ice towels. […] If you don’t feel better within an hour, seek medical help, because untreated heat exhaustion can progress to heat stroke. If your temperature rises or your symptoms get worse, don’t wait call 911 or go to an emergency room. […] If you are showing signs of heat stroke, you may be put in an ice bath or cooling blanket or, if those aren’t available, misted with cool water. You might also get medication to help you stop shivering.
  • #17 Heat exhaustion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/diagnosis-treatment/drc-20373253
    In most cases, you can treat heat exhaustion yourself by doing the following: […] If you don’t begin to feel better within one hour of using these treatment measures, seek prompt medical attention. […] To cool your body to a normal temperature, your health care team may use these heatstroke treatment techniques: […] Immerse you in cold water. A bath of cold or ice water has proven to be the most effective way of quickly lowering the core body temperature. The quicker you can receive cold water immersion, the less risk of organ damage and death. […] Use evaporation cooling techniques. If cold water immersion is not an option, health care professionals may try to lower your body temperature using an evaporation method. Cool water is misted on your body while warm air is fanned over you. This causes the water to evaporate and cool your skin.
  • #18 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #19 Heat exhaustion and heatstroke
    https://www.nhs.uk/conditions/heat-exhaustion-heatstroke/
    Heat exhaustion does not usually need emergency medical help if you can cool down within 30 minutes. If someone is showing signs of heat exhaustion they need to be cooled down and given fluids. […] If someone has heat exhaustion, follow these 4 steps: Move them to a cool place. Remove all unnecessary clothing like a jacket or socks. Get them to drink a sports or rehydration drink, or cool water. Cool their skin spray or sponge them with cool water and fan them. Cold packs, wrapped in a cloth and put under the armpits or on the neck are good too. Stay with them until they’re better. They should start to cool down and feel better within 30 minutes. […] You can call 111 or get help from 111 online. […] The person you speak to at 999 will give you advice about what to do.
  • #20 Heat Exhaustion – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/heat-illness/heat-exhaustion
    Treatment of heat exhaustion involves stopping all exertion and removing patients to a cool environment, having them lie flat, and attempting oral rehydration with a solution of 0.1% sodium chloride. Patients should drink about 1 L/hour. If vomiting or nausea prevents oral rehydration, IV fluid and electrolyte replacement therapy, typically using 0.9% saline solution, is indicated. […] Also, if symptoms do not resolve after 30 to 60 minutes of oral rehydration, patients should be transported to an emergency department, where rehydration is usually done IV. Rate and volume of IV rehydration are guided by age, underlying disorders, and clinical response. Replacement of 1 to 2 L at 500 mL/hour is often adequate. Older patients and patients with heart disorders may require lower rates. […] External cooling measures are usually not required. However, if patients with heat exhaustion have a core temperature of 40 C, measures may be taken to reduce it. […] Have patients rest in a cool environment and try oral rehydration, transporting patients to an emergency department if these measures are unsuccessful.
  • #21 Heat Exhaustion Signs and Treatment
    https://www.webmd.com/fitness-exercise/heat-exhaustion
    If you have symptoms of heat exhaustion, it’s essential to immediately get out of the heat and rest, ideally in an air-conditioned room. If you can’t get inside, try to find the nearest cool and shady place. […] You should also: […] Drink water or sports drinks (avoid caffeine and alcohol) — taking small sips rather than big guzzles over about an hour […] Remove any tight or unnecessary clothing […] Take a cool shower, bath, or sponge bath […] Apply other cooling measures such as fans or ice towels. […] If you don’t feel better within an hour, seek medical help, because untreated heat exhaustion can progress to heat stroke. If your temperature rises or your symptoms get worse, don’t wait call 911 or go to an emergency room. […] If you are showing signs of heat stroke, you may be put in an ice bath or cooling blanket or, if those aren’t available, misted with cool water. You might also get medication to help you stop shivering.
  • #22 Heat Exhaustion – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/heat-illness/heat-exhaustion
    Treatment of heat exhaustion involves stopping all exertion and removing patients to a cool environment, having them lie flat, and attempting oral rehydration with a solution of 0.1% sodium chloride. Patients should drink about 1 L/hour. If vomiting or nausea prevents oral rehydration, IV fluid and electrolyte replacement therapy, typically using 0.9% saline solution, is indicated. […] Also, if symptoms do not resolve after 30 to 60 minutes of oral rehydration, patients should be transported to an emergency department, where rehydration is usually done IV. Rate and volume of IV rehydration are guided by age, underlying disorders, and clinical response. Replacement of 1 to 2 L at 500 mL/hour is often adequate. Older patients and patients with heart disorders may require lower rates. […] External cooling measures are usually not required. However, if patients with heat exhaustion have a core temperature of 40 C, measures may be taken to reduce it. […] Have patients rest in a cool environment and try oral rehydration, transporting patients to an emergency department if these measures are unsuccessful.
  • #23 Heat Exhaustion: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21480-heat-exhaustion
    Heat exhaustion treatment involves cooling your body, hydrating and monitoring for signs of heat stroke. […] Treatment often begins on-site, wherever heat exhaustion happens this is because the faster you cool your body down, the better your chances of preventing a progression to heat stroke. […] If you have signs or symptoms of heat exhaustion, do these things right away: Call for medical help. Move to a cooler or shaded area. Loosen or remove excess clothes. Lie down with your legs elevated. Use any available means to cool your body like fanning yourself or soaking towels in ice water and applying them to your skin. Slowly sip water or other fluids. But do NOT drink anything if you suspect you might have heat stroke. Wait until help arrives. People with heat stroke are at risk of inhaling fluids (aspiration), which can be dangerous.
