Heat Stroke vs. Heat Exhaustion: Can You Spot the Signs Before It’s Too Late?

It’s July 1, 2025, and summer is officially here. In West Michigan, we’ve already endured two major heat waves, with temperatures soaring into the low to mid-90s.
 
During my June 20–22 Basic 101 course, I stressed an important core principle: hydrate, stay shaded, and cool down often. I even hung a tarp over our meeting area to protect students from the intense sun. Why? Because I was actively working to prevent Heat Exhaustion—and more critically, Heat Stroke.
 
But do you know the difference between the two? And more importantly, can you recognize the signs before it’s too late?
 
Heat Exhaustion vs. Heat Stroke: What You Need to Know
Both conditions are dangerous responses to extreme heat, but they differ significantly in severity and treatment. Heat Exhaustion is the body’s warning sign that it’s overheating. It typically begins with dehydration from heavy sweating, salt loss, and prolonged exposure to high temperatures.
 
If not treated, it can quickly progress to Heat Stroke—a medical emergency in which the body’s internal temperature control fails, potentially leading to brain damage, organ failure, or even death.
 
At Arcturus Primitive Skills Institute, we teach our students how to monitor and regulate core body temperature, because failing to do so in extreme conditions can have serious consequences.
 
Key Differences Between Heat Exhaustion and Heat Stroke:
Category: Heat Exhaustion vs Heat Stroke
Severity: Moderate; can be treated on-site vs Critical; requires emergency medical attention
Sweating: Heavy, continuous vs None; skin becomes hot and dry
Body Temp: Below 104°F vs Above 104°F
Mental State Fatigued but conscious vs Confused, disoriented, may lose consciousness
Pulse Rapid and weak vs Rapid and strong
 
Symptoms to Watch For:
Heat Exhaustion
• Excessive sweating
• Thirst and dehydration
• Dizziness or fainting
• Nausea and possible vomiting
• Muscle cramps
• Cool, clammy, pale skin
• Weakness and fatigue
• Headache
• Body temperature at or below 103°F
• Rapid, weak pulse
Heat Stroke
• Severe or pounding headache
• Confusion or altered mental status
• Absence of sweating
• Red, hot, dry skin
• Body temperature above 104°F
• Nausea and vomiting
• Rapid, strong pulse
• Short, shallow breathing
• Loss of consciousness
• Possible seizures in extreme cases
 
Treatment Protocols:
Treating Heat Exhaustion
• Move to a shaded or air-conditioned area
• Remove excess clothing
• Rehydrate with water or electrolyte-rich fluids like Gatorade
• Apply cool, damp cloths to the neck, head, and underarms
• Take a cool shower if possible
Treating Heat Stroke
• Call 911 immediately
• Relocate the person to a cooler area
• Remove clothing to aid cooling
• Apply cold compresses or ice packs to the neck, groin, and armpits
• Lay the person down and monitor closely for changes in consciousness
 
Summer in Michigan is no joke. Stay prepared, stay hydrated, and don’t ignore the signs of heat-related illness. When things cool off, come visit me in the wild. 

Battling the Freeze: Essential Tips for the Prevention and Treatment of Frostbite

Frostbite is nature’s brutal way of reminding you who’s boss. When temperatures plummet and you’re exposed to the biting cold for too long, your skin and the tissues beneath can literally freeze solid. It’s the extremities—fingers, toes, ears, and nose—that take the worst hit. Initially, your skin turns ice-cold and red, then goes numb, hard, and pale as it progresses. The more severe the frostbite, the deeper it bites, tearing through muscles, nerves, and blood vessels, sometimes leading to permanent damage or even amputation. From a mild stinging sensation to skin turning a sinister shade of purple or black, frostbite is relentless. Dressing in layers, covering every inch of skin, and seeking warmth as quickly as possible are essential to stave off this icy menace. Once frostbite sets in, immediate medical help is your only lifeline.

Remember the colors red, white, and blue? They’re not just about patriotism—they’re your body waving the white flag to the cold.

Red: The early stage, known as frostnip, where your skin turns red and cold. You’ll feel pain, numbness, and that dreaded pins and needles sensation, especially in your hands and feet. Time to escape the cold, find heat, and seek shelter.

White (and early blue): This is superficial or second stage frostbite. Your skin turns white and stiff, like wax, with the tissue freezing underneath. Strangely, your skin might feel hot at this point. Your body’s sending out distress signals—get warm now!

Blue: Deep frostbite is the real deal. Both superficial and deep tissues are frozen. Your skin turns blue and splotchy, circulation is clogged up, and you’ll start getting blisters. Ignore it, and your skin will turn black and die, leading to potential amputation.

Immersion foot (trench foot): Think WWI. When feet are stuck in water below 60°F for too long, it wrecks the nerves, leaving lasting damage.

So how do you stave off these icy attacks? Get out of the cold, find shelter, find heat, and strip off those wet clothes and shoes. Start rewarming—slowly. It’s gonna hurt, but it’s necessary. Too fast, and you risk stopping your heart. For frostbite, soak the affected area in warm water (not above 103°F) for 30 minutes, replacing the water as needed. Skin should turn red again. Give Ibuprofen for pain and to help blood flow. Whatever you do, don’t let the tissue refreeze—that’s a one-way ticket to more damage. And no rubbing frozen skin!

Remember, it’s a cold, cruel world out there. Stay warm, stay vigilant.