Heat Production and Loss. Environmental Emergencies. Heat Regulation. Body Temperature Ranges. Focused Assessment: Your Patient: Heat Production
|
|
- Beverly Hancock
- 7 years ago
- Views:
Transcription
1 Heat Production and Loss Environmental Emergencies Messing with Mother Nature Heat Production Basal Metabolism processes in the body that generate heat through nominal functions Activity, fever, metabolic imbalances Heat Transfer Conduction Convection Evaporation Breathing Heat Regulation Brain Controls from where? Many regulatory mechanisms Breathing Cardiovascular Redirect blood flow to conserve or reduce heat Increase / decrease rate of flow as needed Skin Utilizes both radiation and convection to reduce heat Body Temperature Ranges Tightly regulated operating range 98.6ºF core temp is average your mileage may vary Oral Temp usually 1º less than core, Axillary temp usually 2º less than core Many factors put one at risk for reduced regulatory ability Age, Mobility, Alcohol, Chronic Exposure, Health, recent regulatory compromise Increases in temp can speed up metabolism to a point Decreases in temp slow metabolism to the end Your Patient: 41 year-old male at campground Lost in woods all night 28 degrees). Found this morning by searchers Lethargic, disoriented Airway clear Breathing slow/shallow Slow, weak pulse; pale, cold skin No obviuos bleeding, deformity, disability Focused Assessment: Clothing is damp, muddy Abrasion and scratches on arms and hands Fingers are pale and appear numb with little movement Vitals: HR 54 r/w BP 98/40 RR 12 shallow oral temp 89 degrees
2 HypOthermia A loss of the ability to maintain temperature Results in a slowing of the metabolic processes Mild 93ºF and above Moderate 86ºF to 93ºF Severe =< 86ºF Circulatory system redirects blood to core to maintain function of organs as long as possible HypOthermia S/S Cool extremities may be pale = lack of blood flow, or cyanotic = poorly oxygenated/circulated blood Shivering initially lack of shivering may be due to inability to continue, not warmth Decrease in respiratory drive, pulse and BP Altered Mentation incl. Hallucinations, coma, death Cardiac dysrhythmias V-FIB This is a continuum once it begins, it will continue downward until heat loss is stopped because the body has lost the ability to stop it on it s own HypOthermia - Tx In general, we do NOT warm severely hypothermic Pts For MILD hypothermia (normal LOC): Oxygen as needed, handle gently and stop heat loss. Active rewarming with heat packs to neck, groin and axillary is ok at this point. For severe hypothermia (altered LOC): Limit oxygen for definite need only, Handle VERY gently and prevent further heat loss do NOT rewarm unless help is greatly delayed. Rewarming Dangers Dangers: Rewarming shock the body vasodilates to send blood to the extremities to be rewarmed a vasodilatory type of shock BP and perfusion drop dramatically! V-FIB as blood flow is suddenly restarted to the extremities, poorly circulated / cold blood from the extremities is sent back to the heart Notes on HypOthermia It is the loss of the body s ability to maintain temp not necessarily the exposure to extreme cold can occur in mildly cool environments - 70ºF room with limited mobility Requires energy blood sugar to generate body heat and body heat drops rapidly as sugar is used up Blake s Rules to Live By: HypOthermia Hypothermia and Hypoglycemia go hand in hand always consider hypoglycemia in hypothermic Pts and consider hypothermia in hypoglycemic Pts Stroke / Brain Attack Pts often suffer from hypothermia / hypoglycemia due to lack of mobility / generation of heat and dwindling glucose
3 Localized Cold Injuries Frost Bite Frostbite as the blood is redirected (shunted) to protect the core, the extremities encounter reduced warming Frostbite occurs as fluid in tissues actually freezes ice crystals may form, actually destroying cells. Tissue ranges from numb/sore and pale, to blue or white and firm as frostbite progresses Frostbite Txs Prevent further heat loss do NOT rewarm! Treat and bandage as a burn Keep the Pt off the extremity and do NOT massage the tissue Rewarming in the field is only for extreme circumstances: Rewarm the entire part at once in hot (104ºF) water Do NOT allow to refreeze!!!!! Localized Cold Emergencies Immersion Foot also known as trench foot in wartime Results from reduced circulation from cold environment and moisture Extremities become swollen and cool to the touch progressing to hot, red and very painful and swollen Treat as a burn and keep warm and dry Heat Emergencies Your patient: 25 year-old landscaper C/o severe weakness and leg cramps Alert, weak Airway clear Breathing rapid, labored, adequate Rapid strong pulse, flushed/sweaty/warm skin No obvious hemorrhages/deformities Focused Assessment?