  • #24 Heat Exhaustion – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/heat-illness/heat-exhaustion
    Treatment of heat exhaustion involves stopping all exertion and removing patients to a cool environment, having them lie flat, and attempting oral rehydration with a solution of 0.1% sodium chloride. Patients should drink about 1 L/hour. If vomiting or nausea prevents oral rehydration, IV fluid and electrolyte replacement therapy, typically using 0.9% saline solution, is indicated. […] Also, if symptoms do not resolve after 30 to 60 minutes of oral rehydration, patients should be transported to an emergency department, where rehydration is usually done IV. Rate and volume of IV rehydration are guided by age, underlying disorders, and clinical response. Replacement of 1 to 2 L at 500 mL/hour is often adequate. Older patients and patients with heart disorders may require lower rates. […] External cooling measures are usually not required. However, if patients with heat exhaustion have a core temperature of 40 C, measures may be taken to reduce it. […] Have patients rest in a cool environment and try oral rehydration, transporting patients to an emergency department if these measures are unsuccessful.
  • #25 Heat Exhaustion – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/heat-illness/heat-exhaustion
    Treatment of heat exhaustion involves stopping all exertion and removing patients to a cool environment, having them lie flat, and attempting oral rehydration with a solution of 0.1% sodium chloride. Patients should drink about 1 L/hour. If vomiting or nausea prevents oral rehydration, IV fluid and electrolyte replacement therapy, typically using 0.9% saline solution, is indicated. […] Also, if symptoms do not resolve after 30 to 60 minutes of oral rehydration, patients should be transported to an emergency department, where rehydration is usually done IV. Rate and volume of IV rehydration are guided by age, underlying disorders, and clinical response. Replacement of 1 to 2 L at 500 mL/hour is often adequate. Older patients and patients with heart disorders may require lower rates. […] External cooling measures are usually not required. However, if patients with heat exhaustion have a core temperature of 40 C, measures may be taken to reduce it. […] Have patients rest in a cool environment and try oral rehydration, transporting patients to an emergency department if these measures are unsuccessful.
  • #26 Heat Exhaustion – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/heat-illness/heat-exhaustion
    Treatment of heat exhaustion involves stopping all exertion and removing patients to a cool environment, having them lie flat, and attempting oral rehydration with a solution of 0.1% sodium chloride. Patients should drink about 1 L/hour. If vomiting or nausea prevents oral rehydration, IV fluid and electrolyte replacement therapy, typically using 0.9% saline solution, is indicated. […] Also, if symptoms do not resolve after 30 to 60 minutes of oral rehydration, patients should be transported to an emergency department, where rehydration is usually done IV. Rate and volume of IV rehydration are guided by age, underlying disorders, and clinical response. Replacement of 1 to 2 L at 500 mL/hour is often adequate. Older patients and patients with heart disorders may require lower rates. […] External cooling measures are usually not required. However, if patients with heat exhaustion have a core temperature of 40 C, measures may be taken to reduce it. […] Have patients rest in a cool environment and try oral rehydration, transporting patients to an emergency department if these measures are unsuccessful.
  • #27 Heat Exhaustion – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/heat-illness/heat-exhaustion
    Treatment of heat exhaustion involves stopping all exertion and removing patients to a cool environment, having them lie flat, and attempting oral rehydration with a solution of 0.1% sodium chloride. Patients should drink about 1 L/hour. If vomiting or nausea prevents oral rehydration, IV fluid and electrolyte replacement therapy, typically using 0.9% saline solution, is indicated. […] Also, if symptoms do not resolve after 30 to 60 minutes of oral rehydration, patients should be transported to an emergency department, where rehydration is usually done IV. Rate and volume of IV rehydration are guided by age, underlying disorders, and clinical response. Replacement of 1 to 2 L at 500 mL/hour is often adequate. Older patients and patients with heart disorders may require lower rates. […] External cooling measures are usually not required. However, if patients with heat exhaustion have a core temperature of 40 C, measures may be taken to reduce it. […] Have patients rest in a cool environment and try oral rehydration, transporting patients to an emergency department if these measures are unsuccessful.
  • #28 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #29 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #30 Management of Heatstroke and Heat Exhaustion | AAFP
    https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html
    Heat exhaustion is characterized by nonspecific symptoms such as malaise, headache, and nausea. Treatment involves monitoring the patient in a cool, shady environment and ensuring adequate hydration. […] Prompt recognition and immediate cooling through evaporation or full-body ice-water immersion are crucial. […] The initial treatment of patients with heat exhaustion involves stabilization in a cool area. Unless the factors leading to heat exhaustion are corrected swiftly, affected patients can progress to heatstroke. Evaporative cooling may be initiated by wetting the skin. Electrolyte status and core temperature should be monitored. […] Symptoms of heat exhaustion often resolve within two to three hours. Slower recovery should initiate transfer to a medical facility and a careful search for missed diagnoses.
  • #31 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    11. If condition does not improve, or if person unable to take fluids or has a change in level of responsiveness or vomits, call 9-1-1 and then give care: […] – Stop giving fluids; place in the recovery position. […] – Keep them lying down; continue steps to lower body temperature. […] – Monitor for signs and symptoms of heat stroke, breathing problems or shock; give care as appropriate. […] 12. Have them wait several hours after no more symptoms before resuming activity.
  • #32 Heat exhaustion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/diagnosis-treatment/drc-20373253
    In most cases, you can treat heat exhaustion yourself by doing the following: […] If you don’t begin to feel better within one hour of using these treatment measures, seek prompt medical attention. […] To cool your body to a normal temperature, your health care team may use these heatstroke treatment techniques: […] Immerse you in cold water. A bath of cold or ice water has proven to be the most effective way of quickly lowering the core body temperature. The quicker you can receive cold water immersion, the less risk of organ damage and death. […] Use evaporation cooling techniques. If cold water immersion is not an option, health care professionals may try to lower your body temperature using an evaporation method. Cool water is misted on your body while warm air is fanned over you. This causes the water to evaporate and cool your skin.
