1. Heat Stress

2. 4 Environmental Factors: –temperature –humidity –radiant heat –air velocity Human factors –age –weight –sex –fitness and medical condition –acclimatization

3. Heat Transfer Convection Radiation Evaporation

4. How the Body Reacts to Heat The body first reacts to high external temps by circulating more blood to the skin. (Convection) Sweat is produced to help cool the body through evaporation If the body cannot get rid of excess heat, it will store it

5. Types of Heat Stress Heat Illnesses: –Heat Rash –Heat Syncope (fainting) –Heat Cramps –Heat Exhaustion –Heat Stroke Burns –Thermal –Chemical or electrical

6. Heat Illnesses and Burns Between 1979 and 2002, 4,780 deaths occurred due to heat related illnesses* Between 1992 and 2006, 423 workers died in crop work alone Source: MMWR Volume 54./No.25

8. Hot Temperatures are Not Just Outside! Laundries Kitchens Boiler Rooms Trades

9. Controls for Heat Exposures Engineering Controls: ventilation, spot cooling, fans, temporary shelters shielding, equipment modifications

10. Controls for Heat Exposures Work Practices and Administrative Controls: changing work hours, providing water and fluid replacements, more frequent rest breaks, acclimatization, buddy system

11. Controls for Heat Exposures Training: recognizing signs and symptoms, preventive measures, and first aid PPE: light, cool clothing, cooling vests, personal cooling devices, protection from burns Note: CA, WA have Heat Standards

12. Basic First Aid for Heat Exhaustion and Heat Stroke Call 9-11 immediately for assistance! Move victim to a cool, shaded area. If dizzy or faint, elevate legs 6-8 inches If nauseous or vomiting, lay victim on his/her side Loosen any heavy clothing Unless nauseous, provide cool water every 15 minutes Cool person by fanning or spraying cool water. Apply wet cloths to skin. If heat stroke is suspected, place ice packs under armpits and groin area

13. Burns Close up of second degree burn

14. First Aid For Minor Burns Cool the Burn with Cool water (not ice) Consider a burn cream once skin is cool and dry Cover lightly with a sterile gauze bandage Give an over-the- counter pain reliever

15. Sources of Information NIOSH publication: http://www.cdc.gov/niosh/hotenvt.html#order NOAA Heat Index Information: http://www.nws.noaa.gov/om/heat/index.shtml US Army Heat Stress Calculator: http://www.eustis.army.mil/weather/weather_products /wxconversions.htm#HeatIndex CA law and information: http://www.dir.ca.gov/dosh/etools/08-006/index.htm