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It's also best to avoid spending too much time outdoors between 10 a. and 4 p. m., when it's typically hottest, according to the weather service. By following these tips, heat exhaustion and heatstroke can be prevented. Heat exhaustion — when the body loses essential fluids — can be recognized by muscle cramps, paleness, excessive sweating, nausea and vomiting, according to MedStar. Symptoms of heatstroke, which is life-threatening, include confusion, vomiting, hot and flushed skin, rapid heart rate, decreased sweating, shortness of breath, decreased urination, a body temperature of 104 to 106 degrees and convulsions. In hot weather, people participating in strenuous activities can suffer heatstroke in less than an hour, MedStar says. Since July 1st, MedStar crews have treated 40 patients with a primary impression of a heat related illness. 8 patients were in serious or critical condition and 32 have been transported to area hospitals. HOT weather predicted this week–Be weather aware! — MedStar EMS Alerts (@MedStarEMSInfo) July 8, 2019 To help residents escape the heat, Dallas has opened two "Beat the Heat Centers" — at the Martin Luther King Jr. Community Center, 2922 Martin Luther King Jr.