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
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.
- 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.
- 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.
- 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
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.
- 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)
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
Related Resources
Emergency Kit Calculator
Add cooling supplies and extra water for heat scenarios.
Power Outage Checklist
Power outages during heat waves are a deadly combination.
Emergency Kit for Seniors
Seniors are at highest risk in heat events.
Emergency Kit with a Baby
Infants cannot regulate temperature — heat is critical risk.
Budget Emergency Kit
Affordable cooling supplies on a tight budget.
Emergency Contact Sheet
Include your local cooling center address.