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cover of episode How Does Extreme Heat Affect the Body?

How Does Extreme Heat Affect the Body?

2023/8/29
logo of podcast The New Yorker Radio Hour

The New Yorker Radio Hour

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Dhruv Khullar
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Douglas Casa
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Dhruv Khullar:在104华氏度(约40摄氏度)高温高湿的环境下进行90分钟的步行测试后,身体出现肿胀、头痛、头晕、肌肉痉挛等不适症状,即使是轻微的运动在极端高温下也会对人体造成严重影响。 Douglas Casa:气候变化导致极端高温的影响范围扩大,普通民众的日常生活也受到影响。在高温下剧烈运动时,人体血液需要同时供应皮肤散热、心脏维持血压和肌肉维持运动,这会给身体带来巨大的生理挑战,尤其是在脱水的情况下。中暑分为两种:运动性中暑和经典性中暑,两者成因和人群有所不同。运动性中暑通常发生在剧烈运动的人群中,而经典性中暑则更容易发生在婴儿、老年人等体温调节能力较弱的人群中。中暑的治疗方法简单直接,但实际操作中存在挑战,例如“先降温后送医”的理念难以有效实施。在高温下剧烈运动时,口测体温等方法可能存在较大误差,直肠温度测量更为准确。湿度对高温的危险性有显著影响,高温高湿环境下人体散热困难,更容易发生中暑。预防中暑的四个主要措施:随时补充冷饮、采取降温措施、合理安排工作与休息时间以及进行热适应。

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Dhruv Khullar undergoes a heat test at the University of Connecticut to understand the effects of extreme heat on the body, experiencing symptoms like puffiness, cramps, dizziness, and a headache.

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The Korey Stringer Institute at the University of Connecticut was named after an N.F.L. player who died of exertional heatstroke. The lab’s main research subjects have been athletes, members of the military, and laborers. But, with climate change, even mild exertion under extreme heat will affect more and more of us; in many parts of the United States, a heat wave and power outage could cause a substantial number of fatalities. Dhruv Khullar), a New Yorker contributor and practicing physician, visited the Stringer Institute to undergo a heat test—walking uphill for ninety minutes in a hundred-and-four-degree temperature—to better understand what’s happening. “I just feel puffy everywhere,” Khullar sighed. “You’d have to cut my finger off just to get my wedding ring off.” By the end of the test, Khullar spoke of cramps, dizziness, and a headache. He discussed the dangers of heatstroke with Douglas Casa, the lab’s head (who himself nearly died of it as a young athlete). “Climate change has taken this into the everyday world for the everyday American citizen. You don’t have to be a laborer working for twelve hours, you don’t have to be a soldier in training,” Casa tells him. “This is making it affect so many people even just during daily living.”

Although the treatment for heat-related illness is straightforward, Casa says that implementation of simple measures remains challenging—and there is much we need to do to better prepare for the global rise in temperature.