The National - News

Heatstroke can be avoided, and so can the emergency

- RAMOLA TALWAR BADAM

As temperatur­es rise, wear loose-fitting clothing, drink water regularly, staying away from fizzy drinks and promptly report episodes of headache and nausea to prevent heatstroke, and a spell in hospital.

That is the advice from a leading doctor as the UAE summer continues to rage.

“Prevention is the key word for protection against the sun. Whether you work outdoors or not, two to three glasses of water every hour is ideal.

There must be adequate fluid intake because the ambient temperatur­e is high,” said Dr Alai Taggu, head of critical care medicine at Aster Hospital.

“Plain water with lemon is advisable, definitely not carbonated drinks and not tea or coffee, since that causes us to perspire more.”

Workers who are on diuretics to treat high blood pressure or on heart medication such as beta blockers should be doubly careful because these can interfere with the body’s response to heat.

“Many workers tend to have hypertensi­on and are taking such medication because of the nature of their work.

“Diuretics flush water from the body so can add to dehydratio­n. This increases the risk of heat stroke for already high-risk patients,” he said.

A person with heatstroke symptoms such as headache and nausea should be moved to a cool, shaded area because if they are left unattended the consequenc­es are potentiall­y deadly, ranging from turning delirious to eventually slipping into a coma and suffering multi-organ failure.

“Supervisor­s must check that workers do not sleep in cars because keeping the air conditioni­ng on will not be enough.

“The temperatur­e of a person can shoot up and they get dehydrated very quickly,” said Dr Taggu, who has had to treat many workers who were brought in because they dozed off in vehicles exposed to sunlight.

The warning comes as outdoor workers prepare for the start of the mandatory summer midday break on Friday.

While calling for emergency medical help, quick measures that can be taken include removal of excess clothing, dousing the person with a hose – available on most constructi­on sites – and placing ice packs or cold towels on the person’s body.

“A person’s mental state and behaviour will be different, they may become irritable, their skin will be flushed during a heat stroke.

“If a patient is not sweating, this means they are already in a stage of heat exhaustion. Once the body overheats then emergency treatment is a race against time,” said the critical care specialist.

“Rather than rushing a person to the hospital if checks and measures are put in place, emergency situations can be avoided.”

In accordance with government rules, water, vitamin supplement­s and shelter must be available at all work sites to meet health and safety requiremen­ts.

The law mandates that workers are not assigned outdoor tasks between 12.30pm and 3pm between June 15 and September 15.

Prevention is the key word for protection against the sun … whether you work outdoors or not DR ALAI TAGGU Aster Hospital

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