Don't know how many of us on here have experienced heat stroke, but to give you a first person account of how it goes, here you go.
Ran a 4th of July 10K road race in he 80's during a big midwest heat wave with extreme high humidity/dew point. At the time, I was a novice (i.e. stupid) at hydration, and didn't drink much at all ahead of time...trying to avoid side stitches, having to go to the bathroom, etc...
Went out hard from the beginning with no adjustment in pace for the heat/humidity. Most of the course was in full sun. No water on the course that I recall, though there may have been and I didn't want to slow down to take it (i.e. yes, I was very inexperienced/stupid/naive, as I said). I was definitely very hot, but thought I could "push through it". Approaching 5mi, I could see ahead that the 3rd place runner had stopped and walked to ask a spectator if they had water. I saw this as an opportunity to move up a spot and surged to catch/pass him. From that point on, I have no memory of the race.
Apparently I ran by my Dad at 5mi and looked okay. I completed a long loop that took me toward the finish line. Couple hundred yards away, my family saw me weaving back and forth erratically, stumbling, slowing as I approached the finish line. 30yds from the finish I stumbled off the side of the road and face planted in the sand (finish was at the beach). Convulsed/seizures/etc..eyes rolling in the back of my head...yup, all the classic signs.
The emergency medical vehicle was trailing the race, so no emergency personnel were around near the finish. Fortunately, a high school friend who had won the race rushed over to me and found some ice to put under the back of my neck and on my body, and poured cold water on me. They threw me in the back of a volunteer's statin wagon and rushed me to the hospital emergency. I briefly regained consciousness, which is my only memory between the 5mi point of the race and when I later woke up on the table inthe emergency room.
They got me in and immediately gave me an IV of electrolyte type solution. They recorded my body temp at 106 degrees. The doctor said he pumped a gallon into me, but my body was still overcompensating and sweating it out until my body temps cooled down closer to normal. Many strange things happened (including an "out-of-body type experience", among other things), but eventually I regained consciousness.
My point of telling this account it that I most certainly would have died had I not been attended to. Probably no coincidence that it was around 5mi (and just under 30min I think) when I was confused and have no memory at that point. Things just systematically shut down past a certain body temperature, and there is very little you can do to reverse the damage unless you get help from someone. He most certainly crossed that line.