Heat cramps present as painful muscle spasms in the extremities during or just after vigorous exercise. If symptoms do not clear within about 30 minutes, the victim s level of consciousness decreases, or the temperature remains elevated or continues to rise, the victim should be transported to the hospital promptly, for proper monitoring and IV fluid therapy. Heat Stroke is a life threatening illness which, if left untreated, will always result in death. Sweating does not occur because the sweating mechanism has been overwhelmed. The pulse progressively becomes weaker, and the blood pressure falls rapidly.
Recovery depends on the speed and vigor of treatment.
The senior most qualified medical crew member will decide whether to call 911, activate helicopter transport, or proceed by surface evacuation immediately to the nearest medical facility. In the meantime, in the field, the victim must be cooled by any means necessary. Remove clothing, place wet towels, etc., on the victim, even place ice packs in the groin areas, arm pits, neck and wrists. The hospital, by receiving prior notice, can have ice water baths and other medical interventions available for immediate treatment. The ARPP s commitment to safety through education, policy, and procedure enforcement continues to provide staff, volunteers, and visitors with the best security possible in a potentially hazardous environment.