In heat stroke the skin is flushed, hot, and dry, and temperature may be elevated. The victim may be confused, develop seizures, breathe shallowly, and have a weak, rapid pulse. Stretching or directing pressure on the muscles may decrease cramping. Heat exhaustion is treated with rest in a cool location, drinking water or electrolyte solution, elevating the feet 12 inches, and IV fluids if available. Untreated, heat exhaustion may lead to heat stroke.
Heat stroke is treated with rapid cooling.
Ice should be placed in the armpits and in the groin. Keep the patient wet with a water spray, sponging, or wet towels, and blow air over the victim with a fan. Cool IV fluid should be infused if available. Covering the patient with ice or immersing in ice is not recommended. Seek medical treatment as soon as possible for heat stroke.