It’s been an exceptionally hot summer, including on the East Coast where the heat index has topped 100 degrees.

And because extreme heat is a persistent threat throughout the U.S., it’s important to go beyond the obvious safety measures — drinking plenty of water and protecting your skin from the sun — in order to keep cool.

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Rand Pennington

“Anybody is at risk of a heat-related illness, especially people who work outside,” said Rand Pennington, a Novant Health family nurse practitioner.

Many on the East Coast are inclined to head to the beach on the hottest days. But the lack of shade there can be hazardous. Pennington suggests, if you’re outside, taking lots of breaks and finding a place in the shade with a canopy or umbrella, as well as packing plenty of hydrating beverages that include electrolytes like sodium and potassium.

“We recommend drinking things like Gatorade or Pedialyte,” Pennington said.

But really, when heat indices climb to more than 100 degrees, it’s best to stay inside, safe from the heat, humidity and UV radiation. That’s because the body’s ability to regulate temperature is most effective indoors with the help of air conditioning, Pennington explained.

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Here are 5 creative ways to avoid heat risks and keep cool, even on the hottest days of the year.

1. Block out the sun.

Resist the temptation to open your windows, which will only make your home hotter and more insufferable. Instead, pull the shades or blinds to darken the room. Thermal-insulated or blackout curtains, which often have a reflective lining, are also effective at blocking heat transfer. Make sure to draw the curtains before bedtime; covering up windows facing east means not waking up to a scorcher at breakfast.

2. Increase evaporation.

“By sweating, our bodies naturally cool down through the process of evaporative cooling,” Pennington said. You can increase this process by combining cool water with moving air. Try standing under a quick, cold blast of water in the shower then sitting under a ceiling fan. You can use this technique on the go too, using a spray bottle and car air conditioning. A wet bandana, or a cold compress you can find at your local pharmacy, can provide fast relief by absorbing heat from your head and neck. Breathable clothing is a must (no polyester!) to allow moisture to evaporate off the skin. Linen, cotton and silk allow for optimal airflow.

3. Adjust your ceiling fans.

While central air conditioning is a luxury for many, fans can bring some relief — but only if they’re spinning the correct direction. Make sure you set them to turn counterclockwise. In other words, the fan should spin to the left. You can change your ceiling fan’s direction by locating the reversing switch, usually located on the fan’s motor housing. Of course, fans don’t make the temperature drop — that’s what A/C is for — but your body will feel cooler as the air flow against your skin wicks the sweat. As an added bonus, ceiling fans can save you money on your air conditioning bill. By using a ceiling fan during the summer months, you can get away with raising your thermostat about 4 degrees with no reduction in your comfort.

4. Take the kids ice skating.

What could beat a cold sheet of ice on a hot day? Visiting a rink also gets everyone out of the house and moving together — ice skating is great cardiovascular exercise, key for heart and overall health. While water parks are often crowded and pricy, walking through the mall or public library can make for a physical and educational distraction away from the heat. Don’t forget that public cooling centers are usually open on extremely hot days, too. Locate one by state using this resource from the National Center for Healthy Housing.

5. Chill your snooze.

Can’t sleep due to the heat? Freeze your top sheet! At least 20 minutes before bedtime, seal your top sheet and pillowcase in an unscented trash bag or gallon zip-top bag and place it into the freezer. This can keep you cool and calm as you lie down and doze off. As with your clothing, natural sheet fibers like cotton percale, linen and bamboo will work better with this technique than synthetic ones like microfiber and polyester. These natural fabrics allow for better air flow, so the cold air will dissipate without trapping body heat.

Why are high temperatures dangerous?

Rising temperatures can cause high body temperatures, organ and brain damage as people’s bodies struggle to cool themselves. Normally, the body’s natural cooling mechanism, sweat, evaporates off the skin to cool the body, but in extreme heat that evaporation might not be enough to cool you off. And an abrupt change in humidity – more than a rise in temperatures – will affect the body’s cooling mechanism.

Some people are more susceptible to extreme heat than others. Those most at risk of heat-related conditions include the elderly, children, or unhoused people without access to air conditioning, workers or athletes who are outside for long periods of time, and people with chronic medical conditions.

The elderly are most susceptible to classic heat illnesses or heat exhaustion because they have trouble adjusting to significant changes in temperature. People with high blood pressure using medication to manage that condition are also at risk because the drugs affect the fluid levels in the body.

Exertional heat illness can affect athletes who try to maintain their normal fitness routines but haven’t yet acclimated to a rise in humidity or heat.

What’s the difference between heat stroke and heat exhaustion?

The difference between these two heat-related conditions is in the symptoms and severity.

Symptoms of heat exhaustion include:

  • Heavy sweating
  • Weakness
  • Cold, clammy skin
  • A pulse that is either too fast or too slow
  • Nausea or vomiting
  • Fainting
When symptoms of heat exhaustion are present, experts suggest seeking a cooler location, loosening clothes, lying down and drinking water. Also, applying cool, wet cloths to the face and body can help cool you down. If you are vomiting, you should seek medical attention.

Heat stroke can manifest in other ways, including:

  • A body temperature higher than 103 degrees F
  • Skin that feels hot, red or moist to the touch
  • A quick and strong pulse
  • Unconsciousness
  • Confusion or delirium

With symptoms of heat stroke, call 911 right away. As with heat exhaustion, the person should move to a cooler spot and have cold compresses applied to the body. The person should not drink water.