  • #33 Heat Exhaustion Signs and Treatment
    https://www.webmd.com/fitness-exercise/heat-exhaustion
    If you have symptoms of heat exhaustion, it’s essential to immediately get out of the heat and rest, ideally in an air-conditioned room. If you can’t get inside, try to find the nearest cool and shady place. […] You should also: […] Drink water or sports drinks (avoid caffeine and alcohol) — taking small sips rather than big guzzles over about an hour […] Remove any tight or unnecessary clothing […] Take a cool shower, bath, or sponge bath […] Apply other cooling measures such as fans or ice towels. […] If you don’t feel better within an hour, seek medical help, because untreated heat exhaustion can progress to heat stroke. If your temperature rises or your symptoms get worse, don’t wait call 911 or go to an emergency room. […] If you are showing signs of heat stroke, you may be put in an ice bath or cooling blanket or, if those aren’t available, misted with cool water. You might also get medication to help you stop shivering.
  • #34 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    11. If condition does not improve, or if person unable to take fluids or has a change in level of responsiveness or vomits, call 9-1-1 and then give care: […] – Stop giving fluids; place in the recovery position. […] – Keep them lying down; continue steps to lower body temperature. […] – Monitor for signs and symptoms of heat stroke, breathing problems or shock; give care as appropriate. […] 12. Have them wait several hours after no more symptoms before resuming activity.
  • #35 Heat Injury and Heat Exhaustion – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/heat-injury-and-heat-exhaustion/
    Heat exhaustion is brought on by heavy sweating and results in extreme weight loss. As heat exhaustion sets in, perspiration decreases, and skin and body temperatures rise. Core body temperature typically rises to 104 F. […] Common signs of heat exhaustion due to salt depletion are nausea and vomiting, frequent muscle cramps, and dizziness. Core body temperature is typically up to 104 F. […] Electrolyte fluid drinks are an effective way to prevent this type of heat exhaustion. […] Move the person to a cool, shaded area. […] Give fluids, if the athlete is conscious. […] Apply active cooling measures, such as a fan or ice towels, if the athlete’s core temperature is elevated. […] Refer to a physician to assess the needs of fluid/electrolyte replacement and further medical attention, especially if the athlete is nauseated and/or vomiting.
  • #36 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    11. If condition does not improve, or if person unable to take fluids or has a change in level of responsiveness or vomits, call 9-1-1 and then give care: […] – Stop giving fluids; place in the recovery position. […] – Keep them lying down; continue steps to lower body temperature. […] – Monitor for signs and symptoms of heat stroke, breathing problems or shock; give care as appropriate. […] 12. Have them wait several hours after no more symptoms before resuming activity.
  • #37 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    11. If condition does not improve, or if person unable to take fluids or has a change in level of responsiveness or vomits, call 9-1-1 and then give care: […] – Stop giving fluids; place in the recovery position. […] – Keep them lying down; continue steps to lower body temperature. […] – Monitor for signs and symptoms of heat stroke, breathing problems or shock; give care as appropriate. […] 12. Have them wait several hours after no more symptoms before resuming activity.
  • #38 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
    There is no specific pharmacologic treatment for EHS. […] We suggest the following treatment for heat exhaustion: Remove any athlete from play and move them to a shaded or air-conditioned area. […] We suggest the following treatment measures for suspected heat, or exercise-associated, muscle cramps: Hydrate the athlete and replace sodium losses with a sports drink or other source of salt. […] For patients suspected to have heat injury, we recommend immediate rapid cooling using any of the methods used for EHS. […] If there is any suspicion of EHS, in other words, any suggestion of neurologic abnormality, clinicians should assume that EHS is present and appropriate steps, including rapid cooling, should be initiated as soon as possible. […] The recommendations of the American College of Sports Medicine (ACSM) for returning an athlete to training and competition following an episode of EHS represent one reasonable approach.
  • #39 Heat exhaustion Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/heat-exhaustion
    If you have symptoms of heat exhaustion, you should see a doctor immediately. The doctor will perform a physical examination, check your blood pressure, pulse, and temperature, and assess how dehydrated you are. The doctor may also request lab tests of blood and urine samples. […] The primary treatment for heat exhaustion is to rest in a shady spot or, better, an air-conditioned room, and to drink cool (not icy) fluids. You can lower core body temperature by immersing yourself in cold water or spraying yourself with cold water and fanning. Water is usually enough to reverse dehydration, but you can also drink a sports drink that contains electrolytes. […] Your health care provider may recommend an oral or intravenous saline electrolyte solution. […] Providers may recommend drinking fluids that contain electrolytes. Endurance athletes may want to take mineral supplements, including calcium, magnesium, and potassium.
  • #40 Heat exhaustion Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/heat-exhaustion
    If you have symptoms of heat exhaustion, you should see a doctor immediately. The doctor will perform a physical examination, check your blood pressure, pulse, and temperature, and assess how dehydrated you are. The doctor may also request lab tests of blood and urine samples. […] The primary treatment for heat exhaustion is to rest in a shady spot or, better, an air-conditioned room, and to drink cool (not icy) fluids. You can lower core body temperature by immersing yourself in cold water or spraying yourself with cold water and fanning. Water is usually enough to reverse dehydration, but you can also drink a sports drink that contains electrolytes. […] Your health care provider may recommend an oral or intravenous saline electrolyte solution. […] Providers may recommend drinking fluids that contain electrolytes. Endurance athletes may want to take mineral supplements, including calcium, magnesium, and potassium.
  • #41 Heat Exhaustion: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21480-heat-exhaustion
    When emergency services personnel arrive, theyll immediately look for any signs of heat stroke. They may do things to cool you down, like fanning you after misting your skin with cool water. They may take you to a hospital so you can receive IV fluids or faster methods of cooling. […] If your heat exhaustion progresses to heat stroke, youll need to stay a couple nights or longer at the hospital. Providers will give you further treatment and monitor your condition.
  • #42 Heat exhaustion Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/heat-exhaustion
    If you have symptoms of heat exhaustion, you should see a doctor immediately. The doctor will perform a physical examination, check your blood pressure, pulse, and temperature, and assess how dehydrated you are. The doctor may also request lab tests of blood and urine samples. […] The primary treatment for heat exhaustion is to rest in a shady spot or, better, an air-conditioned room, and to drink cool (not icy) fluids. You can lower core body temperature by immersing yourself in cold water or spraying yourself with cold water and fanning. Water is usually enough to reverse dehydration, but you can also drink a sports drink that contains electrolytes. […] Your health care provider may recommend an oral or intravenous saline electrolyte solution. […] Providers may recommend drinking fluids that contain electrolytes. Endurance athletes may want to take mineral supplements, including calcium, magnesium, and potassium.
