Precipitating Predisposing

Factors: Factors:
Strenuous Humid and
Activity in Hot Hot Weather
Weather

Heat stress

Activation of
heat defense

Cold seeking Cutaneous Evaporation

vasodilation

High cardiac Decreased Salt and water

output venous return loss

Cardiac Insufficient Heat

output Hypovolemia brain Dehydration Hyponatremia Hypovolemia
redistribution perfusion cramps

Syncope,
Altered Heat
mental state exhaustion
Circulatory
Shock

Progressive
hyperthermia

Body temp of 40
degrees or higher