Absorption is rapid and complete in most people but if the person is confused, unconscious, or unable to tolerate oral fluid, then an intravenous drip may be necessary for rehydration and electrolyte replacement.The persons condition should be reassessed and stabilized by trained medical personnel. The persons heart rate and breathing should be monitored, and cardiopulmonary resuscitation (CPR) may be necessary if the person goes into cardiac arrest. Prognosis
It was long believed that heat strokes lead only rarely to permanent deficits and that convalescence is almost complete. However, following the 1995 Chicago heat wave, researchers from the University of Chicago Medical Center studied all 58 patients with heat stroke severe enough to require intensive care at 12 area hospitals between July 12 and 20, 1995, ranging in age from 25 to 95 years. Nearly half of these patients died within a year –  21 percent before and 28 percent after release from the hospital. Many of the survivors had permanent loss of independent function; one-third had severe functional impairment at discharge, and none of them had improved after one year. The study also recognized that because of overcrowded conditions in all the participating hospitals during the crisis, the immediate care –  which is critical –  was not as comprehensive as it should have been.In rare cases, brain damage has been reported as a permanent sequela of severe heat stroke, most commonly cerebellar atrophy. Epidemiology
There are various aspects that can affect the incidence of heat stroke. Including sex, age, geographical location, and even occupation.
Non-exertional heatstroke is a much greater danger: even the healthiest person, if left in a heatstroke-inducing environment without medical attention, will continue to deteriorate to the point of death, and 65% of the most severe cases are fatal even with treatment. Signs and symptoms
Heat stroke generally presents with a hyperthermia of greater than 40.6 °C (105.1 °F) in combination with disorientation. However, high body temperature does not necessarily indicate that heat stroke is present, such as with people in high-performance endurance sports or with people experiencing fevers. Exertional heat stroke is more accurately diagnosed based on a constellation of symptoms rather than just a specific temperature threshold. There is generally a lack of sweating in classic heatstroke, while sweating is generally present in exertional heatstroke.Early symptoms of heat stroke include behavioral changes, confusion, delirium, dizziness, weakness, agitation, combativeness, slurred speech, nausea, and vomiting. In some individuals with exertional heatstroke, seizures and sphincter incontinence have also been reported. Additionally, in exertional heat stroke, the affected person may sweat excessively. If treatment is delayed, patients could develop vital organ damage, unconsciousness and even organ failure. In the absence of prompt and adequate treatment, heatstroke can be fatal. Causes
Heat stroke occurs when thermoregulation is overwhelmed by a combination of excessive metabolic production of heat (exertion), excessive heat in the physical environment, and insufficient or impaired heat loss, resulting in an abnormally high body temperature.