  • #43 Heat exhaustion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/diagnosis-treatment/drc-20373253
    In most cases, you can treat heat exhaustion yourself by doing the following: […] If you don’t begin to feel better within one hour of using these treatment measures, seek prompt medical attention. […] To cool your body to a normal temperature, your health care team may use these heatstroke treatment techniques: […] Immerse you in cold water. A bath of cold or ice water has proven to be the most effective way of quickly lowering the core body temperature. The quicker you can receive cold water immersion, the less risk of organ damage and death. […] Use evaporation cooling techniques. If cold water immersion is not an option, health care professionals may try to lower your body temperature using an evaporation method. Cool water is misted on your body while warm air is fanned over you. This causes the water to evaporate and cool your skin.
  • #44 Heat exhaustion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/diagnosis-treatment/drc-20373253
    Pack you with ice and cooling blankets. Another method to lower your temperature is to wrap you in a special cooling blanket and apply ice packs to your groin, neck, back and armpits. […] Give you medications to stop your shivering. If treatments to lower your body temperature make you shiver, your doctor may give you a muscle relaxant, such as a benzodiazepine. Shivering increases your body temperature, making treatment less effective.
  • #45 Heat exhaustion – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/diagnosis-treatment/drc-20373253
    Pack you with ice and cooling blankets. Another method to lower your temperature is to wrap you in a special cooling blanket and apply ice packs to your groin, neck, back and armpits. […] Give you medications to stop your shivering. If treatments to lower your body temperature make you shiver, your doctor may give you a muscle relaxant, such as a benzodiazepine. Shivering increases your body temperature, making treatment less effective.
  • #46 Management of Heatstroke and Heat Exhaustion | AAFP
    https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000
    Prompt reversal of hyperthermia is the cornerstone of heatstroke treatment. Patients who present with suspected heatstroke in a community environment should be stabilized in a cool, shady area and transferred to a care facility as soon as heatstroke becomes primary in the differential diagnosis. Immediate initiation of rapid and effective cooling is crucial in a patient with heatstroke. […] Cooling methods generally are categorized as external or internal. External methods include evaporative and immersion cooling, with evaporative methods being most commonly used in the field. […] Internal cooling methods are more effective in rapidly decreasing temperature. Gastric, bladder, and rectal cold-water lavage can be accomplished with minimal invasion. […] Medications have shown little efficacy in treating heatstroke. Muscle relaxants such as benzodiazepines and neuroleptic agents such as chlorpromazine (Thorazine) have been used to inhibit shivering and as prophylaxis against seizures, but clinical trials are lacking.
  • #47 Heat Exhaustion Symptoms, Treatment, Recovery
    https://www.medicinenet.com/heat_exhaustion/article.htm
    If oral rehydration fails or if symptoms persist, intravenous fluids may be required to replace the water loss because of excessive sweating. Hydration continues until the patient begins to urinate, a signal that the kidneys have sensed that there is enough fluid in the body, and it no longer retains fluid. […] Muscle cramps and pain may be treated with over-the-counter medications like ibuprofen (Advil, Motrin, Nuprin, etc.) and acetaminophen (Tylenol and others).
  • #48 Heat exhaustion Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/heat-exhaustion
    If you have symptoms of heat exhaustion, you should see a doctor immediately. The doctor will perform a physical examination, check your blood pressure, pulse, and temperature, and assess how dehydrated you are. The doctor may also request lab tests of blood and urine samples. […] The primary treatment for heat exhaustion is to rest in a shady spot or, better, an air-conditioned room, and to drink cool (not icy) fluids. You can lower core body temperature by immersing yourself in cold water or spraying yourself with cold water and fanning. Water is usually enough to reverse dehydration, but you can also drink a sports drink that contains electrolytes. […] Your health care provider may recommend an oral or intravenous saline electrolyte solution. […] Providers may recommend drinking fluids that contain electrolytes. Endurance athletes may want to take mineral supplements, including calcium, magnesium, and potassium.
  • #49 Heat Stroke: Symptoms, Treatment & Recovery
    https://my.clevelandclinic.org/health/diseases/21812-heatstroke
    Heat stroke treatment involves quickly cooling down your body and monitoring for complications. This requires care in an emergency room. […] Call 911 immediately if you (or someone you’re with) has signs of heat stroke. But don’t wait for help to arrive to begin treating heat stroke. The sooner your body starts cooling down ideally within 30 minutes of the start of symptoms the better your chances of recovery. […] Heat stroke first aid involves moving the person out of the sun or heat to a cooler spot, pouring water over their skin and using anything available to fan them, soaking a towel in ice water and applying it to their skin, and applying ice or cold packs to their armpits or neck. […] It’s just as important to know what NOT to do. Don’t give the person fever-reducing medication, like acetaminophen. These medications don’t help heat stroke, which happens for different reasons than a fever. They may also worsen complications like organ damage.
  • #50 Heat Injury and Heat Exhaustion – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/heat-injury-and-heat-exhaustion/
    Heat exhaustion is brought on by heavy sweating and results in extreme weight loss. As heat exhaustion sets in, perspiration decreases, and skin and body temperatures rise. Core body temperature typically rises to 104 F. […] Common signs of heat exhaustion due to salt depletion are nausea and vomiting, frequent muscle cramps, and dizziness. Core body temperature is typically up to 104 F. […] Electrolyte fluid drinks are an effective way to prevent this type of heat exhaustion. […] Move the person to a cool, shaded area. […] Give fluids, if the athlete is conscious. […] Apply active cooling measures, such as a fan or ice towels, if the athlete’s core temperature is elevated. […] Refer to a physician to assess the needs of fluid/electrolyte replacement and further medical attention, especially if the athlete is nauseated and/or vomiting.
