What is the initial management step for heat exhaustion?

• A. Administer medications
• B. Move to shade
• C. Leave in sun
• D. Give only cold water

Answer: (B)

The first thing to do for heat exhaustion is get the person out of the heat and into a cooler, shaded area. Moving to shade lowers the radiant heat they’re absorbing and helps the body start cooling, reducing core temperature. Once in shade, loosen tight clothing, have them rest, and rehydrate if they can drink (water or an electrolyte solution). You can also use cool cloths or fans to aid cooling. Medications aren’t indicated at this stage, and staying in the sun only keeps the heat load high. Providing only cold water is not enough by itself—the immediate priority is reducing exposure to heat while beginning rehydration and cooling. If symptoms worsen or heat stroke is suspected (confusion, seizures, very high temperature, or unconsciousness), seek urgent medical help.