New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

A severe heat emergency is characterized by which of the following?

1. Cool, clammy skin

2. Hot, dry skin

3. Pale, sweaty skin

4. Warm, moist skin

The correct answer is: Hot, dry skin

In a severe heat emergency, such as heat stroke, the body’s ability to regulate temperature becomes impaired, which typically results in hot, dry skin. This occurs because the body is no longer able to sweat effectively, leading to an accumulation of heat. The skin may feel hot to the touch and will not exhibit the moisture that characterizes other heat-related illnesses like heat exhaustion, where the skin may still be sweaty due to the body’s efforts to cool down. In heat emergencies, hot, dry skin is a significant indicator of a serious condition and necessitates immediate medical intervention. Recognizing this symptom is crucial for EMTs and first responders, as it helps in differentiating between varying degrees of heat-related illnesses and determines the urgency of treatment required.