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Hot enough?

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By Firefighter / EMT-B Scot Best
July 21, 2011

Over the last few days, the National Weather Service has issued several Special Weather Warnings for Southern Maryland for Excessive Heat, expected through Saturday. Temperatures have been, and will continue to be in the upper 90s to around 100 degrees, with Heat Index Values of 110 to 115 degrees.

An Excessive Heat Warning means that a prolonged period of dangerously hot temperatures will occur. The combination of hot temperatures and high humidity will create a dangerous situation in which heat illnesses are likely.

Further, The Maryland Department of Environment has issued several Code Orange Air Quality Alerts for the DC metro area, which includes all of Southern Maryland. A Code Orange Air Quality Alert means that air pollution concentrations within the region may become unhealthful for sensitive groups. Sensitive Groups include: children; people suffering from asthma, heart disease or other lung diseases; the elderly. The effects of air pollution can be minimized by avoiding strenuous activity or exercise outdoors.

According to the National Weather Service, about 237 Americans succumb to the taxing demands of heat every year. Our bodies dissipate heat by varying the rate and depth of blood circulation, by losing water through the skin and sweat glands, and as a last resort, by panting, when blood is heated above 98.6 degrees F. Sweating cools the body through evaporation. However, high relative humidity slows down evaporation, robbing the body of its ability to cool itself.

*The American Red Cross urges the community to take note of the following Heat Emergency terms:
- Heat cramps: Muscular pains and spasms due to heavy exertion; an early signal that the body is having trouble with the heat.

- Heat exhaustion: Typically occurs when people exercise heavily or work in a hot, humid environment where body fluids are lost through heavy sweating. Blood flow to the skin increases, causing blood flow to decrease to the vital organs. This results in a form of mild shock. If not treated, heat stroke may occur.

- Heat stroke: (a.k.a., Sunstroke) is life-threatening! The body's temperature control system, which produces sweating to cool the body, stops working. The body temperature can rise so high that brain damage and death may result if the body is not cooled quickly.

*If a Heat Advisory is predicted or issued:
- Slow down. Avoid strenuous activity. If you must do strenuous activity, do it during the coolest part of the day, which is usually in the morning between 4:00 a.m. and 7:00 a.m.

- Stay indoors as much as possible. If air conditioning is not available, stay on the lowest floor, out of the sunshine. Try to go to a public building with air conditioning each day for several hours. Remember, electric fans do not cool the air, but they do help sweat evaporate, which cools your body.

- Wear lightweight, light-colored clothing. Light colors will reflect away some of the sun's energy.

- Drink plenty of water regularly and often. Your body needs water to keep cool. Drink even if you do not feel thirsty. Water is the safest liquid to drink during heat emergencies. Avoid drinks with alcohol or caffeine in them. They can make you feel good briefly, but make the heat's effects on your body worse. This is especially true about beer, which dehydrates the body.

- Eat small meals and eat more often. Avoid foods that are high in protein, which increase metabolic heat.

- Avoid using salt tablets unless directed to do so by a physician.

*Signals of Heat Emergencies:
- Heat exhaustion: Cool, moist, pale, or flushed skin; heavy sweating; headache; nausea or vomiting; dizziness; and exhaustion. Body temperature will be near normal.

- Heat stroke: Hot, red skin; changes in consciousness; rapid, weak pulse; and rapid, shallow breathing. Body temperature can be very high -- as high as 105 degrees F. If the person was sweating from heavy work or exercise, skin may be wet; otherwise, it will feel dry.

*Treatment of Heat Emergencies:
- Heat cramps: Get the person to a cooler place and have them rest in a comfortable position. Lightly stretch the affected muscle and replenish fluids. Give a half glass of cool water every 15 minutes. Do not give liquids with alcohol or caffeine in them, as they can make conditions worse.

- Heat exhaustion: Get the person out of the heat and into a cooler place. Remove or loosen tight clothing and apply cool, wet cloths, such as towels or sheets. If the person is conscious, give cool water to drink. Make sure the person drinks slowly. Give a half glass of cool water every 15 minutes. Do not give liquids that contain alcohol or caffeine. Let the victim rest in a comfortable position, and watch carefully for changes in their condition.

- Heat stroke: Heat stroke is a life-threatening situation. Help is needed fast. Call 9-1-1 or your local emergency number. Move the person to a cooler place. Quickly cool the body. Immerse victim in a cool bath, or wrap wet sheets around the body and fan it. Watch for signals of breathing problems. Keep the person lying down and continue to cool the body any way you can. If the victim refuses water or is vomiting or there are changes in the level of consciousness, do not give anything to eat or drink.


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Ridge, MD 20680
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