حاج كبير في السن وُجد في الشمس مشوشاً، وحرارته ٤١٫٢، وجلده حار وجاف. ما الأولوية؟

An elderly pilgrim is found in the sun, confused, with a temperature of 41.2 °C and hot dry skin. What is the priority?

1. Rapid whole-body cooling with airway assessment
2. Cover him with a blanket to stop shivering
3. Give paracetamol and wait for it to act
4. Give cold water by mouth while he is confused

Answer: A) Rapid whole-body cooling with airway assessment. Heatstroke is an emergency: high temperature with altered consciousness. Priority is rapid cooling (water spray, fans, ice, cooling units at Hajj sites) and monitoring breathing and seizures. Antipyretics do not help in heatstroke.