How should heat illness be initially managed on the sidelines?

• A. Apply heat packs and warm clothing.
• B. Ignore symptoms and continue playing.
• C. Administer alcohol to cool skin.
• D. Move to a cooler area, remove excess clothing, cool the skin with water or ice packs, hydrate if conscious, monitor for symptoms; seek EMS for heat stroke.

Answer: (D)

Quick cooling and reducing heat exposure are essential. On the sidelines, move the athlete to a cooler area, loosen or remove excess clothing, and begin cooling the skin with cool water or ice packs to accelerate heat loss. If they are conscious and able to swallow, offer fluids to rehydrate; if not, avoid oral intake. Continuously monitor for signs of worsening condition, such as confusion, dizziness, or fainting. If heat stroke is suspected—altered consciousness, collapse, or seizures—seek emergency help immediately and continue aggressive cooling while awaiting EMS. Avoid applying heat or warm clothing, do not ignore symptoms, and do not give alcohol, as these worsen heat illness.