Heat Exhaustion vs. Heat Stroke: Know When the Emergency Changes

Heat exhaustion and heat stroke are related, but they are not the same emergency.

Heat exhaustion

Heat exhaustion can cause headache, nausea, dizziness, weakness, thirst, heavy sweating, irritability, elevated body temperature, and decreased urine output.

Move the person out of the heat, remove unnecessary clothing, begin cooling, and encourage frequent sips of cool water if they are awake and able to drink safely. Current CDC/NIOSH guidance also recommends medical evaluation for heat exhaustion; call 911 if medical care is not otherwise available or the person's condition becomes severe.

Heat stroke

Heat stroke is a life-threatening emergency. Warning signs include confusion, altered mental status, slurred speech, seizures, collapse, loss of consciousness, or a very high body temperature.

Do not wait to cool

If heat stroke is suspected, call 911 and begin rapid cooling while EMS is responding. Move the person to a cooler area, remove outer clothing, and cool quickly with cold water, wet cloths, or a cold-water or ice bath when practical.

In Arizona, confusion in the heat should change the urgency immediately.

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Source and further reading: CDC/NIOSH — Heat-related Illnesses. Educational information only; call 911 for suspected heat stroke.

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