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HEAT
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7/18/2019 Heat Stress Train
http://slidepdf.com/reader/full/heat-stress-train 1/37
Heat StressHeat Stress
EssentialsEssentials
Prevention in Action
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OutlineOutline
• Heat stress/strain health efects• What you can do to prevent them• What the law says• Simple ways to monitor the heat
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Symptoms: General
eeling o tirednessor atigue.
First Aid: Fluidreplacement andrest.
Transient Heat Fatigue:Transient Heat Fatigue:
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First Aid: Practice goodpersonal hygiene !eepthe s!in clean and thepores unclogged" allows!in to dry" wear looseclothing" see doctor i rashpersists.
Heat Rash (prickly heatHeat Rash (prickly heat
Symptoms: S!in#ecomes reddened andmay itch" eel pric!ly or
hurt.
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Symptoms: Syncope means$ ainting.% First signs aredi&&iness" eeling light'headed and perhapsnauseous" then the personmay aint. (sually occurs in
the #eginning o heat stressseason #e ore the circulationsystem is adapted.
First Aid: )ay victim in a cool
location hori&ontally witheet elevated. * conscious"give +uids. ,reatment thesame as shoc!.
HeatHeatSyncopeSyncope(!ainting(!ainting
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Symptoms: -ramping oeither active muscles arms"legs or involuntary usuallya#dominal muscles or#oth .
First Aid: 0eplenishelectrolytes through drin!ing
o +uids such as Gator'1de"S2uincher" Power1de" etc'1de. 0est in a coolenvironment.
Heat "ramps:Heat "ramps:
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Symptoms: 3ausea"di&&iness" wea!nessheadache" #lurred vision"pro use sweating" cold/wet
clammy grayish s!in"unconsciousness" coma anddeath.
First Aid: Place victim in aprone position in a coollocation" administer +uids ithe victim is conscious. *unconscious" see! medicalcare or transport to amedical emergency room.
Heat E#haustion:Heat E#haustion:
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Symptoms: -hills" restlessness"irrita#ility" euphoria" red aceand s!in" disorientation"hot/dry s!in not always "collapse" unconsciousness"
convulsions and death.First Aid: *mmediate"
aggressive cooling o thevictim4s #ody using wet cloths"
immersion into cold water oralcohol wipes. Transport toemergency medical !acilityASAP$
Heat Stroke:Heat Stroke:
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%atch out !or each%atch out !or each
other$other$• 1 wor!er heading into a heat
stro!e will no longer reali&e
what4s happening to him/her• *t is vital that co'wor!ers #e
a#le to recogni&e what4shappening and intervene
• Without 2uic! attention" theco'wor!er may die5
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&ndirect Health E'ects:&ndirect Health E'ects:
Reduced %ork Per!ormance: tired" atiguedwor!ers per orm with reduced accuracy" e6ciency
&ncreased Accidents: tired" atigued wor!ers aremore suscepti#le to accident and in7ury
Reproductive Pro lems: heat has #een shown toreduce #oth male and emale ertility and can #e apro#lem or the etus
Heart)*ung Strain: i you already have heart" lung"!idney or circulatory pro#lems heat stress is anadded strain on your #ody which in severe situationmay precipitate serious episodes o acute pro#lems
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PredisposinPredisposing Factors:g Factors:
very small #ody si&eoverweight
over 89 years old theolder the more sensitiveprevious heat illnessheart disease
high #lood pressuredia#etesinactivityphysical activity
+sooner or later,e-re all vulnera le +
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++ ,ith all these,ith all thesevulnera ilities ,ho typicallyvulnera ilities ,ho typically
gets heat stroke.gets heat stroke.
