an acute illness of man and animals caused by impaired thermoregulation after prolonged exposure to high environmental temperatures.
In man, heatstroke may develop during work in a hot factory such as a foundry or steel mill, during outdoor work in regions with a hot climate, or during long marches in the heat of the day. Heatstroke may also arise from impaired heat balance in cardiovascular and thyroid diseases, obesity, and dehydration through diarrhea or vomiting. It readily develops in children under one year of age because the thermoregulatory mechanisms are still incomplete.
Heatstroke may be mild, moderate, or severe. The mild form is marked by weakness, headache, nausea, and rapid pulse. Considerable weakness, stupor, fainting, vomiting, and elevation of the body temperature to 39°–40°C are indicative of moderate heatstroke. The severe form sets in abruptly upon prolonged exposure to excessive heat, with loss of consciousness, convulsions, rapid and shallow breathing, slowing of the blood circulation, and elevation of the body temperature to 41°–42°C. This form may be fatal.
First aid consists in removing the victim from the heat, applying cold compresses, and giving him cold water to drink if he is conscious. A victim of severe heatstroke should lie on his side to avoid swallowing vomit. Closed cardiac massage and mouth-to-mouth or mouth-to-nose artificial respiration are used when necessary. Reanimation (resuscitation) in a hospital includes general hypothermia and prevention of such complications as brain or lung edema. Heatstroke may be prevented by regular medical examinations of persons whose work involves exposure to high temperatures and by complying with health regulations regarding clothing, long marches in hot weather, and conditions in hot places of work: