44 Sympt om T reatment Heat S tr ok e If an y heat str ok e sym pt oms are apparent treatment must begin without dela y As the core t em perature rises abo v e 4 1C 1 058F unconsciousness delirium and con vulsions ma y occur A lif ethreat ening condition demanding immediat e medical att ention As the body core t em perature appr oaches 4 1C 1 058F the victim can no longer pr oduce sw eat There are tw o f orms of heat str ok e Int erim T reatment prior t o e v acuation t o a medical centre Ex er tional Heat S tr ok e more commonly af f ects feld em plo y ees Mo v e victim out of the sun int o the coolest place possible Coo l the victim as q uickly as possible pa ying par ticular att ention t o the head arm pits and gr oin Drape the victim with luk e w arm w e t shee ts or t o w els t o conduct heat a w a y fr om the body Fa n the body using electric or handheld f ans T r y t o place the victim on a screen so the y can be cooled bo th fr om abo v e and belo w The aim is t o maximize e v aporation fr om the body t o cool the core body t em perature without chilling the victim P ale cool dam p skin or ho t dr y red skin Irratio nal hostile beha viour Rapid ly rising core t em perature Heada che dizziness Naus ea and v omiting Collapse Classic He at S tr ok e Ho t d r y red skin Rap idly rising core t em perature Rapi d pulse Hea dache Nau sea and v omiting Delir ium Con v ulsions Coll apse and coma