Heat exhaustion

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Heat exhaustion is one condition on the spectrum of raised body temperature derived from a heat illness. Other heat illnesses include heat cramps and heat stroke. Heat exhaustion is caused by the raising of a person's body temperature from either environmental conditions or by exertion. A raised internal body temperature can induce high amounts of perspiration out of the body, which can lead to the loss of water, salt and other electrolytes. [1] [2]

Contents

U.S. Army medics assist a Guatemalan woman who passed out from heat stroke during Operation Beyond the Horizon 2014, Zacapa, Guatemala, April 25, 2014. Beyond The Horizon 2014, Guatemala 140424-A-TO648-312.jpg
U.S. Army medics assist a Guatemalan woman who passed out from heat stroke during Operation Beyond the Horizon 2014, Zacapa, Guatemala, April 25, 2014.

Prevention of any heat-related illness includes avoiding exposure to very hot environments for prolonged periods, such as tropical sunshine in the middle of the day, or a boiler room, and drinking adequate fluids to replace insensible loss through perspiration, avoiding exertion and exercise in hot weather, avoiding medications that can be detrimental to the regulation of body heat, and removing or loosening clothing. [1] [2] [3]

Signs and symptoms

Common signs and symptoms of heat exhaustion include:

Heat exhaustion versus heat stroke Heat-symptoms-2022-final.png
Heat exhaustion versus heat stroke

These symptoms may also fall under other heat-related illnesses like heat stroke, heat cramps, and heat syncope. Heat stroke is a severe condition as heat-related illness and falls closely to similar symptoms to heat exhaustion. Symptoms of heat stroke that differ from heat exhaustion include hot but dry skin, flushed coloration of the skin, and central nervous system dysfunction. Heat stroke is much more severe in nature in comparison to heat exhaustion in that it can lead to multi-organ failure and death. [5]

Causes

Common causes of heat exhaustion include: [6]

Especially during physical exertion, risk factors for heat exhaustion include: [6]

Diagnosis

A diagnosis of heat exhaustion most commonly is diagnosed by medical professionals with various physical examinations. Through examination a patient would have their temperature checked and questioned about their recent activity. [1] If the medical professionals suspect a patients heat exhaustion has progressed into heat stroke they may then lead with these varying tests to verify;

Treatment

First aid

First aid for heat exhaustion includes: [4] [7]

Emergency medical treatment

If an individual with heat exhaustion receives medical treatment, Emergency Medical Technicians (EMTs), doctors, and/or nurses may also: [10]

Prognosis

If left untreated, heat exhaustion may progress to heat stroke. [4]

See also

Related Research Articles

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<span class="mw-page-title-main">Heat illness</span> Condition caused by the failure of the human body to dissipate heat in a hot environment

Heat illness is a spectrum of disorders due to increased body temperature. It can be caused by either environmental conditions or by exertion. It includes minor conditions such as heat cramps, heat syncope, and heat exhaustion as well as the more severe condition known as heat stroke. It can affect any or all anatomical systems. Heat illnesses include: heat stroke, heat exhaustion, heat syncope, heat edema, heat cramps, heat rash, heat tetany.

<span class="mw-page-title-main">Heat stroke</span> Condition caused by excessive exposure to high temperatures.

Heat stroke or heatstroke, also known as sun-stroke, is a severe heat illness that results in a body temperature greater than 40.0 °C (104.0 °F), along with red skin, headache, dizziness, and confusion. Sweating is generally present in exertional heatstroke, but not in classic heatstroke. The start of heat stroke can be sudden or gradual. Heatstroke is a life-threatening condition due to the potential for multi-organ dysfunction, with typical complications including seizures, rhabdomyolysis, or kidney failure.

Heat intolerance is a symptom characterized by feeling overheated in warm environments or when the surrounding environment's temperature rises. Typically, the person feels uncomfortably hot and sweats excessively.

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Occupational heat stress is the net load to which a worker is exposed from the combined contributions of metabolic heat, environmental factors, and clothing worn, which results in an increase in heat storage in the body. Heat stress can result in heat-related illnesses, such as heat stroke, hyperthermia, heat exhaustion, heat cramps, heat rashes, and chronic kidney disease (CKD). Although heat exhaustion is less severe, heat stroke is a medical emergency and requires emergency treatment, which if not provided, can lead to death.

References

  1. 1 2 3 4 5 "Heat Exhaustion: Symptoms & Treatment". Cleveland Clinic. Retrieved 2024-04-10.
  2. 1 2 3 4 Kenny, Glen P.; Wilson, Thad E.; Flouris, Andreas D.; Fujii, Naoto (2018). "Heat exhaustion". Handbook of Clinical Neurology. 157: 505–529. doi:10.1016/B978-0-444-64074-1.00031-8. ISSN   0072-9752. PMID   30459023.
  3. Lipman, Grant S.; Eifling, Kurt P.; Ellis, Mark A.; Gaudio, Flavio G.; Otten, Edward M.; Grissom, Colin K. (December 2013). "Wilderness Medical Society Practice Guidelines for the Prevention and Treatment of Heat-Related Illness". Wilderness & Environmental Medicine. 24 (4): 351–361. doi:10.1016/j.wem.2013.07.004.
  4. 1 2 3 Jacklitsch, Brenda L. (June 29, 2011). "Summer Heat Can Be Deadly for Outdoor Workers". NIOSH: Workplace Safety and Health. Medscape and NIOSH.
  5. Epstein, Yoram; Yanovich, Ran (2019-06-20). Longo, Dan L. (ed.). "Heatstroke". New England Journal of Medicine. 380 (25): 2449–2459. doi:10.1056/NEJMra1810762. ISSN   0028-4793.
  6. 1 2 "Heat Injury and Heat Exhaustion". www.orthoinfo.aaos.org. American Academy of Orthopedic Surgeons. July 2009. Retrieved January 1, 2016.
  7. 1 2 3 "Heat Exhaustion and Heatstroke". www.nhs.uk. National Health Service of the United Kingdom. June 11, 2015. Retrieved January 1, 2016.
  8. McPherson, Richard A.; Pincus, Matthew R. (2017-04-05). Henry's Clinical Diagnosis and Management by Laboratory Methods E-Book. Elsevier Health Sciences. ISBN   978-0-323-41315-2.
  9. "What is Rhabdo? | NIOSH | CDC". www.cdc.gov. 2023-02-09. Retrieved 2024-04-10.
  10. Mistovich, Joseph J.; Karren, Keith J.; Hafen, Brent (July 18, 2013). Prehospital Emergency Care (10 ed.). Prentice Hall. ISBN   978-0133369137.