Diseases

Overheating (Hyperthermia) Information

Heat cramps

Heat cramps usually affect people who sweat significantly during strenuous activity. This sweating depletes the body's salt and moisture. The low salt level in the muscles causes painful muscle cramps, often following exercise. Heat cramps may also be a symptom of heat exhaustion. What are the signs and symptoms of heat cramps? Heat cramps are muscle pains or muscle spasms (usually in the abdomen, arms, or legs) that may occur in association with strenuous activity. If the affected person has heart problems or are on a low sodium diet, seek medical attention for heat cramps. What is the treatment for heat cramps?

• Stop all activity, and sit and rest in a cool place.
• Drink water or a sports beverage, and eat a salty snack.
• Passively stretch the affected muscles.
• Do not return to strenuous activity for a few hours after the cramps have subsided as further exertion can lead to heat exhaustion or rarely, heat stroke.
• Seek medical attention for heat cramps if they do not subside in 1 hour.

Heat exhaustion

Heat exhaustion is the body's response to an excessive loss of water and salt contained in sweat as a result of engaging in physical activity (work or exercising) in a hot environment. The body temperature may be normal or mildly elevated, but not above 104 F (40 C). It often occurs in individuals who are not accustomed to working or exercising in the heat. The symptoms may range from minor complaints to more pronounced symptoms, however the affected individual will not experience the central nervous system manifestations noted with heat stroke. Many cases of heat exhaustion can be treated outside of the hospital setting however it is important to understand that heat exhaustion can progress to heat stroke if not properly addressed in a timely fashion. What are the signs and symptoms of heat exhaustion? Warning signs of heat exhaustion include:

• a normal or mildly elevated body temperature,
• heavy sweating,
• pallor (paleness),
• muscle cramps and muscle pain,
• fatigue,
• weakness,
• dizziness and lightheadedness,
• headache, and
• nausea.

• drink cool, non-alcoholic beverages, such as water and sports drinks,
• eat salty snacks,
• rest in the shade or in an air-conditioned environment,
• take a cool shower or bath, and
• loosen or remove restrictive clothing.

• the symptoms are severe or worsening, or
• the affected individual has serious underlying health problems (for example, heart disease or diabetes).

Heat rash

Heat rash is a skin irritation that occurs in hot, humid weather. It is caused by profuse sweating, which can lead to the blockage of sweat ducts. It can occur at any age, but is most common in young children. What are the signs and symptoms of heat rash? Heat rash appears as a cluster of small red pimples or blisters. This skin irritation can be itchy. It typically occurs on the neck and upper chest, in the groin, under the breasts, and in the elbow creases. Pictures of heat rash in children and adults What is the treatment for heat rash? The best treatment for heat rash is to avoid a hot, humid environment and to try to remain in cooler, less humid conditions. Try to keep the affected area dry, and wear light, loose clothing. Dusting powder may be used to increase comfort, but avoid using ointments or creams because they keep the skin warm and moist and may make the condition worse. Treating heat rash is simple and usually does not require medical assistance.

Heat stroke

Heat stroke is a medical emergency requiring immediate medical attention. It is the most severe form of heat-related illness, and it can sometimes lead to death or permanent disability. Heat stroke occurs when the body's ability to regulate its internal temperature has failed. The body's temperature rises rapidly in excess of 104 F (40. C), leading to damage to the brain and other vital organs. Generally, the extent of injury depends on the duration of exposure to excessive heat and the peak temperature attained. Heat stroke is sometimes referred to as sunstroke. Heat stroke can be categorized as either exertional heat stroke (EHS) or nonexertional heat stroke (NEHS). Exertional heat stroke generally occurs in young, healthy individuals who engage in strenuous activity in hot weather. Nonexertional heat stroke (also referred to as classic heat stroke) typically occurs in the elderly, the very young, or the chronically ill. What are the signs and symptoms of heat stroke? Warning signs of heat stroke vary but may include:

• high body temperature (above 104 F or 40 C),
• skin that is red, hot, and either moist or dry (sweating may have stopped),
• rapid heart rate,
• difficulty breathing,
• headache,
• dizziness,
• loss of coordination,
• nausea and vomiting,
• confusion and restlessness,
• seizures, and
• unconsciousness/coma.

• Get the person to a cool indoor or outdoor area and remove restrictive clothing.
• Cool the person rapidly using whatever methods you can. For example, if possible, immerse the person in a tub of cool water or place them in a cool shower. You may also spray them with lukewarm water and blow cool air from a fan towards them. If the humidity is low, loosely wrap the person's body in a cool, wet sheet and fan him or her vigorously. Alternatively, place ice or cold packs to the armpits, neck, and groin areas.
• Monitor body temperature, and continue cooling efforts until the body temperature drops to about 102 F or lower (38.8 C), in order to prevent overcooling the affected individual.
• If emergency medical personnel are delayed, call the hospital emergency room for further instructions.
• If the affected individual is awake and alert, give them cool fluids to drink. Do not give them alcohol to drink.

Heat syncope (fainting)

Heat syncope is a fainting episode that occurs in the heat, either during prolonged standing or exercise, or when rapidly standing from a lying or sitting position. It typically occurs in individuals who are not acclimatized to the heat. Dehydration can also contribute to this condition. What are the signs and symptoms of heat syncope?