young physically fit males
and sick older people
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S S
"oolingevaporation
o! s,eat
Heat/alance
H
H
&nternalHeat sources
muscle activity
H
E#ternalHeat sources
hot ,eatheradiant heat sources
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E#ternal heatE#ternal heat
sourcesourcecontrolscontrols
• At the source
: 0eplace/isolate heat producingprocesses: ;loc! radiant heat with #arriers shade
• Along the path: *solate wor!er rom heat: 1ir condition wor!place #ooth: -apture hot air with e<haust ventilation
E#ternalHeat sources
hot ,eatherradiant heat sources
H
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&nternal&nternalsourcesource
controls:controls:• At the source
: 0educe wor!load• improve ergonomics"• provide assistance"• increase relie time• slow down
: Provide ade2uate water: 1ctively cool #ody: Gradually acclimati&e
: =nsure good nutrition and rest
&nternalHeat sourcesmuscle activity
H
H
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Promoting "oolingPromoting "ooling• Wear loose clothes that
allow sweat to evaporateeasily cotton
• ,a!e internal heat sourcesinto account when usingany personal protectiveclothing that prevents
sweat rom evaporating• Wash clothes regularly and
maintain good personalhygiene
S
S
"ooling
evaporation o! s,eat
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/ody "hanges due to/ody "hanges due to
Acclimati0ation:Acclimati0ation:
• Gradually build up your ability to handle heat(increase exposure time by an hour/day)
• When your body gets used to the heat(acclimatized) your sweating #ecomes more$e6cient% more sweat" 2uic!er #ut withless salt in sweat
• blood flow to skin is reduced; more blood isa ailable to muscles
• heart rate more sta#le" heart sto!e olumeincreases and blood olume increases
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See your doctorSee your doctor
• * you are having trou#legetting used to the heat
or• * you have 2uestions
a#out how heat may
afect a medical conditionyou have
> see your doctor$
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Drink Water
!cclimatization does notdecrease your body"s need for
water#
$rink plenty of water%
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%hat to%hat todrink:drink:
• =lectrolyte drin!s e.g. Gatorade are usually
not needed or typical 3orth 1merican dietcan #e used or ?rst aid or cramps .
• Stay away rom cafeinated car#onated" dietdrin!s and alcohol as they ta!e water out oyour #ody.
• Water is the #est 7uices and/or noncafeinesport drin!s are also good 7uices containenergy restoring glucose .
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Dehydration
&o pre ent
dehydration' takead antage of
scheduled waterbreaks%
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Ho, 1uch %aterHo, 1uch %ater
is Enough.is Enough.• @ore than you want 7ust to satis y your thirst
• Sources o water areAB. Fluids ' B cup or C o& D E89 m) every E9 minE. Foods ' ruit veggies are 9 water
• Why B9'BIJ-K > to ma<imi&e the amountyou drin! not too cold" not lu!e warm
• Loes it need to #e delivered to the wor!stationK > depends on wor!place logistics >
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2ehydration2ehydration+uid loss timeM efect symptoms
M timing may vary #ased on intensity o wor!and heat/humidity
9.NI ) B hr unnoticed at B.I weight loss youare considered dehydrated
B.I ) E'O hrs loss o endurance" start to eelthirsty" eel hot" uncom orta#le
E.EI ) O'8 hrs loss o strength" loss o energy"moderate discom ort
O ) 8'I hrs cramps" headaches" e<tremediscom ort
O.I'8 ) I' hrs heat e<haustion" nausea" aint
IQ ) NQ hrs heat stro!e" collapse"
unconsciousness
taken from: OH&S Canada Volume 69, Num er !, page !", #ay "$$$
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3ou can and should replaceessential elements lost durings,eating4
Eat a alanced dietrather than taking saltta lets or drinking
e#pensive sportsdrinks5
Eat Healthy
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"ooler Fans"ooler Fans
• Purpose o a cooling an is primarily toincrease the rate o sweat evaporation #ut it also cools #y convection i the airis cooler than the s!in
• Fan coolers may inter!ere ,ith locale#haust ventilation or contaminantcontrol" there ore #e care ul in wherethey are placed and how they are
pointed
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"ooler Fans"ooler Fans (limitations(limitations
• * the relative humidity isover 6789 ; the an will nolonger increase evaporation
o sweat• ,he closer the air
temperature is to skintemperature OI'O J- the
less efective the cooling: i the air temperature e<ceedss!in temperature then the anmay even heat up the ody
li!e a convection oven 5
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Personal Protective Equipment Personal Protective Equipment
pecial cooling ests orice ests ha e beende eloped to wear underchemical resistant suits
use on a case #y case #asis :they may not wor! oreveryone
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%hat-s the *a,.%hat-s the *a,.
