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Published on: July 1, 2021
Heat-Related Illnesses
Robert L Gauer1, Ryan McNutt2, Kevon Bryan2
1Internal Medicine Residency Program at Womack Army Medical Center, Fort Bragg, North Carolina.
American Family Physician
|May 8, 2026
Summary
Heat-related illnesses range from mild conditions to life-threatening heat stroke. Prevention involves acclimatization, hydration, and avoiding activity in extreme heat.
Area of Science:
- Environmental Health
- Sports Medicine
- Emergency Medicine
Background:
- Heat-related illnesses (HRIs) are conditions caused by the body's inability to dissipate heat in high temperatures.
- HRIs present a spectrum from mild (heat rash, cramps) to severe (heat stroke, exertional collapse).
- Risk factors include physical exertion, dehydration, lack of acclimatization, and certain medical conditions or medications.
Purpose of the Study:
- To outline the spectrum of heat-related illnesses.
- To identify common risk factors associated with HRIs.
- To describe the diagnosis and management of various HRIs, emphasizing prevention.
Main Methods:
- Review of existing literature on heat-related illnesses.
- Categorization of HRIs based on severity and clinical presentation.
- Identification of key risk factors and preventative strategies.
Main Results:
- HRIs range from heat edema and cramps to exertional collapse, heat exhaustion, and heat stroke.
- Severe forms include exertional collapse with sickle cell trait, exercise-associated hyponatremia, and heat stroke.
- Effective management depends on early recognition and appropriate treatment, with heat stroke requiring immediate cooling.
Conclusions:
- Heat-related illnesses are preventable through proper acclimatization, hydration, and avoiding strenuous activity in extreme heat.
- Public health interventions are crucial, especially during heat waves.
- Prompt diagnosis and tailored treatment are vital for managing severe HRIs and preventing mortality.
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