Heat Exhaustion & Our Pets: Recognizing the Risks, Prevention, and Treatment

by Joe Neidhardt

So many of us have pets, cats, dogs, hamsters and we care about them. I wanted to share some experiences and talk about keeping our pets safe in hotter weather. Summer 2023 was the hottest on record. Not too long ago we were traveling with our two dogs, Bear; our Australian Shepherd, and Sho-shy; our Shitzu. We were stopping to get some drinks, it was not hot and it was mixed sun and clouds. We rolled down the car windows a few inches and went in to get drinks, and came back within 10-15 minutes. When arriving back at the car there was a man concerned for the safety of our pets, claiming animal abuse. The sun had come out behind the clouds and he was concerned the dogs would be threatened by the heat. I was upset that he was overreacting as we had not been gone long. I then realized he did not know how long we were gone and his concern was appropriate. It can get hot quickly with bright sun and the windows were not down far enough to guarantee good cross ventilation. Had we been gone longer the dogs could have been in danger. So this brief article on heat is dedicated to this appropriately concerned citizen and to all of you who love and value your pets.

Heat is one of the weather conditions causing the most deaths among humans, and, our pets. A heat stroke is the failure of the body's cooling methods to keep up with hot environments or to deal with excessive exercise in a warm to hot environment. Some dogs are more susceptible than others. Those with short noses like Pugs, Bulldogs, and Shitzu don’t cool as well as cooling is done through the nose when air flows over the moist turbinate. The turbinates are ridges of moist watery tissue just inside the nose. Dogs with short noses have smaller turbinates than dogs with long noses. Some dogs are more active so that also puts them at risk. Dogs do sweat but from the pads on their feet and so it only helps a little bit. Panting is the main way dogs cool if heat stressed. There are conditions that also make heat more dangerous. The amount of water in the air is a factor. So, if the humidity is low dogs, stay cool much better. If the humidity gets over 80% panting will essentially not work at all because evaporation from panting is nearly stopped.

Dogs also cool by shunting blood from inner organs to their skin where the heat is released. Again if it is too hot this way of cooling loses its effects. Dogs like us humans require enough fluids, or water. Keeping your dog hydrated helps them deal with heat. Dogs also can become acclimatized to heat if it is done slowly. If they are in a cool house most of the time and the air conditioning is lost they will not do well in the heat suddenly increases for hours or days. If they are outside in heat for short periods of time and the time is gradually increased over several days they will do better. Dogs that are physically fit also do better in heat and fitness helps acclimatization. Obesity in dogs increases the risk to heat, so maintaining optimal weight also helps them be more resistant. Avoiding certain situations like having your dog in the car with the windows rolled up on any sunny days even when it is cool outside can be dangerous. It is the most common cause of heat stroke in many areas. A warm day can be a problem when the dog is exercising too much. Being tied up in an area without shade or good ventilation is a risk.

Sometimes heat is unavoidable. Heat domes are a weather condition that can form and heat can stay both night and day. Climate change is a major contributor to abnormal heat domes. If there is an electrical brown out and air conditioning fails it can get hot and stay hot for hours or days which can lead to emergencies.

How do we recognize heat exhaustion and heat stroke in dogs?

  1. The first thing is to think about it as a possibility if the risk is there: heat, moisture, excessive exercise, lack of water for some period of time. If a dog is muzzled they cannot pant as effectively. If getting hot; their breathing rate will increase, they will be panting more, gums can become dry and sticky, appear a different color or there may be bruising in the gums. They may start drooling. They can look lethargic, may vomit, have mental dullness, be uncoordinated, be disoriented or lose consciousness or have a seizure. If you can take their temperature, a temperature of over 41 degrees C. or 105.8 degrees F. is serious with death rates exceeding 50 %.

  2. If these symptoms occur cool your dog with cool, not cold water. A wet towel often works by putting it on your dog's back and fanning so air helps cool. Keep replacing the wet towel so heat does not build up under it. You can also spray them with cool water. Then if they will drink give cool water. Do not give Aspirin. Transport to the nearest vet as soon as possible. Your vet will then examine your pet for hydration, body temperature, heart rate, and test for lung, kidney, liver, muscle damage, and blood clotting . Rhabdomyolysis is a condition where muscle breaks down from excessive heat and can develop in the first 24 hours. Some damage such as kidney can be delayed so it is important to keep you dog under observation. Your vet will advise you when it is safe to take them home and will give instructions as to aftercare. If the heat is too great organ failure and death can not be prevented. . With good prompt care your dog can survive but it may take some time for them to fully recover.

In summary, the best treatment of heat stroke is prevention.

Provide cool areas with shade and good ventilation. Have water available at all times. Keep you dog fit and aim at ideal weight. If you are in hot climates, or hot weather acclimatize your dog to heat gradually increasing the time in the heat and pay attention to breathing, panting, and overall well being. If exercising outside provide rest periods in cool shady locations. Remember puppies are more susceptible and risk increases as your dog ages. Remember to also take care of yourself. Most of the suggestions for dogs apply equally to humans as well. Your dog will love you for the care and attention.

