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Editorial (Dr K K Aggarwal)                                                                                                    (Dr RN Tandon)
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3rd April, 2017
  Heat exhaustion and heat stroke should be differentiated promptly
 
Most parts of the country are experiencing high temperatures. With the ongoing heat wave, cases of heat related disorders are also bound to increase. Heat cramps, heat exhaustion and heat stroke are the three forms of heat-related disorders that occur with prolonged exposure to heat and differ in their severity. Hence, it is important to differentiate between the three conditions.
 
Clinically, both heat exhaustion and heat stroke may manifest as fever, dehydration and other symptoms such as headache, thirst, malaise, nausea or vomiting, rapid pulse etc. The main difference between heat exhaustion and heat stroke is the presence of sweat in the former and absence in the latter.'
 
Normally, the axillae will always be wet even if a person has severe dehydration. If the axillae are dry and the person has high fever, this invariably means that the person has progressed from heat exhaustion to heat stroke and this should be treated as a medical emergency.
 
In heat exhaustion, the core temperature is between 37°C and 40°C. While in heat stroke, the core temperature is very high, > 400C and needs to be lowered within minutes and not hours. Rapid reduction in body temperature can be accomplished by cool or tepid bathing preferably using damp sponges. Submersion should be avoided so that body heat loss by evaporation can occur. Cooling blankets should also be avoided.
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Press Release
Common symptoms that may indicate calcium deficiency: IMA
New Delhi: April 02, 2017: Calcium is important for maintaining strong bones. It also helps in blood clotting, early developmental growth and muscle contraction and relaxation. Calcium can be easily obtained from natural food sources like leafy vegetables, yoghurt, nuts and cheese. However, the majority of the Indians, specifically in the age group of 14-20 years suffer from calcium deficiency due to lack of efficient absorption.
 
Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon - Honorary Secretary General IMA in a joint statement said that, "Calcium deficiency disease, also known as hypocalcemia, occurs when you don't get enough calcium.
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