Look at figure 14-16. Here, you see a comparison ofthe symptoms of heatstroke and heat exhaustion. Theseare dangers you face when working or exposed toconditions that might cause heatstroke or heatexhaustion.HEATSTROKESunstroke is more accurately called heatstrokesince it is not necessary for a person to be exposed to thesun for this condition to develop. It is a less common butfar more serious condition than heat exhaustion, sinceheatstroke has a 20% mortality rate. The moreimportant feature of heatstroke is the extremely highbody temperature (105<F [41<C] or higher) thataccompanies it. In heatstroke, the victim has abreakdown of the sweating mechanism and is unable toeliminate excessive body heat built up while exercising.If the body temperature rises too high, the brain,kidneys, and liver may be permanently damaged.Signs and symptoms of heatstroke. Sometimesthe victim may have preliminary symptoms such asheadache, nausea, dizziness, or weakness. Breathingwill be deep and rapid at first, later shallow and almostabsent. Usually the victim will be flushed, very dry, andvery hot. The pupils will be constricted (pinpoint) andthe pulse fast and strong.Treatment of heatstroke. When you provide firstaid for heatstroke, remember that this is a truelife-and-death emergency. The longer the victimremains overheated, the higher the chances ofirreversible body damage or even death. First-aidtreatment for heatstroke is designed to reduce body heatand includes the following:Reduce body heat immediately by dousing thebody with cold water, or applying wet, coldtowels to the whole body.Move the victim to the coolest possible place andremove as much clothing as possible.Maintain an open airway.Place the victim on his or her back, with the headand shoulders slightly raised.If cold packs are available, place them under thearms, around the neck, at the ankles, and on thegroin.14-19Student Notes:Figure 14-16.—Symptoms of heatstroke and heat exhaustion.
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