  • #51 How To Recover From Heat Exhaustion | Franciscan Health
    https://www.franciscanhealth.org/community/blog/recovering-heat-illness-athletes
    It is recommended that athletes with exercise-associated muscle (heat) cramps, heat syncope or heat exhaustion wait to return to play until after 24 hours of rest. […] The athlete may begin a progression of physical activity, supervised by the athletic trainer or other medical professional with knowledge of exertional heat stroke treatment and care, from low intensity to high intensity and increasing duration in a temperate environment.
  • #52 Heat Exhaustion | Korey Stringer Institute
    https://koreystringer.institute.uconn.edu/heat-exhaustion/
    Heat exhaustion is the most common heat-related condition observed in active populations ranging from athletes to recreational hikers. […] To treat heat exhaustion: Move the individual to a cool/shaded area and remove excess clothing. Elevate legs to promote venous return. Cool the individual with fans, rotating ice towels, or ice bags. Provide oral fluids for rehydration. […] Returning to activity the same day of an episode is not prudent or advised. Individuals should wait at least 24-48 hrs before returning to activity and should gradually increase intensity and volume of exercise, and clothing and equipment. Medical clearance is recommended to rule out other conditions.
  • #53 Expert consensus on standardized diagnosis and treatment for heat stroke | Military Medical Research | Full Text
    https://mmrjournal.biomedcentral.com/articles/10.1186/s40779-015-0056-z
    Heat exhaustion refers to a group of clinical syndromes that are characterized by hypovolemia after heat stress. Under severe heat stress conditions, too much bodily fluid and sodium in the body are lost. An electrolyte imbalance occurs although no apparent damage to the central nervous system is presented. […] Treatment Principle: Rapid cooling and intravenous infusion are required when there is a severe reduction in blood volume or an electrolyte imbalance. If the blood pressure fluctuates with body position, then the patient should continue to be replenished with saline until hemodynamics are stabilized. The rest of the fluid loss can be supplemented slowly over a period of 48 h. Correction of hypernatremia that occurs too quickly can cause cerebral edema, leading to impaired awareness or epileptic seizures.
  • #54 How To Recover From Heat Exhaustion | Franciscan Health
    https://www.franciscanhealth.org/community/blog/recovering-heat-illness-athletes
    Many athletes and exercise enthusiasts forget how critical it is to be aware of how extreme heat during exercise can affect your body. […] The following tips should be used for athletes recovering from a heat exhaustion, heat stroke or illness and/or heat injury. […] To restore proper level of hydration, 20 oz. of fluid should be consumed for every pound (16 oz.) of fluid lost during activity. Appropriate fluids include water and sports drinks designed to restore electrolyte balance within the body. […] Rest in air conditioning or another cool environment. Place cool wet towels on forehead and neck. Stay out of the sun. […] Eat well-balanced meals to replenish nutrients within the body. Meals should ideally include more carbohydrate sources than fat and protein. […] Recovery from heat illness depends on how severe the heat illness was.
  • #55 Heat Exhaustion – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/heat-illness/heat-exhaustion
    Treatment of heat exhaustion involves stopping all exertion and removing patients to a cool environment, having them lie flat, and attempting oral rehydration with a solution of 0.1% sodium chloride. Patients should drink about 1 L/hour. If vomiting or nausea prevents oral rehydration, IV fluid and electrolyte replacement therapy, typically using 0.9% saline solution, is indicated. […] Also, if symptoms do not resolve after 30 to 60 minutes of oral rehydration, patients should be transported to an emergency department, where rehydration is usually done IV. Rate and volume of IV rehydration are guided by age, underlying disorders, and clinical response. Replacement of 1 to 2 L at 500 mL/hour is often adequate. Older patients and patients with heart disorders may require lower rates. […] External cooling measures are usually not required. However, if patients with heat exhaustion have a core temperature of 40 C, measures may be taken to reduce it. […] Have patients rest in a cool environment and try oral rehydration, transporting patients to an emergency department if these measures are unsuccessful.
  • #56 Heat Exhaustion: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/21480-heat-exhaustion
    Heat exhaustion treatment involves cooling your body, hydrating and monitoring for signs of heat stroke. […] Treatment often begins on-site, wherever heat exhaustion happens this is because the faster you cool your body down, the better your chances of preventing a progression to heat stroke. […] If you have signs or symptoms of heat exhaustion, do these things right away: Call for medical help. Move to a cooler or shaded area. Loosen or remove excess clothes. Lie down with your legs elevated. Use any available means to cool your body like fanning yourself or soaking towels in ice water and applying them to your skin. Slowly sip water or other fluids. But do NOT drink anything if you suspect you might have heat stroke. Wait until help arrives. People with heat stroke are at risk of inhaling fluids (aspiration), which can be dangerous.
  • #57 Heat Stroke – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK537135/
    Management of heat stroke includes ensuring adequate airway protection, breathing, and circulation. After ABCs, rapid cooling becomes the mainstay of treatment with ancillary management in response to other end-organ damage. […] Adequate rehydration is essential without over-correcting the sodium if derangements exist. It is mandatory to continually measure core temperature with a rectal or esophageal probe, and cooling measures should be stopped once the temperature is 38 to 39 degrees Celsius. […] Ice bath immersion is the timeliest to reduce core body temperature, however, in older populations, it may not be realistic as cardiac monitoring may not be feasible and extreme agitation may hinder compliance. Other common methods include ice pack applications to the groin or axilla and evaporative cooling using a fan with cool saline on patients’ skin.
  • #58 Some medications increase the risk of heat-related illness | HealthPartners Blog
    https://www.healthpartners.com/blog/medications-increase-risk-heat-stroke/
    Your prescriptions should work for you and your lifestyle, not the other way around. If you find that your medication is keeping you from some of your favorite summertime activities, schedule an appointment with your primary care doctor. They can adjust your dose or help you find alternative medicines and treatments.