4 Heat Emergencies the other side of the coin The body produces heat as a part of metabolism enough heat to roast itself if it can t dissipate some heat Most of this is accomplished through respiration and radiation off the skin As more cooling is needed More blood flow is sent to the surface of the skin to increase radiation Sweat glands make the skin moist utilizing convection/evaporation for cooling Heat Emergencies The body works very hard to maintain core temperature but it can be overcome If the body gets low on fluids, cooling ability is reduced The temp. and humidity can combine to reduce or prevent evaporation, which will limit the effectiveness of sweating As body temp. rises, systems begin to shut down due to altered metabolic function Heat Cramps A minor heat emergency Result from an electrolyte imbalance and lactic acid build up inside muscles Manifest as severe burning or cramping sensation in muscles during or after heavy work in a hot or humid environment Stopping activity, moving to a cool environment and drinking MILD electrolyte solutions will usually relieve the pain General Tx notes: Oral Electrolyte solutions O.k. for non-systemic problems i.e. Heat Cramps Should be MILDLY hypertonic (electrolyte) NEVER administer full strength sports drinks to overheated individuals mix them 50/50 with water Once someone has suffered from a heat related problem, they will be more susceptible to heat illnesses for several days or more Heat Exhaustion Similar to Compensated Shock in the fact that the body is fighting a problem, and currently winning, or at least holding it s own What we see are mostly the effect s of the body s fight Cool, moist skin, rapid heart rate and breathing (not so much shock signs, as cooling attempts) Possibly some of the effects the fight is having on the body as well Dizziness, weakness, nausea, orthostatic hypotension (largely resulting from the amounts of fluid used to fight the problem) NORMAL Level Of Consciousness Fainting is possible, but normal LOC returns quickly Heat Exhaustion Tx Recognize the problem NOW, while the body is still effective at dealing with it this way the body can help you treat it Move the Pt to a cool environment Cool with cool, wet towels, fans, etc. DO NOT CAUSE SHIVERING Allow to drink MILD electrolyte fluids or water if the Pt is not too nauseated and can protect their own airway Pts can usually be considered Delayed
5 Heat Stroke Results when the body has lost the ability to control/effectively reduce the core temp. to survivable levels Is primarily defined by Level Of Consciousness Skin may be red, hot and dry or may still be sweaty Pulse becomes more rapid, respirations become rapid and deep Level Of Consciousness is decreased and will progress to coma and death without immediate intervention Other signs of severe dehydration might be present Furrowed tongue, dull/lackluster eyes, hypotension, poor skin turgor Heat Stroke Tx Move to a cool environment and remove clothing Aggressive cooling with water mist/fans, or icepacks to the neck, armpits and groin DO NOT CAUSE SHIVERING!!! Oxygen may be helpful at lowering temp also Monitor core temp. yes, that means rectal temps if possible Rapid transport these Pts are in Immediate danger Heat Exhaustion/Heat Stroke Heat exhaustion and Heat stroke are two ends of the same line a progression, just like shock is. We classify someone as having heat stroke when their body core temp becomes so high that it effects brain function (a failure of the cooling ability usually around ºF) The presence of sweating indicates an attempt at cooling, not successful cooling and therefore is NOT an indication of severity Blake s Rules to Live by: Environmental ALWAYS consider your Pt s environment Watch for trauma Pts who are: Losing body heat due to being stripped shock Tx/prevention involves maintaining body heat Losing body heat due to immobility on cold surfaces Being roasted due to immobility on hot surfaces ANY Pt who can t move around on their own may have been drastically effected by their environment
Heat Illnesses. Common Heat Rash Sites
Heat Illnesses Introduction Heat illnesses happen when the body becomes too hot and cannot cool itself. There are several different types of heat-related illnesses. This includes heat cramps, heat exhaustion,
