Dr. Imran Sarwar, the Emergency In-charge at the Civil Hospital, told The Express Tribune that currently, nearly 40 per cent of all emergency admissions are individuals already battling conditions like diabetes, hypertension, epilepsy, or those on extended bed rest. “Due to the extreme heat and persistent load shedding, their health is deteriorating rapidly,” he said.
He explained that the hot and humid climate worsens the condition of chronically ill patients, particularly due to dehydration, which leads to electrolyte imbalance. This in turn causes spikes in blood sugar and blood pressure levels. “Epilepsy patients are arriving with complaints of seizures, and many require immediate dextrose infusion to stabilise their condition,” Dr. Sarwar added.
He further noted that such patients cannot be sent home after basic treatment and must be kept under observation for six to 24 hours, adding an extra burden on emergency department. “Healthy individuals may not feel the impact of this weather as much, but those with pre-existing conditions are particularly vulnerable.”
Dr. Sarwar advised vulnerable groups to avoid unnecessary exposure to heat, consume hydrating foods like milk, yogurt, watermelon, and cucumber, and carry a water bottle when stepping outside. He emphasised the importance of covering one’s head while outdoors.
He also advised special caution for diabetics. “While we recommend juices and fruits for the general public, diabetic patients must avoid sugary fruits and packaged juices,” he said. Apples are a better option, while fruits like bananas, chikoo (sapodilla), and mangoes should be consumed in limited quantities.
He also mentioned that vitamin C sachets may be helpful, but must be taken only after consulting a doctor.
Dr. Sarwar urged authorities to take urgent steps to mitigate the impact of heat and electricity shortages on vulnerable patients, as the city’s healthcare infrastructure struggles to cope with the seasonal surge in cases.