  • #59 Heat Illness (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/heat.html
    Heat exhaustion is a more severe heat illness that can happen when someone in a hot climate or environment hasn’t been drinking enough liquids. Symptoms can include: increased thirst, weakness, dizziness or fainting, muscle cramps, nausea and/or vomiting, irritability, headache, heavy sweating, cool, clammy skin, a raised body temperature, but less than 104F (40C). […] Bring your child to a cooler place indoors, an air-conditioned car, or shady area. Remove your child’s excess clothing. Encourage your child to drink water or cool liquids containing salt and sugar, such as sports drinks. Put a cool, wet cloth or cool water on your child’s skin. Call your doctor for advice. A child who is too exhausted or ill to drink or who doesn’t feel better within an hour might need to get intravenous (IV) fluids. […] If left untreated, heat exhaustion can develop into heatstroke, a much more serious illness.
  • #60
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=av2589
    After medical care for heat exhaustion, limit activity while your child recovers. […] Follow-up care is a key part of your child’s treatment and safety. […] To replace fluids, give your child rehydration drinks and juices that your doctor recommends. Drinks such as sports drinks that contain electrolytes work best, because they have salt and minerals. Your child needs salt and minerals as well as water. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your child cannot keep fluids down. […] After returning to normal activities, your child has symptoms of heat exhaustion, such as sweating a lot, fatigue, dizziness, or nausea.
  • #61 Heat Illness (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/heat.html
    Heat exhaustion is a more severe heat illness that can happen when someone in a hot climate or environment hasn’t been drinking enough liquids. Symptoms can include: increased thirst, weakness, dizziness or fainting, muscle cramps, nausea and/or vomiting, irritability, headache, heavy sweating, cool, clammy skin, a raised body temperature, but less than 104F (40C). […] Bring your child to a cooler place indoors, an air-conditioned car, or shady area. Remove your child’s excess clothing. Encourage your child to drink water or cool liquids containing salt and sugar, such as sports drinks. Put a cool, wet cloth or cool water on your child’s skin. Call your doctor for advice. A child who is too exhausted or ill to drink or who doesn’t feel better within an hour might need to get intravenous (IV) fluids. […] If left untreated, heat exhaustion can develop into heatstroke, a much more serious illness.
  • #62 Heat Illness (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/heat.html
    Heat exhaustion is a more severe heat illness that can happen when someone in a hot climate or environment hasn’t been drinking enough liquids. Symptoms can include: increased thirst, weakness, dizziness or fainting, muscle cramps, nausea and/or vomiting, irritability, headache, heavy sweating, cool, clammy skin, a raised body temperature, but less than 104F (40C). […] Bring your child to a cooler place indoors, an air-conditioned car, or shady area. Remove your child’s excess clothing. Encourage your child to drink water or cool liquids containing salt and sugar, such as sports drinks. Put a cool, wet cloth or cool water on your child’s skin. Call your doctor for advice. A child who is too exhausted or ill to drink or who doesn’t feel better within an hour might need to get intravenous (IV) fluids. […] If left untreated, heat exhaustion can develop into heatstroke, a much more serious illness.
  • #63 Heat Illness (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/heat.html
    Heat exhaustion is a more severe heat illness that can happen when someone in a hot climate or environment hasn’t been drinking enough liquids. Symptoms can include: increased thirst, weakness, dizziness or fainting, muscle cramps, nausea and/or vomiting, irritability, headache, heavy sweating, cool, clammy skin, a raised body temperature, but less than 104F (40C). […] Bring your child to a cooler place indoors, an air-conditioned car, or shady area. Remove your child’s excess clothing. Encourage your child to drink water or cool liquids containing salt and sugar, such as sports drinks. Put a cool, wet cloth or cool water on your child’s skin. Call your doctor for advice. A child who is too exhausted or ill to drink or who doesn’t feel better within an hour might need to get intravenous (IV) fluids. […] If left untreated, heat exhaustion can develop into heatstroke, a much more serious illness.
  • #64 Heat Exhaustion Signs and Treatment
    https://www.webmd.com/fitness-exercise/heat-exhaustion
    Heat exhaustion usually goes away with rest and fluids. You should feel better within an hour. […] Still, you’ll probably be more sensitive to high temperatures during the following week. So, it’s best to avoid hot weather and heavy exercise until your doctor tells you that it’s safe to resume your normal activities.
  • #65 Heat Exhaustion and Heat Stroke – Symptoms | familydoctor.org
    https://familydoctor.org/condition/heat-exhaustion-heatstroke/
    If you or someone else has heat exhaustion, treat symptoms in the following ways. Get out of the heat quickly and into a cool place, or at least shade. Lie down and elevate your legs to get blood flowing to your heart. Take off any tight or extra clothing. Apply cool towels to your skin or take a cool bath. This will help regulate and lower your internal body temperature. Drink fluids, such as water or a sports drink. Do not guzzle them, but take sips. Do not drink fluids with caffeine or alcohol. […] Call 911 if: Symptoms don’t improve or they still have a fever of 102°F after 30 minutes of initial treatment. The person goes into shock, faints, or has seizures. The person is not breathing. You also should begin CPR right away to try and revive them. […] After you’ve had heat exhaustion or heatstroke, you will be sensitive to heat. This can last for about a week. It’s important to rest and let your body recover. Avoid hot weather and exercise. Ask your doctor when it’s safe to return to your normal activities.
  • #66 Heat Exhaustion and Heat Stroke – Symptoms | familydoctor.org
    https://familydoctor.org/condition/heat-exhaustion-heatstroke/
    If you or someone else has heat exhaustion, treat symptoms in the following ways. Get out of the heat quickly and into a cool place, or at least shade. Lie down and elevate your legs to get blood flowing to your heart. Take off any tight or extra clothing. Apply cool towels to your skin or take a cool bath. This will help regulate and lower your internal body temperature. Drink fluids, such as water or a sports drink. Do not guzzle them, but take sips. Do not drink fluids with caffeine or alcohol. […] Call 911 if: Symptoms don’t improve or they still have a fever of 102°F after 30 minutes of initial treatment. The person goes into shock, faints, or has seizures. The person is not breathing. You also should begin CPR right away to try and revive them. […] After you’ve had heat exhaustion or heatstroke, you will be sensitive to heat. This can last for about a week. It’s important to rest and let your body recover. Avoid hot weather and exercise. Ask your doctor when it’s safe to return to your normal activities.
