Burns, Heatstroke and Hypothermia: How to Recognize and Treat Them
Immediate care and warning signs for three temperature-related emergencies, including what you should not do.
Burns
Call 911 for a burn that goes through all layers of skin (dry, leathery, charred or discolored), is larger than 3 inches across, is on the face, hands, feet, genitals or a joint, wraps around a limb, involves smoke inhalation, electricity or chemicals. Babies and older adults may need emergency care even for smaller burns.
Minor burn
- Cool the burn under cool (not ice-cold) running water for about 10 minutes.
- Remove rings, watches and tight items before swelling starts.
- Cover loosely with a clean, non-stick bandage or gauze.
- Do not pop blisters. Over-the-counter pain relievers can help.
Major burn
- Call 911. Move the person away from the heat source and make sure they are breathing.
- Remove tight items before swelling, but do not remove clothing that is stuck to the burn.
- Cover the area loosely with a clean, dry cloth or sterile gauze.
- Watch for signs of shock: pale, clammy skin and weakness.
Do not use butter, oil, toothpaste or ice on a burn.
Heatstroke and heat exhaustion
| Heat exhaustion | Heatstroke (emergency) | |
|---|---|---|
| Signs | Heavy sweating, fatigue, thirst, dizziness, nausea or vomiting, fast heart rate | Confusion, slurred speech, fainting, seizures, hot dry or heavily sweaty skin, very high body temperature, rapid pulse |
| Action | Move to shade or air conditioning, remove extra clothing, cool with water and fans, give sips of water | Call 911. Cool immediately: cold water immersion if possible, or cold wet towels or ice packs on head, neck, armpits and groin, plus fans |
OSHA's principle is simple: when in doubt, cool the person and call 911. Never leave them alone. Never leave a child or pet in a parked car, even for a short time; temperatures inside can become deadly within minutes, especially in Florida.
Hypothermia
Hypothermia occurs when body temperature falls below 95°F. It can happen in cool weather or in cold water, even in Florida.
Signs: shivering (which may stop as it gets worse), slurred or mumbling speech, slow shallow breathing, weak pulse, clumsiness, confusion or drowsiness, and loss of consciousness.
- Call 911.
- Move the person out of the cold, wind and wet. Insulate them from the ground.
- Replace wet clothes with dry layers and blankets.
- Warm the core first (chest, neck, groin) with dry layers or warm compresses.
- If awake, give warm, sweet, non-alcoholic drinks.
- If they stop breathing, start CPR.
Do not use hot baths, heat lamps or rub the arms and legs, and never give alcohol.