We appreciate your interest in the subject and valuable comments. This is true that cut- off value should have been wide to appreciate the impact discernibly. In our next study, which we is are already half way through, we have kept the cut value of temperature more than 40°C in study group. Yes, you are right that the industrial workers and farmers, presenting with trauma for emergency surgery, are exposed more to these extreme situations and are less protected also. But, on the positive note, as they get adapted to these high temperatures and humidity, they may tolerate these situations better.[12] We have discussed most of these factors and queries in last paragraphs of our article, but further facts and evidence will come through future research only.[3] We need to have more studies from different regions with a better design.