What should you do if casualty is suffering from heat stroke?

Answer 1

Immediately request medical assistance and transport.

Another Answer:If you've identified Heat Stroke (not Heat Exhaustion), you'll know that the major problem you have right now is that core temperature has risen to the point where normal body controls for hyperthermia are no longer 100% active. So the first thing to do is to cool the victim down. Showers and baths are good for this. Remember that you don't need to turn them hypothermic; just lower their core temp until the body takes over and helps itself.

Once temp approaches norms, consider the administration of electrolytes -- PO if the patient is 100% aware, or SQ or IV if not.

Heat Stroke is a serious condition and it's wise to consider medical review for this.

Answer 2

Heat stroke, unlike heat exhaustion, occurs when the victim's core temperature overheats (hyperthermia) to the point where the body's own system for temperature regulation is impaired. At this point, sweating stops, and the pulse becomes slow and pounding in mild cases, where in more extreme cases, tachycardia and tachypnia may set in. Skin tone is flushed, hot and dry -- there usually is no apparent sweat. The patient's body temperature will be elevated, often significantly. Hyperthermia is diagnosed at temperature greater than 100-101F, and may proceed to 104F or even higher. Over 104F is to be considered life threatening.

It's critical that the patient's core temperature be reduced to manageable levels. In the field this can be attempted by getting in the shade and drinking cool water, but don't expect much by way of results, especially in humid conditions. Active measures like swabbing the patient with water, or immersion in cool (not cold) water should help a lot more.