What’s the risk?

  • Summer highs and altitude: The Truckee-Tahoe region often sees daytime temperatures in the 80 and 90s°F, and with intense sunshine and low humidity, the heat feels more extreme.
  • Outdoor recreation heat: Hiking, biking, and yard work can quickly lead to overheating at altitude.
  • Indoor exposure: Even shaded areas or homes without air conditioning can become dangerously warm.

Heat‑related illnesses

  • Heat cramps: Painful muscle contractions from dehydration or low salt
  • Heat exhaustion: Symptoms include heavy sweating, weakness, headache, dizziness, nausea.
  • Heat stroke: High body temperature (>104 °F), confusion, loss of consciousness. This is a medical emergency.

Pay close attention if you notice signs of confusion, slurred speech, or fainting, seek emergency care promptly.

Hi everybody. I’m Dr. Brian Evans. I’m the Chief Medical Officer here at Tahoe Forest Health System and we’re talking about heat illness today, which we worry about heat illness more now because of climate change. It is becoming more of a problem in virtually all communities. So, especially in the summertime when things are getting hot, we want to make sure people are aware of that and are taking the appropriate precautions to avoid significant problems.

You know, at its at its basic, heat illness can lead to dehydration. You can end up with heat exhaustion or heat stroke. Heat exhaustion is when folks are starting to really have heavy sweating. They might feel a little bit dizzy. They might be achy, headache, muscle cramps, some nausea, that sort of thing. Heat stroke is a more serious condition, which really should make everybody think about a 911 call immediately. And heat stroke is when folks actually start to get confused. They might lose consciousness. They might have a very high body temperature. Sometimes they lose the ability to sweat, so their skin’s more dry. Those situations are a life threatening emergency, and those patients need to come into the emergency department right away by 911. And all measures to cool them down as quickly as possible should be undertaken.

Heat illness can really affect anybody, but we always worry about the most vulnerable among us, certainly young children, older adults, people who work outside, people who do specific jobs which are at high risk like roofing, that sort of thing. We see it a lot in athletes, especially when there’s long practices and it’s just gotten a lot hotter out there, like football practice, that kind of a thing. So, look out for each other in those situations, especially during heat waves. Also mention that certain medications can make people more vulnerable to heat illness. So, think about psychiatric medications, some blood pressure medications, and also some medications that we use for Parkinson’s disease. So check with your doctor if you have any concerns about the medications you’re on and whether you should be careful or more careful during very hot days.

The best way to really prevent yourself from getting heat illness like heat exhaustion or heat stroke is to drink a lot of water. Make sure you bring a lot of water with you if you’re going to be outdoors. Wear lightweight clothing, especially stuff that breathes very easily. And try to avoid strenuous activity on a very hot day. Take plenty of breaks if you’re doing yard work or outside exercising, that kind of thing. Get indoors for the break. Get into an area where there’s air conditioning if you can. And really just kind of know your limitations and be sensitive to those. You know, summer is meant to be enjoyed. We love the summer around here in North Lake Tahoe, but we got to watch out for the heat. So, take good care of yourself, take care of each other, and come see us if you need anything. Thank you very much.

Who’s vulnerable?

  • Young children and infants, as well as older adults
  • People with chronic health issues (heart, kidney, or psychiatric)
  • Outdoor workers and athletes
  • Pets left in hot vehicles or spaces

Prevention tips

1. Hydrate smartly

  • Drink plenty of water, even before thirst hits
  • Add electrolytes (sports drinks, coconut water) during prolonged exercise
  • For workouts: Start hydrated and sip 4-6 ounces for every 20 minutes of activity

2. Dress appropriately

  • Choose light-colored, loose-fitting, breathable fabrics
  • Wear a hat, sunglasses, and sunscreen (SPF 30+)
  • Carry shade (umbrella or stretch over your head) during outdoor breaks

3. Plan around the sun

  • Avoid strenuous activity between 11  am and 4  pm, when UV and heat peak
  • Schedule hikes or yard work for early morning or evening

4. Stay cool indoors

  • Use fans, AC, or evaporative coolers.
  • Spend a few hours a day in shaded or cooled spaces, like libraries, community centers, or TFHS facilities.

5. Recognize warning signs

  • Mild: heavy sweating, muscle cramps, fatigue
  • Moderate: headache, nausea, lightheadedness
  • Severe: hot/dry skin, confusion, fainting
  • Call 911 or go to Tahoe Forest Hospital’s ER immediately if someone shows heat stroke symptoms.

6. Support the vulnerable

  • Check in often with older relatives or neighbors. Ensure they are cool and hydrated.
  • Never leave kids or pets unattended in cars, even for a few minutes—it can heat up fast.

7. Be aware of altitude effects

  • Lower oxygen makes your heart work harder, so rest more frequently.
  • Recognize the added risk of rapid dehydration at high elevation.
boys at sports field drinking water

TFHS resources

Stay informed

man hiking rubbing his brow from sweat and heat