You and James have been out in the sun playing soccer all day James starts vomiting is confused and he’s not sweating. What type of heat related illness does he have? And what should your next step be to help him?

Based on the given symptoms, James may be experiencing heatstroke, a severe heat-related illness. The next step to help him should be:

1. Call for emergency medical assistance: Heatstroke is a medical emergency and requires immediate attention. Dial emergency services or have someone nearby contact them.

2. Move James to a cool, shaded area: Get James out of direct sunlight and into a cooler environment to help lower his body temperature. If available, bring him indoors or find a well-ventilated, air-conditioned area.

3. Remove excess clothing: If possible, remove any unnecessary clothing to help facilitate heat dissipation and aid in cooling his body.

4. Cool James down: Begin cooling James down by applying cool water to his body. You can use a sponge, wet towels, or even immerse him in a cool bath if available. Focus on areas with a high blood supply, such as the neck, armpits, and groin.

5. Fan or create airflow: Use a fan or any other means available to produce air movement around James. This can help with evaporation and cooling.

6. Monitor James continuously: Keep a close eye on his condition while waiting for medical assistance. Look for any changes in his level of consciousness, breathing, or any other serious symptoms.

Remember, heatstroke is a life-threatening condition, and professional medical attention is vital. The above steps are initial actions to take while waiting for help to arrive.