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Heat emergencies - Overview

Alternative Names

Heatstroke

Definition of Heat emergencies:

Heat emergencies fall into three categories of increasing severity: heat cramps, heat exhaustion, and heatstroke.

Considerations:

Heat illnesses are easily preventable by taking precautions in hot weather.

Children, elderly, and obese people have a higher risk of developing heat illness. People taking certain medications or drinking alcohol also have a higher risk. However, even a top athlete in superb condition can succumb to heat illness if he or she ignores the warning signs.

If the problem isn't addressed, heat cramps (caused by loss of salt from heavy sweating) can lead to heat exhaustion (caused by dehydration), which can progress to heatstroke. Heatstroke, the most serious of the three, can cause shock, brain damage, organ failure, and even death.

Causes:

Heat emergencies are caused by prolonged exposure to extreme heat. The following are common causes of heat emergencies:

  • Alcohol use
  • Dehydration
  • Heart disease
  • High temperatures or humidity
  • Medications such as diuretics, neuroleptics, phenothiazines, and anticholinergics
  • Prolonged or excessive exercise
  • Sweat gland problems
  • Too much clothing
  • Reviewed last on: 1/14/2010
  • Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Jardine DS. Heat illness and heat stroke. Pediatr Rev. 2007;28(7):249-258.

Dinarello CA, Porat R. Fever and hyperthermia. In: Fauci AS, Harrison TR, eds. Harrison's Principles of Internal Medicine. 17th ed. New York, NY: McGraw Hill; 2008:chap 17.

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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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