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Controlling Heat Stroke Back
Heat stroke is a serious condition caused by the failure of the body's internal mechanism to regulate its core temperature. Heat stroke is a medical emergency that can result in death. During heat stroke, sweating stops and the body is unable to eliminate excessive heat. The heat stroke victim can experience: dry, pale skin (no sweating); hot, red skin (looks like sunburn); mood changes (irritable, confused); seizures/fits; and collapsing/passing out. The following actions may help reduce worker exposure to heat stroke.

Work environment

  • Provide general ventilation throughout the work areas.
  • Provide local exhaust ventilation in areas of high heat.
  • Provide heat shielding to protect from radiant heating.
  • Provide air conditioning or evaporative cooling in work areas.
  • Repair and eliminate any steam leaks in the work environment.
  • Understand that fans do not decrease the temperature; they only move the hot air.
  • Provide recovery areas, such as air-conditioned rooms.
Work clothes
  • Provide ice vests, with internal pockets to hold pre-frozen gel-type packs or ice (ice vest will normally last two to four hours).
  • Provide localized cooling with specially designed, air-supplied hoods or helmets.
  • Provide vest-style garments that employ a battery-powered pump, and a pouch that holds a bag filled with water and crushed ice.
  • Take into consideration that wearing respirators and special suits to protect against toxic substances can increase the risks of heat-induced illnesses.
  • Ensure exposed workers wear light, loose-fitting, breathable clothing, where possible.
  • Provide power tools, rolling carts and manual material handling equipment to reduce manual labor.
Work practices
  • Ensure worker acclimatization by way of gradual exposures to heat — brief periods followed by longer periods of work in the hot environment. Government agencies recommend that new, hot-area workers be exposed to the heat for only 20 percent of their work time the first day, with a 20 percent increase in exposure each additional day.
  • Consider starting the work earlier in the day when temperatures are generally cooler.
  • Discourage workers from eating large meals, drinking caffeinated and alcoholic beverages, and smoking before working in hot environments.
  • Ensure workers are provided the opportunity to drink a large amount of fluid.
  • Provide regular work breaks in a cooler environment.

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