Heatwave fans fears for kids, elderly

Sydneysiders sweltering in extreme heat are being urged to ensure children and elderly friends and relatives are safe.

With the temperature tipped to reach 41 degrees today - the hottest November day since 1982 - the state's peak medical body has warned people to drink plenty of water and avoid strenuous tasks.

"Heatwaves like the one we're seeing today can cause serious harm to people through heatstroke and dehydration," AMA state president Saxon Smith said on Friday.

"It's especially important for people with chronic health conditions to be careful during heatwaves."

A late gusty change is expected to bring some relief after days of extreme heat, with a maximum of just 23 forecast on Saturday.

Meanwhile, the NSW Rural Fire Service (RFS) is on high alert amid hot, dry and windy conditions.

Commissioner Shane Fitzsimmons said people can't afford to be complacent as temperatures continue to climb.

Total fire bans are in place in the Riverina region, the Illawarra region, Shoalhaven and Southern Ranges.

Mr Fitzsimmons said firefighters had the upper hand on blazes so far on Friday but were ready to pounce, with volatile conditions expected all day.

"Today hopefully we get through that without any dangerous or destructive fires but today should be a wake up call for everybody, don't be complacent," Mr Fitzsimmons told ABC TV.

"Have a conversation with your family, have a plan, prepare your home, prepare your loved ones and most importantly, know what it is you're going to do in the event you're threatened by fire."

The RSPCA is also reminding animal owners to be mindful of their pets in the heat.

The animal welfare agency says pets must have plenty of water, access to shade, and shouldn't be exercised in the day's peak heat.

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