Extreme heat can cause serious heat-related illnesses such as heat rash, heat cramps, heat exhaustion, and heat stroke. Certain groups are at higher risk, including the elderly, young children, and those with medical conditions. Signs of heat illness include hot, dry skin; changes in sweating, body temperature, and mental state; and nausea. To prevent heat illness, it is important to drink plenty of water, replace salts, limit strenuous activity in heat, wear loose fitting clothing, and never leave anyone in a closed vehicle.