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Heat Wave Checklist — emergencyplanner.com

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Printed: 3/25/2026

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Heat Wave Checklist: How to Prepare for Extreme Heat

Heat is the deadliest weather-related killer in the United States, causing more deaths annually than hurricanes, tornadoes, and floods combined. Unlike dramatic weather events, heat waves kill silently — often over several days, disproportionately affecting the elderly, young children, people with chronic illness, and outdoor workers. Preparation before a heat event is the most effective protection.

Last reviewed: 2026-03-01 · Based on Ready.gov, CDC, FEMA guidance

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Cooling Supplies

For home cooling and personal cooling when power or AC fails.

  • Battery-powered or rechargeable fancritical

    A fan without AC provides some relief up to ~100°F — above that, it can make things worse. Know the limit.

    CDC ↗
  • Cooling towels (wet and apply to pulse points: neck, wrists)critical

    Reusable cooling towels provide 2–3°F of perceived temperature reduction.

  • Spray bottle filled with water

    Mist skin and let evaporation cool you. More effective with a fan.

  • Ice packs or DIY: frozen water bottlescritical

    Store multiple in the freezer before a heat event. Apply to neck, wrists, and armpits.

  • Portable air conditioner or window unit

    If you don't have central AC. A single-room window unit can create a cooling refuge.

  • Blackout curtains or reflective window film

    South- and west-facing windows can add 10–15°F to a room. Block them before midday.

Hydration

  • Water: drink before you feel thirsty (8+ oz/hour in heat)critical

    Thirst is a lagging indicator of dehydration. Drink proactively during heat events.

    CDC ↗
  • Electrolyte packets or sports drinks

    Heavy sweating depletes sodium and potassium. Plain water alone isn't sufficient during prolonged heat.

  • Avoid alcohol, caffeine, and sugary drinks during heatcritical

    These increase dehydration. Save them for cooler parts of the day.

  • Extra stored water (heat increases daily consumption)critical

    Add 50% to your normal stored water quantity for heat scenarios.

Vulnerable Household Members

Heat affects some people faster and more severely.

  • Check on elderly neighbors and relatives twice dailycritical

    Older adults lose the ability to sense heat and sweat less effectively. Most heat deaths are among people living alone.

    CDC ↗
  • Never leave children or pets in parked carscritical

    A car interior reaches 140°F within minutes in direct sun. Death can occur in under an hour.

  • Cooling towels and battery fan for infants and elderlycritical

    Infants cannot sweat effectively. Elderly adults lose thermoregulation.

  • Know heat-related medication interactionscritical

    Some common medications (diuretics, beta-blockers, antipsychotics, antihistamines) impair heat tolerance. Ask your doctor or pharmacist.

  • Pets need water and shade — limit outdoor time to early morning/evening
    Ready.gov ↗

Home Preparation

  • Pre-cool your home before peak heat hours (3–7 PM)critical

    Run AC earlier in the day while it's cooler outside. Thermal mass in walls absorbs cool.

  • Identify the coolest room in your home (usually lowest floor, interior room)critical

    During a heat emergency, concentrate in one cool room rather than cooling the whole house.

  • Know your local cooling centerscritical

    Libraries, community centers, and malls open as cooling centers during heat emergencies. Your county emergency management website lists them.

    Ready.gov ↗
  • Weatherstrip doors and windows to retain cool air
  • Unplug electronics and appliances not in use (they generate heat)

Power Outage During Heat

A heat wave + power outage is a life-threatening combination.

  • Have a plan for where to go if power fails for 24+ hours in extreme heatcritical

    Friend's home, hotel, or cooling center. This plan must be made before the event.

  • Portable power station to run a fan

    A 500 Wh station can run a small fan for 24–48 hours. Far less expensive than a generator.

  • Know at least two local cooling centerscritical
  • Minimize oven and stove use during heat (use microwave, grill outside, or cold meals)
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Detailed Guidance

Heat Exhaustion vs. Heat Stroke: Know the Difference

These are two different conditions with different responses: HEAT EXHAUSTION (serious, treat immediately): - Heavy sweating - Cool, pale, clammy skin - Fast, weak pulse - Nausea or vomiting - Muscle cramps - Tiredness and weakness - Dizziness - Headache - Fainting Treatment: Move to cool place. Loosen clothing. Apply cool wet cloths. Sip water. If vomiting or symptoms worsen after 1 hour, call 911. HEAT STROKE (medical emergency — call 911 immediately): - High body temperature (103°F or higher) - Hot, red, dry or damp skin - Rapid, strong pulse - Confusion, slurred speech, unconsciousness - NO sweating despite heat (classic heat stroke) Treatment: Call 911. Cool immediately with cool water immersion, ice packs to neck/groin/armpits, cool spray + fan. Do not give fluids to an unconscious person. The key difference: Heat stroke involves confusion and altered mental status. That's the 911 signal. Source: CDC

Medication Safety in Heat

Many common medications interact with heat in dangerous ways: Medications that IMPAIR heat tolerance (partial list): - Diuretics ("water pills"): increase dehydration risk - Beta-blockers: reduce ability to increase heart rate in response to heat - Antipsychotics and some antidepressants: impair sweating - Antihistamines (Benadryl, etc.): reduce sweating - Stimulants (ADHD medications): increase metabolic heat - Some blood pressure medications If you or a household member takes these medications: 1. Ask your doctor or pharmacist specifically about heat precautions 2. Monitor more frequently during heat events 3. Stay in air conditioning longer than a healthy adult might need to Source: CDC, American Heart Association

Official Sources

  • Ready.gov — Extreme heat preparedness
  • CDC — CDC extreme heat
  • FEMA — Emergency preparedness

Related Resources

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Add cooling supplies and extra water for heat scenarios.

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Power outages during heat waves are a deadly combination.

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Household Guide

Emergency Kit for Seniors

Seniors are at highest risk in heat events.

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Household Guide

Emergency Kit with a Baby

Infants cannot regulate temperature — heat is critical risk.

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Budget Guide

Budget Emergency Kit

Affordable cooling supplies on a tight budget.

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Free Printable

Emergency Contact Sheet

Include your local cooling center address.

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Frequently Asked Questions

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Disclaimer: This site provides general preparedness information based on publicly available official guidance. It is not a substitute for official emergency management advice. In an emergency, follow instructions from local authorities.

© 2026 Emergency Planner. Content reviewed against Ready.gov and FEMA guidelines.