Aim of the Study: Preparedness of hospital to deal with illness occurring because of impact    of heat wave.  Material and Method: A team of doctors were assigned the task of setting up of heat stroke   unit and training of doctors, staff and nurses within a short span of time.   Analysis: The challenges and difficulties of procurement of items is studied. Also new   protocols as per the need of the hospital were formulated for managing victims of heat related   illness. It was easier to train doctors and staff nurses as compared to the other allied staff like  Multi Tasking Staff( MTS), and security guards.  Results: All hospitals should have a dedicated heat stroke unit for managing heat related  illnesses in future. All doctors and staff to be trained in managing such patients. Prevention &   spreading awareness of Heat related illnesses is also responsibility of staff of Heat stroke unit.