Heat Exhaustion: Recognizing the Risks, Prevention, and Treatment

by Joe Neidhardt

Heat exhaustion is an urgent but not necessarily dangerous condition if treated immediately. Unfortunately, heat exhaustion can quickly turn into heat stoke which is life threatening and demands emergency care. Remember, heat is the weather condition responsible for more deaths than any other weather-related cause; more people die from heat stroke every year than from floods, hurricanes, or cold spells.

It is important to know that heat can strike nearly any place in the world. Heat domes can settle over an area which lock in the heat, keeping it hot night and day for weeks and even longer in areas such as Phoenix, Mexico, or Australia. Approximately 400 people died from heat related conditions during a heat dome over Vancouver, BC, Canada the summer before last with record breaking heat for the area (in 2022).

The body has ways of keeping our temperature stable —around 98.6 degrees Fahrenheit or 37 degrees Centigrade. It is regulated by the hypothalamus, a structure in the brain. When the hypothalamus senses you are too cold or too hot it sends signals to your body to correct the temperature. If you’re too cool, your muscles will be activated and you may start to shiver to warm up the body. When you are too hot, you will begin to sweat and your blood vessels in your skin dilate, you may look flushed, and you cool yourself. However, when your body’s capacity to cool itself is exceeded because it is too hot, you can develop heat exhaustion. And, if left untreated, heat exhaustion can then lead to a very dangerous condition causing heat stroke. If heat stroke is not treated it can lead to death.

The following list will help you assess your level of risk:

Heat Exhaustion:

Core body temperature 37 - 40 degrees C (98.6 - 104 F)

Flushed face and sweating

Low blood pressure

Nausea and vomiting

Leg cramps

Anxiety and confusion

Headaches

Heat Stroke

Over 40 degrees (104 degrees F)

Hot, dry skin

Irregular pulse

Nausea and vomiting

Seizures

Irritability, confusion, and coma

Rapid breathing

Water on lungs

Liver and/or kidney failure

Multiple organ failure

There are situations that can make you more susceptible to heat conditions. Below, we describe a situation and then offer a solution:

1) Situation - You're in a hot environment with or/and without humidity

Solution - Seek out air conditioning, cool areas and cool water

2) Situation - You haven't drank much water; lack enough fluids in your system

Solution - Drink water and ensure you drink water on a regular basis

3) Situation - You'e been exercising in the heat; you've engaged too much physical activity

Solution - Take frequent brakes, try to minimize the intensity of physical activity in the heat

4) Situation - You're in direct sunlight

Solution - Utilize shade, war hats, wear long sleeves and/or long, loose clothing

5) Situation - You're not used to the heat

Solution - Take several days to acclimatize, gradually

6) Situation - You're taking medications and/ or you have medical conditions such as diabetes, kidney disease, or you are of an advanced age

Solution - Check with your physician, medical practitioner, or pharmacist about heat exposure and how to stay safe

If you, or an acquaintance, are experiencing symptoms of heat exhaustion do the following:

  1. Get out of the heat and find shade and cooler areas.

  2. Drink cool water.

  3. Use a cool mist, spraying it on your body.

  4. Place cool towels on your forehead, neck, arm pits and groin.

  5. If your body temperature is still hot after 30 minutes, seek medical attention.

There is no clear division between heat exhaustion and heat stroke, so if heat exhaustion is becoming worse seek immediate medical attention.

If you recognize someone is having a heat stroke, treat it as an emergency. Emergency First Aid measures should be taken:

1. Deal with any acute emergency while you have someone and call 911.

2. Follow the ABCs: Airway, Breathing, Circulation. Make sure their airway is open, that they can and are breathing, and check to see if they have a pulse. If problems start begin CPR.

3. Move to a cool, shady location. Begin cooling until emergency help arrives with a cool, damp cloth on the forehead, neck, arm pits, and groin. Do NOT give anything to drink or eat.

4. Stay close by and offer reassurance while you await emergency support.

If you are trying to assess whether a particular geographic location is too hot, look for information on the local heat, humidity, and weather. You can check out the heat index chart online at:

http://www.crh.noaa.gov/pub/heat.htm.

This will give you a good indication of what to expect and what to prepare for. You can find additional information at:

https://www.aafp.org>afp>issues or https://tinyurl.com/33zey8tw

We all need to adapt to Climate Change and do whatever we can to slow and mitigate the changes we are having to face.

Walk in Beauty

Joe Neidhardt, MD

Earth Day 2024 - "A Vision: The re-enchantment of Humanity" A short paper by Stuart Kauffman

Earth Day 2024 - "A Vision: The re-enchantment of Humanity" A short paper by Stuart Kauffman

Stuart Kauffman and Ibrahim Loeks, co-founders of The Global Soil Restoration Network, have been researching ways to improve soil for better productivity, carbon sequestering, and soil enhancement using the Johnson-Su bioreactor. This short paper, “A Vision: The re-enchantment of Humanity”, describes a shifting of our scientific perspective that can be embraced by all of us and foster one of the significant ways to address climate change mitigation and adaptation.  We all need to be involved especially for this Earth Day and a better future. Enjoy the historical perspective, the philosophical advances discussed and the very practical suggestions of building Johnson-Su bioreactors, creating compost that is better than gold, and improving our soil. Happy Earth Day We Can Do This. 

Walk in beauty,

Joe Neidhardt