• dizziness or lightheadedness, and
• fainting.

• Sit and rest in a cool place. The affected individual may also lie down and elevate the legs above the level of the heart.
• Drink water or a sports beverage.
• Seek immediate medical attention for repeated episodes of fainting, or if the individual experiences chest pain, seizures, or confusion.

Heat-related illness (hyperthermia) facts

• Hyperthermia is overheating of the body.
• Heat-related illness occurs as a result of heat exposure.
• Heat-related illnesses include
  • heat stroke,
  • heat exhaustion,
  • heat cramps,
  • heat syncope (fainting), and
  • heat rash.
• Heat stroke is the most severe form of heat-related illness, and requires immediate medical attention.
• Certain individuals, such as the elderly, infants and young children, the obese, outdoor workers, and those with chronic medical conditions are at increased risk for developing heat-related illness.
• Signs and symptoms of heat-related illness vary based on the condition, but may include
  • an elevated body temperature,
  • headache,
  • nausea,
  • weakness,
  • dizziness,
  • fainting,
  • muscle cramps,
  • seizures,
  • confusion, and
  • coma.
• Treatment for heat-related illness generally includes moving the individual out of the hot environment, implementing cooling measures as needed, rest, and rehydration.
• Prevention of heat-related illness is best accomplished through proper planning and preparation, such as increasing fluid intake, wearing appropriate clothing and sunscreen, remaining in a cool environment, acclimating yourself to the hot environment, and using common sense.

Heat-related illness prevention

To protect your health when temperatures are extremely high, remember to keep cool and use common sense. The following tips are important. Drink plenty of fluids Increase your fluid intake regardless of your activity level. Do not wait until you feel thirsty. During heavy exercise in a hot environment, drink 2-4 glasses (16-32 ounces) of cool fluids each hour. Caution: If your doctor has prescribed a fluid-restricted diet or diuretics for you, ask your doctor how much you should drink.

• During hot weather, you will need to drink more liquid than your thirst indicates. This is especially true for people 65 years of age and older who often have a decreased ability to respond to external temperature changes.
• Drinking plenty of liquids during exercise is especially important. However, avoid very cold beverages because they can cause stomach cramps.
• In addition, avoid drinks containing alcohol or caffeine, because they will actually cause you to lose more fluid.

• Drink a sports beverage during exercise or work in the heat.
• Do not take salt tablets unless directed by your doctor.
• If you are on a low-salt diet, ask your doctor before changing what you eat or drink, especially before drinking sports beverages.

• 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 provide shade and keep the head cool.
• Sunburn affects the body's ability to cool itself and causes a loss of body fluids. It also causes pain and damages the skin.
• A variety of sunscreens are available to reduce the risk of sunburn. The protection that they offer against sunburn varies. Check the sun protection factor (SPF) number on the label of the sunscreen container. Select SPF 15 or higher to protect yourself adequately. Apply sunscreen 30 minutes before going outdoors and reapply according to package directions.

• If you are unaccustomed to working or exercising in a hot environment, start slowly and pick up the pace gradually.
• If exertion in the heat makes your heart pound and leaves you gasping for breath, STOP all activity. You should get into a cool area or in the shade, and rest, especially if you become lightheaded, weak, or faint.

• The most efficient way to beat the heat is to stay in a cool or air-conditioned area.
• If you do not have an air conditioner or evaporative cooling unit, consider a visit to a shopping mall, see a movie in a movie theater, or visit a public library for a few hours.
• Contact your local health department to see if there are any heat-relief shelters in your area.
• 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. When the temperature is in the 90s or higher, a fan will not prevent heat-related illness.
• A cool shower or bath is a more effective way to cool off. Also, use your stove and oven less to maintain a cooler temperature in your home.

• If you must be out in the heat, try to plan your activities so that you are outdoors either before noon or in the evening.
• While outdoors, rest frequently in a shady area.
• Resting periodically will give your body's thermostat a chance to recover.

• When working in the heat, monitor the condition of your coworkers and have someone do the same for you. Heat-related illness can cause a person to become confused or lose consciousness.
• During a heat wave, have a friend or relative call to check in on you twice a day if you are 65 years of age or older. If you know anyone in this age group, check on them at least twice a day.

• Be aware that any sudden change in temperature, such as an early summer heat wave, will be stressful to your body. You will have a greater tolerance for the heat if you limit your physical activity until you become accustomed to the heat.
• If traveling to a hotter climate, allow several days to become acclimated before attempting any vigorous exercise, and work up to it gradually.

• Avoid hot foods and heavy meals as they may add heat to your body.
• Do not ever leave infants, children, or pets in a parked car.
• Dress infants and young children in cool, loose clothing and shade their heads and faces with hats or an umbrella. Make sure they use sunscreen when outdoors.
• Limit sun exposure during the mid-day hours and in places of potential heavy sun exposure, such as beaches.
• Ensure that infants and children drink adequate amounts of liquids.
• Make sure to keep your pet cool by giving them plenty of fresh water, and leave the water in a shady area.