Jim sure got this right! Last August I was standing in the shade at the MK and passed out from the heat. I got a "fast pass" to the Celebration Hospital. Wow, the ER was busy with folks who had dropped all over the place. Saw a few CM's in there as well.
Sorry, but the EMT in me just can't let this pass. Here in Miami (especially at the part of Everglades NP where I work) we see a LOT of heat illness and I've come a lot closer than I wanted to be to losing a couple of patients (once at the Park and once on a rescue ride).
There are three things everyone visiting WDW in the summer should know about heat illness.
- Heat illness is MUCH more serious than you think. Heat illness can kill an otherwise completely healthy person.
- Heat illness is PROGRESSIVE. Forget wondering whether it's heat cramps, heat syncopy, heat exhaustion, heat stroke, etc -- it's all the same illness. If it's not treated promptly and correctly, it will get worse. Then it will get MUCH worse. Don't play with heat illness.
- Heat illness is almost 100% PREVENTABLE.
If you're at WDW in the summer (or any time when it's warmer than you are used to), the number one rule is "Hydrate, hydrate, hydrate." There is no such thing as too much of the right fluids. The right fluids are water and/or electrolyte replacement drinks like Gatorade/Poweraid, etc. Soft drinks containing caffeine are bad. Alcohol is awful and "energy" drinks are also awful. I personally happen to LOVE beer, but I NEVER drink beer in the heat...especially at WDW.
Second strategy -- stay out of the sun. Just moving from the sun to shade can lower the heat index by 15 degrees.
Third -- take frequent breaks, preferably in air-conditioned spaces. And not just for two minutes until you catch your breath. Stay in the AC until you really cool down.
Fourth -- co-morbidity. Fancy word meaning you have underlying health issues. If you're obese, have any kind of cardiovascular issue, have any kind of respiratory issue, are a smoker, are diabetic, have any deficit from any prior illness or surgery -- anything at all -- use extra caution. Heat puts pressure on your body's systems and one or more of your systems are already compromised and therefore less able to compensate.
In addition, the stress of heat can
trigger or
provoke any underlying issue you may have. In the last year, I have had two patients who initially presented as heat illness but were really in much worse shape than they realized. One was
having a heart attack (STEMI alert, for the medical folks reading this) and the other was
in insulin shock (not "shocky," IN shock).
For diabetics, eat GOOD meals (not snacks) and be darn sure you keep your blood glucose level UP. High blood sugar is a problem over time; low blood sugar is deadly quickly.
Oh...and have a great time. Come to The Sunshine State and bring money -- we appreciate your business!