How heatstroke—from overexertion or extreme heat—affects the body

Heatstroke occurs when the body reaches 104°F or higher and can't cool itself

Untreated, this medical emergency can result in permanent disability or death. Someone suffering from heatstroke—defined as a core temperature of 104 degrees Fahrenheit but sometimes as high as 106 degrees Fahrenheit—may appear confused and require immediate cooling, ideally with an ice bath.

Heatstroke is when the body's core temperature becomes dangerously high—and needs to cool

Warning signs that the body is overheating include rapid breathing, cramps, heavy sweating, nausea, and feeling lightheaded. Drinking plenty of fluids, seeking shade, and cooling the body down as quickly as possible with icepacks can help reduce the risk of heatstroke.

Exertional heatstroke is a top killer of athletes and soldiers-in-training

Often characterized by collapsing while exercising in the heat with intense sweating, this type of heatstroke among otherwise healthy people occurs when the body loses the ability to cool itself during intense exercise and the body's core temperature has risen to 104 degrees Fahrenheit or higher and cannot cool itself. If treated quickly, it's often survivable, though it can cause lasting damage.

Heatstroke is sometimes missed because the patient is really sweaty

Since the condition involves losing the ability to cool oneself, clinicians sometimes see someone who has exertional heatstroke—like a high school athlete who is really sweaty—and don't realize the heat-related illness has already progressed to heatstroke. Classic heatstroke typically occurs among the very young or the elderly. (Some users may encounter a paywall.)

Heatstroke can reprogram your DNA, putting survivors at risk of future health problems

Severe illness from extreme heat exposure can alter DNA through epigenetics—turning genes "on" or "off" to shape disease risk. These changes can place an organism at greater risk of future health complications—unlike the epigenetic changes produced by moderate, repeated heat exposures.

How the gut microbiome can affect heatstroke risk

Some research suggests that our gut microbiome influences our risk of exertional heatstroke. If exercise boosts our body temperatures to unsafe levels, increasing gut permeability, that can cause a "leaky" gut—allowing bacteria and other gut microbes to leak into the bloodstream and potentially trigger endotoxemia, a potentially life-threatening inflammatory response that can occur with heat exhaustion and heatstroke.

Certain medications that affect blood flow or mood boost the risk of heatstroke

Drugs that narrow blood vessels, beta blockers that regulate blood pressure, diuretics, antidepressants, and antipsychotics can all affect the body's ability to regulate its internal body temperature, and so individuals taking these medications need to take special care in extreme heat and when exercising in hot conditions.

Heatstroke deaths may be massively undercounted—perhaps by a factor of 10

One often-cited average estimate of annual American heat deaths—roughly 1,200 per year—is based on death certificate data, but it may be a significant undercount because heat kills through cardiovascular, kidney, and respiratory causes that are more likely to be cited on those documents. (Separate analysis that looked at data from 1999 to 2023 found that the highest number, in 2023, was 2325.)

More extreme heat days are putting human health at risk in both the short and long term

America is generally experiencing more frequent extreme heat days, over a longer period, in certain parts of the country. The heat-related death toll is rising, and beyond those direct deaths, extreme heat can also have troubling ripple effects including elevated violence and decreased productivity.

Heat-related complications are of greater concern for distance runners than cardiac threats

Analysis of more than 130,000 runners in Tel Aviv events during a seven-year period indicated that the runners were 10 times more likely to experience heatstroke than serious cardiac problems. Scientists suggest that runners should take 10 to 14 days to acclimate to a hot climate before tackling a serious run.

Heatstroke treatment guidelines were built almost exclusively on research in men

Protocols for the standard treatment recommendation for heatstroke—whole-body cold water immersion—were built based on studies almost entirely in men. The research wasn't replicated in women, who typically cool faster than men during cold water immersion, raising questions about standard protocol safety for women, due to the risk of overcooling.

Extreme heat puts people at risk of developing kidney stones

It's essential to remain hydrated in summer weather to keep your body healthy, but one reason is to help dilute minerals that naturally build up if they aren't excreted in our water-fueled urine. Doctors recommend people generally drink 64 ounces of water a day and also eat foods with salt to help ward off dehydration.

