How to treat heat exhaustion

**Health**

## Experts Issue Urgent Advice on Treating Heat Exhaustion Amid Rising Temperatures

**London, UK** – As temperatures continue to climb across the region, medical professionals are stressing the critical importance of understanding and effectively treating heat exhaustion. BBC Medical Editor Fergus Walsh, drawing on expert guidance from St John’s Ambulance, has highlighted key steps to take when someone is suffering from this common yet potentially serious heat-related illness.

Heat exhaustion is a milder form of heat-related illness that occurs when the body overheats and loses too much water and salt, primarily through sweating. If left untreated, it can escalate into heatstroke, a medical emergency requiring immediate attention.

**Recognising the Symptoms of Heat Exhaustion:**
The first crucial step is to identify the signs. St John’s Ambulance advises looking out for the following:
* Profuse sweating
* Pale, clammy, or cool skin
* Dizziness or faintness
* Headache
* Nausea or vomiting
* Muscle cramps
* Weakness or fatigue
* A rapid, weak pulse
* Body temperature may be normal or slightly elevated.

Crucially, individuals suffering from heat exhaustion will usually still be conscious and able to respond, though they may feel confused or disoriented.

**Immediate Steps for Treatment:**
When someone displays these symptoms, St John’s Ambulance recommends the following systematic approach:

1. **Move to a Cool Place:** Immediately get the person out of direct sun exposure and into the shade, an air-conditioned building, or a cooler, well-ventilated area.
2. **Lie Down and Elevate Feet:** Help the person lie down comfortably. Raising their feet slightly (e.g., on a pillow or bag) can help to improve blood flow to the brain.
3. **Hydrate:** Offer plenty of water or a rehydration drink. Encourage them to take small, frequent sips rather than large gulps, especially if they feel nauseous. It is vital to avoid alcohol, caffeine, and sugary drinks, as these can contribute to further dehydration.
4. **Cool the Skin:** Loosen any tight or restrictive clothing. Sponge or spray their skin with cool water and fan them. Applying cold packs or damp cloths to pulse points such as the armpits, neck, or groin can also help to lower body temperature more rapidly.

**When to Seek Emergency Medical Help:**
Fergus Walsh underscored the importance of monitoring the individual closely. If the person does not begin to feel better within 30 minutes of applying these first aid measures, or if their condition worsens, it is imperative to seek immediate medical attention.

Signs that could indicate the condition is escalating to heatstroke, a life-threatening emergency, include:
* Confusion, agitation, or altered mental state
* Seizures
* Loss of consciousness
* A very high body temperature (typically above 40°C / 104°F)
* Hot, dry skin (though they may still be sweating profusely if the cause is exertion).

In such cases, call emergency services immediately. While waiting for help, continue efforts to cool the person.

**Prevention is Key:**
Both Walsh and St John’s Ambulance stress that prevention remains paramount. Staying well-hydrated throughout the day, avoiding strenuous physical activity during the hottest parts of the day, wearing loose-fitting, light-coloured clothing, and seeking shade are all essential measures to mitigate the risk of heat-related illnesses. Vulnerable groups, including the elderly, very young children, and individuals with chronic health conditions, should take extra precautions during periods of high temperatures.