Table 1.  Signs and symptoms of heat exhaustion, classical and exertional heat stroke.

Heat exhaustion

Classical heat stroke

Exertional heat stroke

Fatigue and weakness
Tachycardia
Anxiety
Muscle cramps
Headache
Irritability
Vertigo
Syncope
Prolific sweating
Hypotension
Nausea
Cold, pale, clammy skin
Chills
Piloerection
Mental deterioration

As with heat exhaustion
and:

Cessation of sweating
Hot and dry skin
Seizures
Loss of consciousness
Death

As with heat exhaustion
and:

Continuation of sweating
Incoherent speech
Acute renal failure
Lactic acidosis
Rhabdomyolysis
Hyperuricemia
Hyperkalemia
Seizures
Loss of consciousness
Death