Heat stroke is an acute medical emergency caused by the body's inability to regulate temperature, usually occurring during heat waves accompanied by high humidity. Symptoms include confusion, high body temperature over 105°F, dry hot skin, absence of sweating, fast breathing, low blood pressure, and fast heart rate. Most deaths from heat stroke are in the elderly. Treatment focuses on rapidly reducing the person's temperature to 102°F using methods like cool baths, sheets, and fans while closely monitoring their vital signs. Patients must avoid immediate reexposure to heat and are advised on preventing future heat stroke through hydration, loose clothing, and limiting activity in hot weather.

2. Heat stroke is an acute medical emergencies caused
by failure of the heat regulating mechanisms of the
body. it usually occurs during extended heat waves,
especially when they are accompined by high
humidity.

3.  CNS Disfunction [confusion , delirium, bizarre behavior
, coma].
 Elevated body temperature [40.6c or 105f or higher].
 Hot or Dry skin.
 Anhidrosis [absence of sweating].
 Tachypnea.
 Hypotension.
 Tachycardia.
Most heat related deaths occur in the elderly.

4. •The primary goal is to reduce the high temperature as quickly
as possible, because mortality is directly related to the duration
of hyperthermia.
•Treatment focuses on stabilizing oxygenation using the ABCs
•After the patient's clothing is removed internal temperature is
reduced to 39c (102f) as rapidly as possible.
•Cool sheets and towels or continuous sponging with cool
water.
•Ice applied to the neck, groin, chest, axilla while spraying with
tepid water.
•Immersion of the patient in a cold water bath ( if possible )

5. Cooling blankets
Iced saline lavage of the stomach or colon if the
temperature does not decrease
During cooling procedures, an electric fan is positioned so
that it blows on the patient to augment heat dissipation by
convection and evaporation.
The patient's temperature is constantly monitored with a
thermistor .
Caution is used to avoid hypothermia and to prevent
hyperthermia, which may recur spontaneously within 3 to 4
hours.
Monitored carefully the patient's status is including vital
signs, ECG findings, CVP, and level of responsiveness, all
of which may change rapid alterations in body temprature.

6.  A seizure may be followed by recurrence of
hyperthermia. 100% oxygen is administered.
 IV infusion therpy of NS OR RL solution is
initiated as directed to replace fluid losses and
maintain adequat circulation
 Urine output also measured frequently.

7.  Advise the patient to avoid immediate reexposure to high
temperatures; hypersensitivity to high temperatures may
remain for a considerable time.
 Emphasize the importance of maintaining adequate fluid
intake, wearing loose clothing, and reducing activity in hot
weather.
 Advise athletes to monitor fluid losses and weight loss
during workout activities or exercise and to replace fluids.
 Advise the patient to use a gradual approach to physical
conditioninig, allowing sufficient time for return to baseline
temperature.

8. •Advise patient to plan outdoor activities to avoid the hottest
part of the body [between 10 a.m. and 2 p.m.]
•Emphasize the importance of maintaining adequate fluid
intake, wearing loose clothing, and reducing activity in hot
weather.