What are the signs and symptoms of heat stroke or sun stroke?
- A high temperature; temperature higher than 104°F (40°C)
Heat stroke may be diagnosed at lower temperatures. Also, some people may reach these temperatures and never develop heatstroke. - Profuse sweating that abruptly stops - when the body cannot sweat any more, as may happen in cases of severe dehydration, the skin will become dry. Without perspiration the body has no way of cooling itself.
- Accelerated (weak) heartbeat.
- Hyperventilation. - rapid breathing, shallow panting.
- Muscle cramps.
- The skin becomes hot, dry and red.
- Nausea.
- Vomiting.
- Dark urine.
- Confusion
- Coordination problems
- Seizures (fits)
- Headache
- Vertigo, dizziness, lightheadedness - a sensation of spinning or moving when standing (vertigo)
- Anxiety
- Restlessness
- Hallucinations
- Irrational behavior
- Loss of consciousness.
What are the treatment options for heat stroke?
- Move the patient to a cool place, preferably air-conditioned. If one is not available, go to a shady area.
- Make sure the place is ventilated. Use a fan or open the windows (don't open windows if it is air-conditioned).
- Try to get them to drink water.
- Do not give any painkilling medications, such as ibuprofen, asprin or acetaminophen (paracetamol, Tylenol).
- If you can, place them in a cool (not cold) shower.
- If there is one, partly fill a bathtub with cool (not cold) water, sit the person in there and hydrate their skin. Do not fully immerse the person in the water until the paramedics arrive.
- To encourage blood circulation, gently massage their skin.
- If the person has a seizure, do not place anything in their mouth. Move nearby objects out of the way.
- If they are unconscious, place them in the recovery position
. If they have vomited, make sure there is no blockage that may affect breathing.
What to do
- get them to lie down in a cool place – such as a room with air conditioning or somewhere in the shade
- remove any unnecessary clothing to expose as much of their skin as possible
- cool their skin –use whatever you have available, such as a cool, wet sponge or flannel, cold packs around the neck and armpits, or wrap them in a cool, wet sheet
- fan their skin while it's moist – this will help the water to evaporate, which will help their skin cool down
- get them to drink fluids – this should ideally be water, fruit juice or a rehydration drink, such as a sports drink
What is the recovery position?
call 911 immediately and give first aid until paramedics arrive.
- Remove glasses if the casualty is wearing them.
- Make sure his/her legs are straight.
- Place the arm that is nearest to you at right angles to the casualty's body (you are kneeling next to him/her).
- Bring the other arm across their chest; hold the back of his/her hand against his/her nearest cheek.
- With you other hand, hold the casualty's thigh that is furthest from you and pull up the knee. Make sure his/her foot is flat on the ground.
- Slowly pull down on the casualty's raised knee and roll him/her over towards you.
- Move the upper leg slightly so that the casualty's hip and knee are bent at right-angles. This makes sure they do not roll back onto their face.
- Gently tilt the head back so that the airway is kept open.