Emergency Medicine Book


Heat Illness Prevention

Aka: Heat Illness Prevention
  1. See Also
    1. Heat Illness
  2. Prevention
    1. Identify high risk patients
      1. See Heat Illness Risk Factors
      2. See Medications Predisposing to Heat Illness
    2. Supervisors, coaches and trainers should be alert for Heat Illness symptoms and signs
    3. Limit activity in very hot and humid environments
      1. See Heat Index
      2. Take frequent water breaks with scheduled rests
    4. Wear light, loose fitting clothing
    5. Hydration
      1. Fluid type
        1. Water: moderate intensity Exercise for under 1 hour
        2. Electrolyte drink: Exercise for over 1 hour
      2. Pre-Exercise: 12-20 ounces (15 min before Exercise)
      3. During Exercise: 8 ounces fluid every 15 minutes
    6. Heat acclimatization to exertion in a warm environment
      1. Usually requires 2 to 3 weeks
      2. May be as long as 2 to 3 months for some patients
    7. Measure weight before and after sports practice
      1. Define a weight at which participation disallowed
      2. Define a goal weight to allow participation
  3. References
    1. Salinas and Ruttan (2017) Crit Dec Emerg Med 31(9): 3-10
    2. Becker (2011) Am Fam Physician 83(11): 1325-30 [PubMed]
    3. Gauer (2019) Am Fam Physician 99(8):482-9 [PubMed]

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