
Heat Exhaustion Vs. Heatstroke
By Coach Adolfo Salgueiro
The Summer can make even the most motivated runner miserable. Currently we don’t need to wait until the Solstice on June 21st to start experiencing the weather getting hotter. And if you live in certain areas of the geography, getting unbearably humid. And, if you want to maintain yourself running, either you adjust to the climate reality or you hibernate with your running shoes until September or October, when things should start cooling off again.

Image by Dall-e (she has three shoes, I guess it is still a work in progress)
It is imperative that runners become intentional about their safety running during these hot months. Being able to identify the symptoms of heat exhaustion and heat stroke will be able to keep you and your running friends safe. So please, pay attention to the content below.
Once again, the usual disclaimer: I am not a doctor, so please do not take medical advice from me. If you have any questions on what you are about to read, please consult a professional.
It is extremely important that you as a runner understand and differentiate the signs and symptoms of heat related illnesses, such as heat exhaustion and heatstroke. They are both serious conditions, but the latter can lead to death. This is no joke. A close friend of mine ended up in the hospital and her family was told to make final preparations. It is a miracle she survived her heat stroke.
According to the Mayo Clinic’s website, there are three heat-related syndromes that may affect your body depending on your exposure to extreme heat conditions. In order of severity, they are: heat cramps, heat exhaustion and heatstroke.
Heat Exhaustion is caused by exposure to elevated temperatures, particularly when combined with high humidity and strenuous physical activity. Without prompt treatment, it can turn into a heatstroke, a life-threatening condition that can be prevented by avoiding entering the heat exhaustion zone in the first place.
Heatstroke is a condition caused by your body overheating, usually as result of prolonged exposure to physical exertion in hot temperatures. It is the most serious form of heat injury. It may occur if your body temperature rises to 104º F (40º C) or higher.
Certain conditions and medicines can enhance your risk of a heat-related illness. Ask your doctor if any of your medical history or current prescriptions can make you more susceptible to these conditions considering your level of physical activity during the warmer months.
I can’t state enough how important it is to know and understand the symptoms of each one of these syndromes. Not only it could help you prevent them, but it can avert a tragedy.
Heat Exhaustion
The evaporation of your sweat regulates your body temperature. However, when you exercise strenuously or otherwise overexert yourself in hot, humid weather, your core temperature (body\’s heat combined with environmental heat) fails to regulate, preventing your body from cooling itself. A normal core temperature is around 98.6º F (37º C). If you don’t deal with this situation immediately, it may develop into a dreaded heatstroke.
The symptoms of Heat Exhaustion are:
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Cool, moist skin with goose bumps
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Heavy sweating
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Faintness
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Dizziness
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Fatigue
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Weak, rapid pulse
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Low blood pressure upon standing
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Muscle cramps
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Nausea
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Headache
Should you feel any of these symptoms, stop your activity immediately, move to a cooler place, drink cool water and/or sports drinks and rest. If these symptoms don’t get better within an hour, contact your doctor. Remember you must avoid this escalating into a heatstroke.
Heatstroke
Heatstroke not only requires immediate treatment, but it can quickly injure the brain, heart, kidneys, and muscles. Damage can get worse the longer treatment is delayed and lead to serious complications and, once again, even death. Yes. Seriously: Death.
The symptoms of Heatstroke are:
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High body temperature (over 104º F or 40º C),
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Altered mental state or behavior (Confusion, agitation, slurred speech, irritability, delirium, seizures),
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Alteration in sweating (skin feels hot and dry to the touch),
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Nausea and vomiting,
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Flushed skin. (Skin may turn red as the body temperature increases),
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Rapid breathing (rapid and shallow),
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Racing heart rate (Pulse may significantly increase),
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Headache (Throbbing).
Prevention
It is imperative to be proactive, both for us and on behalf of our running mates. We must avoid getting into a situation that may trigger heat exhaustion during the scorching summer months. We must err on the side of caution. The Mayo Clinic recommends the following actions:
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Wear loose-fitting, lightweight clothing,
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Protect against sunburn,
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Drink plenty of fluids,
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Take extra precautions with certain medications (ask your doctor),
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Take it easy during the hottest parts of the day,
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Get acclimated to the new weather conditions.
Last year we wrote a blog post on Training Adjustments for the Summer Months, which may be worth revisiting as we prepare for the upcoming weather conditions.
Let’s take our time and learn about heat exhaustion and heatstroke so we can prevent a tragedy.
Have you or one of your running mates ever suffered from a heat-related illness? Please share your thoughts and experiences in the comments box below.