Page 213 - Safety Memo
P. 213

TABLE 1 - HEAT DISORDERS

               Disorder             Symptoms         Predisposing Factors      Treatment             Prevention

                                                     Unrelieved exposure   Clean and dry the skin,   Allow skin to dry in
          Heat Cramps           Tiny red and patchy   to humid heat and    apply mild drying    cool place before re-
          (prickly heat)        blisters on skin.    continuously sweaty   lotions, and institute   exposure.
                                                     skin                  work-rest regimen.

                                                                           Drink salted liquids;
                                Painful spasms of arm,   Heavy sweating during   give intravenous
          Heat Cramps           leg, and stomach     hard work; loss of    infusion for quicker   Ensure adequate salt
                                                                                                intake
                                muscles.             body salt.            relief. Salt tablets
                                                                           should not be used
                                Impaired performance   Lack of
                                of skilled sensory   acclimatization;      No specific          Acclimatization and
          Heat Fatigue          motor, mental, or    Occurs more           recommendations      training for work in
                                vigilance required   frequently among      unless accompanied by   hot environments.
                                                                           other heat illness.
                                jobs.                unskilled employees.
                                                                           Remove to cooler
                                                                           area; have victim rest
                                                                           in a recumbent
                                                                           position with knees
                                                                           raised or in a seated
                                                                           position with head
                                Fainting, blurred    Sustained exertion,   down; have victim    Acclimatization;
                                vision, fatigue, nausea,   lack of         drink salted liquid or   intermittent activity;
          Heat Exhaustion       headache, giddiness;   acclimatization;                         ensure adequate salt
                                clammy moist skin;   dehydration.          ingest small quantities   intake.
                                                                           of semi-liquid food.
                                pale facial color.
                                                                           EVERY HEAT
                                                                           EXHAUSTION CASE
                                                                           SHOULD BE
                                                                           TREATED AS A
                                                                           POTENTIAL HEAT
                                                                           STROKE CASE.

                                Confusion, irrational                      Call for medical
                                behavior, loss of                          assistance           Medical screening of
                                consciousness,                             immediately. Move    all heat-exposed
                                convulsions, extremely   Sustained work in heat   patient to cool area;   workers, selection
                                                     by unacclimated
                                high body temperature
                                (104ºf) and rising.   workers; lack of     meanwhile, initiate   based on health and
                                Condition fatal if   physical fitness;     immediate and rapid   physical fitness;
          Heat stroke                                                      cooling in chilled   acclimatization for 5-7
                                treatment delayed.   obesity and recent    water while          days by graded work
                                Other signs: partial or   alcohol intake;   administering massage   and heat exposure;
                                complete failure of   dehydration; chronic   or wrap patient in wet   monitoring of workers
                                sweating mechanism,   respiratory disease.   sheet and fan      during sustained work
                                hot dry skin (usually                      vigorously with cool   in severe heat.
                                red, mottled or                            dry air.
                                cyanotic).





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