  • #67 Heat emergencies: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000056.htm
    Call 911 or the local emergency number if: The person loses consciousness at any time. There is any other change in the person’s alertness (for example, confusion or seizures). The person has a fever over 102°F (38.9°C). Other symptoms of heatstroke are present (like rapid pulse or rapid breathing). The person’s condition does not improve, or worsens despite treatment. […] After recovering from exertional heat illness, check with your health care provider for advice before returning to heavy exertion. Begin exercise in a cool environment and slowly increase the degree of heat. Over several weeks, increase how long and how hard you exercise, as well as the amount of heat.
  • #68 How To Recover From Heat Exhaustion | Franciscan Health
    https://www.franciscanhealth.org/community/blog/recovering-heat-illness-athletes
    It is recommended that athletes with exercise-associated muscle (heat) cramps, heat syncope or heat exhaustion wait to return to play until after 24 hours of rest. […] The athlete may begin a progression of physical activity, supervised by the athletic trainer or other medical professional with knowledge of exertional heat stroke treatment and care, from low intensity to high intensity and increasing duration in a temperate environment.
  • #69 Heat Exhaustion Treatment Specialist Near Me
    https://www.immediatecareok.com/heat-exhaustion
    Heat exhaustion usually improves within 30 minutes for most people. Medical attention should be sought if symptoms do not improve after 30-60 minutes. Heat exhaustion is treated with intravenous fluids and electrolytes administered by a doctor. A blood test and other clinical tests will be performed if fluids and rest do not resolve symptoms. It usually takes 24-48 hours for a person with heat exhaustion to recover fully if they are treated promptly. […] Patients can get relief from any stage of heat exhaustion at Immediate Care of Oklahoma. Contact us through the pages of our website for heat exhaustion treatment. Our professional staff are here to help you with your medical needs.
  • #70 Cool Off: Heat Exhaustion
    https://hsc.unm.edu/health/stories/cool-off.html
    Avoid heat-related illnesses by taking it easy outdoors and drinking plenty of cool liquids. […] However, if you are forced to be outdoors, Robert Rimorin, the athletic trainer for the UNM baseball team, says staying hydrated and drinking plenty of cool fluids can help you to avoid the two main types of heat-related illnesses, which are heat exhaustion and heat stroke. These illnesses occur as the result of a combination of dehydration and the body overheating. […] The first way people can prevent heat exhaustion is to stay hydrated, Rimorin says. It will help keep you, your tissues and your organs cool. […] Heat exhaustion is your body’s way of saying, Hey, take a break. Get some place cool. Get out of the heat. Take off your extra clothes and rest to let your body cool down and get your heart rate back to normal. If you pay attention to those symptoms, you normally don’t progress and you fix your heat exhaustion, Harrell says.
  • #71 Heat Exposure and Reactions
    https://www.seattlechildrens.org/conditions/a-z/heat-exposure-and-reactions/
    Drink Lots of Fluids: All the symptoms of heat reactions respond to fluid replacement. Give your child as much cold water as he will drink. Do this until he feels better. […] Dizziness should clear in 1 to 2 hours after the lost fluids are replaced. Mild dehydration can also cause nausea. It should pass after drinking enough fluids. […] The body can become overheated from activity when it’s hot outdoors. The temperature should come down to normal after drinking fluids and resting. This may take 1 or 2 hours. […] After your child has taken 2 or 3 glasses of water, offer some salty foods. Potato chips or pretzels are helpful. […] Rest in a cool place with a fan until feeling better. […] Prevention Of Heat Reactions: 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.
  • #72 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
    There is no specific pharmacologic treatment for EHS. […] We suggest the following treatment for heat exhaustion: Remove any athlete from play and move them to a shaded or air-conditioned area. […] We suggest the following treatment measures for suspected heat, or exercise-associated, muscle cramps: Hydrate the athlete and replace sodium losses with a sports drink or other source of salt. […] For patients suspected to have heat injury, we recommend immediate rapid cooling using any of the methods used for EHS. […] If there is any suspicion of EHS, in other words, any suggestion of neurologic abnormality, clinicians should assume that EHS is present and appropriate steps, including rapid cooling, should be initiated as soon as possible. […] The recommendations of the American College of Sports Medicine (ACSM) for returning an athlete to training and competition following an episode of EHS represent one reasonable approach.
  • #73 Heat emergencies: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000056.htm
    Call 911 or the local emergency number if: The person loses consciousness at any time. There is any other change in the person’s alertness (for example, confusion or seizures). The person has a fever over 102°F (38.9°C). Other symptoms of heatstroke are present (like rapid pulse or rapid breathing). The person’s condition does not improve, or worsens despite treatment. […] After recovering from exertional heat illness, check with your health care provider for advice before returning to heavy exertion. Begin exercise in a cool environment and slowly increase the degree of heat. Over several weeks, increase how long and how hard you exercise, as well as the amount of heat.
  • #74 Heat Injury and Heat Exhaustion – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/heat-injury-and-heat-exhaustion/
    Heat exhaustion is brought on by heavy sweating and results in extreme weight loss. As heat exhaustion sets in, perspiration decreases, and skin and body temperatures rise. Core body temperature typically rises to 104 F. […] Common signs of heat exhaustion due to salt depletion are nausea and vomiting, frequent muscle cramps, and dizziness. Core body temperature is typically up to 104 F. […] Electrolyte fluid drinks are an effective way to prevent this type of heat exhaustion. […] Move the person to a cool, shaded area. […] Give fluids, if the athlete is conscious. […] Apply active cooling measures, such as a fan or ice towels, if the athlete’s core temperature is elevated. […] Refer to a physician to assess the needs of fluid/electrolyte replacement and further medical attention, especially if the athlete is nauseated and/or vomiting.