Korey Stringer, of the Minnesota Vikings, died of heat-related illness in 2001

In response, the NFL overhauled its heat approach and no other player has since died from heat-related illness. Even at the high school level, research suggests safety measures should include: mandating water breaks, keeping a cool tub available, and having athletes acclimate to high-temperature playing conditions for a week or longer before donning the full set of protective equipment.

Symptoms of extreme radiation exposure may take hours to manifest

Large doses of ionizing radiation can damage the body within minutes, particularly in the bone marrow and inner layer of the digestive tract. Victims may briefly seem fine before rapidly deteriorating as immune failure, infection and organ collapse set in.

What is a heat dome?

The world is seeing regular heat waves with multiple causes, including so-called "heat domes," a term rising in use in recent years. A heat dome occurs when the atmosphere traps hot ocean air like a lid or cap, creating stifling conditions and resulting in extended periods of heat. See an illustration of this phenomenon and read how it works with this brief explainer.

Key symptoms of burnout can be both mental and physical

Burnout can be accompanied by several symptoms, including low energy and chronic fatigue, trouble concentrating, difficulty sleeping, and depression. It may even manifest physically as musculoskeletal pain, headaches, stomach and intestinal pain, and more. More intense cases have been linked to cardiovascular and mental health disorders.

Wind chill speeds up the loss of heat from the body

During cold weather conditions, strong winds against exposed skin can produce a sensation of temperature colder than the surrounding air temperature. The accelerated loss of body heat increases the risk of frostbite and hypothermia, with frostbite able to set in as quickly as five minutes.

Fevers are an immune response to create hurdles for pathogens

Substances called pyrogens prompt the brain to raise the body temperature to levels where bacteria and viruses struggle to survive. The higher temps also support immune cells fighting off the invaders.

Food poisoning can sometimes cause serious long-term health issues

Although foodborne illness can be relatively mild and cause short-term discomfort, more rarely it can also cause long-term severe health consequences, depending on your individual risk factors, the severity of your sickness, and the care you receive. Kidney failure is one serious complication associated with certain types of food poisoning. Meningitis, hepatitis, arthritis, and pancreatitis are also rare and serious foodborne illness complications. If a pregnant person gets food poisoning, it can cause health issues for the fetus.

View thermophiles found in Hot Springs National Park, including nanobacteria and ostracods

Most organisms in this subset of extremophiles live at temperatures between 60 and 80 degrees Celsius (140 to 176 degrees Fahrenheit), which is hot enough to unfold proteins needed for most biochemical reactions. In thermophiles, these molecules, including those needed to replicate DNA during cellular division, are tightly packed and held by stronger bonds to resist changes in shape.

Overwork contributes to thousands of worker deaths

Can work really kill you? The World Health Organization and the International Labor Organization have estimated that long work hours contribute to thousands of death from strokes and heart attacks each year. This BBC article argues that the culture of overwork and burnout is leading to a public health crisis in desperate need of solutions.

Thermal runaway reactions can cause batteries to catch fire or explode

If a lithium-ion battery is heated, punctured, crushed, or short-circuits due to manufacturing flaws or degradation, the cathode and anode can make contact without the resistance provided by a circuit. The ensuing spike in chemical reactions increases the temperature and can release oxygen, initiating and intensifying burning of the battery's interior.

Diabetes 101: Insulin deficiency leads to high glucose levels in the blood

Glucose, the brain's preferred energy source, enters the bloodstream when the body breaks down consumed carbohydrates. To manage this increase in readily available energy, the body releases the hormone insulin, which allows glucose to enter and fuel our cells. Without insulin, glucose remains in the blood, causing health issues.

Developing adaptable brain-body systems lets athletes thrive beyond 30

Success in high-level sports after age 30 relies on physical fitness and building brain resilience through deliberate training, recovery, and stress regulation. This creates a feedback loop where body and mind reinforce each other.

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