Description

Large numbers of people may die in cities during summer heat waves. Certain factors can help identify patients at risk, offering the possibility of early intervention and prevention.


 

Risk factors:

(1) mental illness, dementia, chronic alcohol abuse

(2) extremes of age (very young, very old), with highest rate for those >= 85 years

(3) social isolation

(4) certain medications (neutroptropic agents, anticholinergic agents, major tranquilizers)

(5) disabled (bed-ridden, learning disabilities)

 

Protective factors:

(1) working air conditioners

(2) social contacts

(3) wearing light clothing

(4) avoiding direct sunlight

(5) drinking sufficient fluids

(6) taking frequent showers or baths

 

Additional notes:

(1) Fans are not protective if the temperature is > 90°F and the humidity is > 35%.

(2) Toxicologic analysis can help determine if medications may be implicated.

 


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