The Federation of Lutheran Churches
of Cincinnati and Vicinity (LCMS)


Parish Nurse Program
Heat-Related Illness

School is out for the summer! Family vacations, outside activities and lazy afternoons by the pool fill our calendars.  While all of these are fun, there are some precautions to take.

One hot, summer, afternoon I was playing tag with some other children my age. We were running hard not to get tagged.  Suddenly the ground started spinning, and the next thing I knew I was inside with someone pouring water on my head. Another incident happened, while walking in a large crowd of other walkers a couple of miles for a church event. It was very hot that day, and we were almost to our destination when one of the walkers fainted from heat stress. Medical attention was immediately given and she recovered.  
 
People suffer heat-related illness when their bodies are unable to properly cool themselves. Elderly people (65 years and older), infants and children and people with chronic medical conditions are more prone to heat stress. On average, about 300 people die each year from exposure to heat.  
 
Limit your activities and time outdoors on hot days.  Keep your home cool with air conditioning – fans alone only circulate hot air.
 
There are symptoms of heat stress before one actually succumbs, but are often ignored or no action taken to relieve them.  In my case, I did not want to be It. In the walker’s case, she was almost at the end of the trial and thought she could hold on to the finish.

Symptoms of heat exhaustion may include:

heavy sweating                                                       paleness
muscle cramps                                                        tiredness
weakness                                                                dizziness
headache                                                                nausea or vomiting
fainting                                                                   skin may be cool and moist
 
Symptoms of heat stroke vary but may include:
  • An extremely high body temperature (above 103°F, orally)                     
  • Red, hot, and dry skin (no sweating)                                                                        
  • Throbbing headache                                                                                         
  • Rapid, strong pulse                                                                                                        
  • Dizziness                                                                                               
  • Nausea                                                                                                                                                           
  • Confusion                                                                                             
  • Unconsciousness                                                                               
 
If you see any of these signs, you may be dealing with a life-threatening emergency. Have someone call for immediate medical assistance while you begin cooling the victim. 
Do the following:
  • Get the victim to a shady area.                                  
  • Cool the victim rapidly using whatever methods you can.
  • Due to possibility of choking, do not give the victim fluids to drink                    
  • If emergency medical personnel are delayed, call the hospital emergency room for further instructions.


For more information about heat stress, log onto www.cdc.gov  and print heat stroke in the search column.

Blessings,
Deaconess Sharon
 

updated July 2011