What is the EMR priority when encountering heat-related illness?

• A. Administer ibuprofen to reduce fever
• B. Remove from heat and begin cooling the patient
• C. Elevate the legs and wait for EMS
• D. Apply ice directly to skin and immobilize

Answer: (B)

Cooling the body quickly is the top priority when a heat-related illness is suspected. Removing the person from heat and starting cooling stops ongoing heat gain and lowers core temperature, which helps prevent progression to heat stroke and potential organ damage. Move them to shade or an air-conditioned area, loosen restrictive clothing, and begin cooling—cool the skin with water, fan them, and, if available, place cooling packs under the armpits, in the groin, and at the neck or use a cool bath if the situation allows. Monitor for changes in mental status and breathing, and transport promptly if symptoms worsen or if heat stroke is suspected. Do not wait for EMS to start cooling, and avoid giving NSAIDs for this condition; also avoid immobilization or applying ice directly to the skin in a way that could cause injury.