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If an individual is suffering from heat exhaustion, they would have a rapid and thready pulse, a very clammy and pale disposition, and possibly chapped lips (where they licked them alot) or an extreme desire for water. Their skin (facial) would be dry, clammy....sometimes red (if they have just been directly outside).

The reason their pulse would be rapid, is because the body is trying to compensate for the lack of water and heat... hence the blood has less oxygen in it, and the heart would be pumping faster to try and compensate for it.

If left untreated, heat exhaustion can elevate into heat stroke.

Heat STROKE on the other hand manifests with a slower, pounding pulse and a dry and flushed complexion. Also, the patient will likely be hyperthermic. In this condition, the body ceases to sweat, basically giving up temperature regulation via evaporation in favor of electrolyte retention. Heat Stroke, if untreated, elevates to confusion, coma and death.

The key to treatment is twofold: return body temp to normal, and rehydrate with electrolytes and water. SQ infusion of normal saline can help. If the patient is not displaying nor acuity, infusion of liquids and lytes is better than the oral route, but if they're clear, high-electrolyte solutions are good. Pedialyte, Gator Aid -- that sort of thing.

Cooling the body is best handled by immersion in a cool bath -- 95F or so is good. Alternately, ice packs, cold packs, alcohol rubs, etc. can help.

While Heat Exhaustion is often treated in the field, Heat Stroke does better with transport to a facility.

Avoidance is of course the key. Hydration is crucial, as is electrolyte replacement.

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15y ago

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