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Heat Exhaustion

WHAT YOU SHOULD KNOW

Heat exhaustion, also called heat prostration, is always a danger when you work or exercise for a long time in very hot weather. Older people and children are most likely to get heat exhaustion, but it can happen to anyone.

Causes

The condition results when the body loses too much salt and water through heavy sweating. It is more common in the young and old because their systems are not quick to adjust to temperature changes.

Signs/Symptoms

You're likely to experience fatigue, confusion, nervousness, weakness, dizziness, or faintness. You may also have muscle cramps, a headache, an upset stomach, and cold, clammy skin.

Care

You can recover from a moderate attack by resting in a cool place until you are feeling better. However, a severe attack may require a brief stay in the hospital, where your body fluids can be restored with IV liquids containing salt.

WHAT YOU SHOULD DO

  • Drink plenty of sport drinks and similar liquids. You can make your own by mixing 1/4 teaspoon of salt with 1 quart (about 4 glasses) of water. These liquids will replace the water and salt you have lost from sweating. Do NOT take salt tablets.
  • Keep drinking cool, salty liquids until your urine is a light or pale yellow or clear.
  • If you are throwing up and can't keep fluids down, try sucking on ice chips or taking sips of liquids.
  • Get out of the heat, remove your outer clothing, lie down with your feet up, rest, and cool off.
  • Taking a bath in cold water may help.
  • To keep heat exhaustion from happening again:
    • Try not to exercise heavily during the hottest part of the day, especially in direct sunlight.
    • Start exercising slowly, and gradually increase the amount of exercise you do over several weeks.
    • Drink liquids, such as water or sports drinks, before and during exercise.
    • Wear loose fitting, lightweight, light-colored clothing. Protect your head and neck with a hat or umbrella when you are outdoors.

Seek Care Immediately If...

  • You feel very hot, confused, and light-headed. These are signs of a severe attack that may require hospitalization. Go to the emergency room or call 911 or 0 (operator). If you cannot get to the hospital right away, take off your clothes, and put cold wet cloths next to your skin. You can also use ice packs if you put a thin cloth between your skin and the ice.

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