  • #75 Heat Exhaustion Signs and Treatment
    https://www.webmd.com/fitness-exercise/heat-exhaustion
    If you have symptoms of heat exhaustion, it’s essential to immediately get out of the heat and rest, ideally in an air-conditioned room. If you can’t get inside, try to find the nearest cool and shady place. […] You should also: […] Drink water or sports drinks (avoid caffeine and alcohol) — taking small sips rather than big guzzles over about an hour […] Remove any tight or unnecessary clothing […] Take a cool shower, bath, or sponge bath […] Apply other cooling measures such as fans or ice towels. […] If you don’t feel better within an hour, seek medical help, because untreated heat exhaustion can progress to heat stroke. If your temperature rises or your symptoms get worse, don’t wait call 911 or go to an emergency room. […] If you are showing signs of heat stroke, you may be put in an ice bath or cooling blanket or, if those aren’t available, misted with cool water. You might also get medication to help you stop shivering.
  • #76 Heat exhaustion and heatstroke
    https://www.nhs.uk/conditions/heat-exhaustion-heatstroke/
    Heat exhaustion does not usually need emergency medical help if you can cool down within 30 minutes. If someone is showing signs of heat exhaustion they need to be cooled down and given fluids. […] If someone has heat exhaustion, follow these 4 steps: Move them to a cool place. Remove all unnecessary clothing like a jacket or socks. Get them to drink a sports or rehydration drink, or cool water. Cool their skin spray or sponge them with cool water and fan them. Cold packs, wrapped in a cloth and put under the armpits or on the neck are good too. Stay with them until they’re better. They should start to cool down and feel better within 30 minutes. […] You can call 111 or get help from 111 online. […] The person you speak to at 999 will give you advice about what to do.
  • #77 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #78 Heat Exhaustion – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/heat-illness/heat-exhaustion
    Treatment of heat exhaustion involves stopping all exertion and removing patients to a cool environment, having them lie flat, and attempting oral rehydration with a solution of 0.1% sodium chloride. Patients should drink about 1 L/hour. If vomiting or nausea prevents oral rehydration, IV fluid and electrolyte replacement therapy, typically using 0.9% saline solution, is indicated. […] Also, if symptoms do not resolve after 30 to 60 minutes of oral rehydration, patients should be transported to an emergency department, where rehydration is usually done IV. Rate and volume of IV rehydration are guided by age, underlying disorders, and clinical response. Replacement of 1 to 2 L at 500 mL/hour is often adequate. Older patients and patients with heart disorders may require lower rates. […] External cooling measures are usually not required. However, if patients with heat exhaustion have a core temperature of 40 C, measures may be taken to reduce it. […] Have patients rest in a cool environment and try oral rehydration, transporting patients to an emergency department if these measures are unsuccessful.
  • #79 Heat Exhaustion: Symptoms, Causes, and Treatment | Red Cross
    https://www.redcross.org/take-a-class/resources/learn-first-aid/heat-exhaustion?srsltid=AfmBOooBU39etNxS2z_MMK8PLJI389k7K3AD70MYuj5_zntwmtm6X0LI
    General Care: Heat Exhaustion […] 1. Move the person to a cooler environment with circulating air. […] 2. Loosen and/or remove clothing. […] 3. Apply cool, wet cloths to the skin or spray with cool water. […] 4. Fan the person. […] 5. If responsive and able to swallow, have them sip a cool electrolyte- and carbohydrate-containing fluid such as a sports drink, coconut water or milk. […] – Offer water if these are not available. […] – Prevent them from drinking too quickly. […] 6. Have the person rest in a comfortable position. […] 7. Continue checking them as appropriate to determine if additional care is needed. […] 8. Give care for shock or dehydration, if necessary. […] 9. Reassure person you will help and EMS has been called (if appropriate). […] 10. Watch for changes in condition, including breathing and responsiveness.
  • #80 Heat Exhaustion Signs and Treatment
    https://www.webmd.com/fitness-exercise/heat-exhaustion
    If you have symptoms of heat exhaustion, it’s essential to immediately get out of the heat and rest, ideally in an air-conditioned room. If you can’t get inside, try to find the nearest cool and shady place. […] You should also: […] Drink water or sports drinks (avoid caffeine and alcohol) — taking small sips rather than big guzzles over about an hour […] Remove any tight or unnecessary clothing […] Take a cool shower, bath, or sponge bath […] Apply other cooling measures such as fans or ice towels. […] If you don’t feel better within an hour, seek medical help, because untreated heat exhaustion can progress to heat stroke. If your temperature rises or your symptoms get worse, don’t wait call 911 or go to an emergency room. […] If you are showing signs of heat stroke, you may be put in an ice bath or cooling blanket or, if those aren’t available, misted with cool water. You might also get medication to help you stop shivering.
  • #81 Management of Heatstroke and Heat Exhaustion | AAFP
    https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html
    Heat exhaustion is characterized by nonspecific symptoms such as malaise, headache, and nausea. Treatment involves monitoring the patient in a cool, shady environment and ensuring adequate hydration. […] Prompt recognition and immediate cooling through evaporation or full-body ice-water immersion are crucial. […] The initial treatment of patients with heat exhaustion involves stabilization in a cool area. Unless the factors leading to heat exhaustion are corrected swiftly, affected patients can progress to heatstroke. Evaporative cooling may be initiated by wetting the skin. Electrolyte status and core temperature should be monitored. […] Symptoms of heat exhaustion often resolve within two to three hours. Slower recovery should initiate transfer to a medical facility and a careful search for missed diagnoses.
  • #82 Heat Exhaustion Signs and Treatment
    https://www.webmd.com/fitness-exercise/heat-exhaustion
    Heat exhaustion usually goes away with rest and fluids. You should feel better within an hour. […] Still, you’ll probably be more sensitive to high temperatures during the following week. So, it’s best to avoid hot weather and heavy exercise until your doctor tells you that it’s safe to resume your normal activities.