<eneral 2uty "lause:: EI E h $> an employer shall" > ta!e every
precaution reasona#le in the circumstances or theprotection o a wor!er % ta!en romA RH S 1ct
1O* Heath and Sa!ety <uidelines: HeatStress:: $,he @R) uses the ,) s T or Heat Stress pu#lished
#y the 1-G*H%. ta!en romAhttpA//www.gov.on.ca/)1;/english/hs/guidelines/glUheat.html
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B. clothing RV/ad7ustmentK
E/Oa. W;G,screening/ detailedaction limit
E/O#. W;G, screening/detailed T*= >
I. ?o 8speci@c controls
OO
8. heat strain evaluation ' heart rate ' core temperature
3ES 3ES
a ovea ove
elo,elo,
a ove or no dataa ove or no data
e#cessivee#cessive
OB OB
elo,elo,
C 6
A"<&HHeatStress)StrainT*= >
!eep monitoring
general control
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%hat is a %/<T.%hat is a %/<T.
B. normal thermometer dry'#ul#E. wet'#ul# thermometer
• humidity
O. glo#e temperature• radiant heat
%% et // ul# << lo#e TTemp.
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Screening %/<TScreening %/<T inin
J- J- ::,orkdemands:
light
moderate
heavy veryheavy
D ; ,ork4
( reaksincl5
C95
D5
C75
C95
not
allo,ed
not
allo,ed67; ,ork4C7; rest
C957D5
C 5CG5
C 5C657
notallo,e
d7 ; ,ork47 ; rest
CG57C5
C655
C757CG5
C 57C95
C7; ,ork4
67; rest
CG5
C57
CG5
D5
C95
57
C65
5Action *ev el
T*= >
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Ho, to measure heat stressHo, to measure heat stressusing temperature Iusing temperature I
humidityhumidityB. Find a representative place
E. Find temperature and humidity onchart and read of the Humide<
O. ,a!e into account radiant heatadd EJ Humide< to measurementor ull sun
8. 3eed to ta!e clothing intoaccount add IJ Humide< oroveralls on top o summerclothes
H id # H t St RHumide# Heat Stress Response
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Humide# Heat Stress ResponseHumide# Heat Stress ResponsePlanPlan
%emperature "9'C(elati)e Humidity 6$*
Humide+ -'C
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"A=EAT (,arning $"A=EAT (,arning $
never ignore symptoms even i
measurements meetstandards5
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%hy %orry A out%hy %orry A out
Heat Stress.Heat Stress.• Heat can kill$
• * glo al ,arming is happening"heat stress will #ecome moreimportant
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August GJ C D: BimAugust GJ C D: Bim2ouglas %arner 2ied o!2ouglas %arner 2ied o!
Heat StrokeHeat Stroke • #a!ery wor!er was near the end o a BE
hour shi t on the I th day o a heat waver
• according to =nvironment -anada on1ugust " E99B outdoor temperature in;arrie is OO.8J-" and humidity was O9 sothe outdoor humide< was O J-
• i temperature in the #a!ery was estimatedto #e IEJ- and i the humidity inside wasB9 " then Humide< would have #een 7 K"
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Remem erJ ,hen it-sRemem erJ ,hen it-s
hot:hot:H eed your ody$ ,atch !or
symptoms$
Ensure you-re drinking enough$
Ad?ust your activity level L slo,
do,n$Take clothing)PPE into account$