Labourers working outdoors must take extra care to ensure they don't suffer in the summer heat. Pawan Singh / The National
Labourers working outdoors must take extra care to ensure they don't suffer in the summer heat. Pawan Singh / The National

Doctor offers expert advice to prevent heatstroke this summer



As temperatures climb, loose-fitted clothing, drinking water regularly, staying away from fizzy drinks and promptly reporting episodes of headache and nausea can prevent  heatstroke and hospitalisation.

That is the essential 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, specialist physician and head of department of critical care medicine at Aster Hospital.

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

Workers who are on diuretics to treat hypertension, 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 since 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 treated workers brought in for treatment because they dozed off for extended hours in vehicles exposed to sunlight.

The warning comes as outdoor workers prepare for the start of the 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.

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Read more:

Watch: Cooling vest saves Dubai workers from heat stroke

UAE doctors see increase in heat-related illnesses as temperatures soar

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

As per government rules, water, vitamin supplements and shelter must be made available at all work sites to meet health and safety requirements. The law mandates that workers are not assigned outdoor work from 12.30pm until 3pm from June 15 until September 15.

Common OCD symptoms and how they manifest

Checking: the obsession or thoughts focus on some harm coming from things not being as they should, which usually centre around the theme of safety. For example, the obsession is “the building will burn down”, therefore the compulsion is checking that the oven is switched off.

Contamination: the obsession is focused on the presence of germs, dirt or harmful bacteria and how this will impact the person and/or their loved ones. For example, the obsession is “the floor is dirty; me and my family will get sick and die”, the compulsion is repetitive cleaning.

Orderliness: the obsession is a fear of sitting with uncomfortable feelings, or to prevent harm coming to oneself or others. Objectively there appears to be no logical link between the obsession and compulsion. For example,” I won’t feel right if the jars aren’t lined up” or “harm will come to my family if I don’t line up all the jars”, so the compulsion is therefore lining up the jars.

Intrusive thoughts: the intrusive thought is usually highly distressing and repetitive. Common examples may include thoughts of perpetrating violence towards others, harming others, or questions over one’s character or deeds, usually in conflict with the person’s true values. An example would be: “I think I might hurt my family”, which in turn leads to the compulsion of avoiding social gatherings.

Hoarding: the intrusive thought is the overvaluing of objects or possessions, while the compulsion is stashing or hoarding these items and refusing to let them go. For example, “this newspaper may come in useful one day”, therefore, the compulsion is hoarding newspapers instead of discarding them the next day.

Source: Dr Robert Chandler, clinical psychologist at Lighthouse Arabia