Which actions constitute the initial approach to heat exhaustion management?

• A. Remove excess clothing and equipment; move to a cool, shaded area; use fans and towels; place in supine with legs elevated; consider IV fluids if needed or recovery is slow; same-day RTP not advised
• B. Continue activity with fluids only and no cooling
• C. Offer only oral fluids and wait for symptoms to resolve
• D. Administer diuretics to reduce edema and pressure

Answer: (A)

Heat exhaustion must be addressed by lowering the body's heat load quickly, rehydrating, and removing heat sources. Start by removing excess clothing and equipment to reduce heat buildup, then move the athlete to a cool, shaded area. Use fans and towels to promote evaporative cooling, and place them in a comfortable position—often supine with the legs elevated—to support circulation if there are no injuries. Hydration is essential: offer fluids that the athlete can drink, and if oral intake isn’t possible or recovery is slow, IV fluids may be needed under medical guidance. Do not send the athlete back to activity the same day; provide monitoring and plan a gradual return-to-play after full recovery and medical clearance. The other approaches miss critical steps: continuing activity without cooling worsens heat load; relying only on fluids ignores the need to actively cool the body; and diuretics are inappropriate and dangerous in heat illness.