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KidsHealth > Parents > First Aid & Safety > Emergencies: What to Do > Heat Illness

Our bodies create a tremendous amount of internal heat. We normally cool ourselves by sweating and radiating heat through the skin. Under certain circumstances, such as unusually high temperatures, high humidity, or vigorous exercise in hot weather, this natural cooling system may begin to fail, allowing internal heat to build up to dangerous levels. The result may be heat illness, which can be in the form of heat cramps, heat exhaustion, or heatstroke.

Heat Cramps
Heat cramps are brief, severe cramps in the muscles of the leg, arm, or abdomen that may occur during or after vigorous exercise in extreme heat. They are painful but not serious. Children are particularly susceptible to heat cramps when they have not been drinking enough fluids.

Most heat cramps do not require special treatment. A cool place, rest, and fluids should ease the child's discomfort. Massaging cramped muscles may also help.

Heat Exhaustion
Heat exhaustion is a more severe heat illness that can occur when a person in a hot climate or environment has not been drinking enough fluids. Symptoms can include dehydration (intense thirst), fatigue, weakness, and clammy skin. There also may be headache, nausea and/or vomiting, hyperventilation (rapid breathing), or irritability.

If a child shows signs of heat exhaustion, resting in a cool area and drinking fluids are the keys to recovery.

What to Do:
  • Bring the child indoors or into the shade.
  • Loosen or remove clothing.
  • Encourage food and drink.
  • Give a bath in cool (not cold) water.
  • Call the doctor for further advice. If the child is too exhausted or ill to eat or drink, intravenous fluids may be necessary.

If left untreated, heat exhaustion may escalate into heat stroke, which can be fatal.


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