Heat Stroke

Heat stroke often goes unrecognized until it has progressed to a level where treatment in a hospital emergency room or clinic will be needed. Measures in the field include giving fluid if the person can swallow it safely without aspiration, as well as loosening clothing and cooling. However, field treatment should not delay transfer to an appropriate medical facility where resuscitation with fluids such as normal saline will be necessary.

The effects of heat-related illness can last for several days beyond the acute event. During that time, adequate hydration and electrolyte balance should be maintained. Avoidance of heat and heavy labor, if possible, is an important step in long-term recovery (24).

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