More informationHeat Stress/Flag Condition Training
Heat Stress/Flag Condition Training Heat stress Heat stress is the buildup of heat to the point where the body s thermostat has difficulty maintaining normal internal body temperature. When the body is
More informationEXTREME HEAT OR COLD
Responsibility Never hesitate to call 911 Life Safety is most important! It is the responsibility of every individual to learn to recognize the warning signs of a medical emergency. Warning Signs and Symptoms
More informationHEAT-RELATED ILLNESS AND STUDENT ATHLETES. Diana L. Malone, Ph.D. Training & Consultation Coordinator
HEAT-RELATED ILLNESS AND STUDENT ATHLETES Diana L. Malone, Ph.D. Training & Consultation Coordinator HEAT-RELATED ILLNESS Objectives: Factors that create HRI Stages of HRI Care Basic First Aid Protecting
More informationOkolona Fire Department Standard Operating Procedure
Page 1 of 6 October 1, 2011 New Operational Purpose: This policy will govern the type of training, the environment, gear to be used for training, and outside non-emergency activities for the Okolona Fire
More informationSCRIPT NUMBER 123 HEATSTROKE - 2 (TWO SPEAKERS)
SCRIPT NUMBER 123 HEATSTROKE - 2 (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: HEATSTROKE - 2 PROGRAM NUMBER: 123 SUBJECT: CAUSES, SYMPTOMS, COMPLICATIONS, TREATMENT OF HEAT-RELATED CONDITIONS
More informationHEAT ILLNESS PREVENTION PLAN FOR SUTTER COUNTY SUPERINTENDENT OF SCHOOLS
HEAT ILLNESS PREVENTION PLAN FOR SUTTER COUNTY SUPERINTENDENT OF SCHOOLS TABLE OF CONTENTS 1.0 Purpose... 1 2.0 Heat Illness Prevention... 2 2.1 Heat Stroke... 2 2.2 Heat Exhaustion... 2 2.3 Heat Cramps...
More informationPHYSICAL AGENT DATA SHEET
Alaska Department of Labor and Workforce Development Labor Standards and Safety 3301 Eagle Street/PO Box 107022 Anchorage, Alaska 99510-7022 (907) 269-4955 PHYSICAL AGENT DATA SHEET COLD STRESS HYPOTHERMIA
More information2. When temperature and wind chill falls below 35 degrees including the wind chill, students, are kept indoors.
Weather /Environmental Guidelines Time spent outdoors is an important part of the school day. It is difficult to set guidelines that fit every circumstance and condition in regards to outside activities.
More informationTakE Care in Hot & Cold Weather
www.coned.com TakE Care in Hot & Cold Weather Preventing Hyperthermia and Hypothermia When it s Too Hot! Beating the heat is as much a part of summer as baseball and hot dogs. City residents are particularly
More informationBe Safe! Manage Heat Stress. Be Safe! Manage Heat Stress.
Be Safe! Manage Heat Stress. Be Safe! Manage Heat Stress. Overview Workers who are exposed to extreme heat or work in hot environments may be at risk of heat stress. Exposure to extreme heat can result
More informationChapter 18 THERMAL INJURIES
Chapter 18 THERMAL INJURIES Because of the range of environmental condition within which sports take place, various temperature-related health emergencies occur each year, some result in death. Most, if
More informationAmerican Red Cross First Aid EXAMPLE ANSWER SHEET
American Red Cross First Aid Exam A IMPORTANT: Read all instructions before beginning the exam. INSTRUCTIONS: Do not write on this exam. Mark all answers in pencil on the separate answer sheet as directed
More informationEXTREME HEAT/HUMIDEX ADVISORY FACT SHEET
EXTREME HEAT/HUMIDEX ADVISORY FACT SHEET While it is important to enjoy the outdoors during Canadian summers, it is also essential to keep in mind that periods of extreme heat and humidex events may cause
More informationtoo hot! Heat Related Illness
too hot! Heat Related Illness Participating in recreation and sport activities provides many benefits for children and can be a fun and enjoyable way to be physically active. However, when the temperature
More informationDUBAL Beat the Heat. Prevention Method
DUBAL Beat the Heat Prevention Method Introduction The body is required to get rid of excess heat to maintain a constant internal temperature (37 C) The body s s best mechanism for removing any excess
More informationChapter 26. Metabolic Rate, Body Heat, and Thermoregulation
Chapter 26 Metabolic Rate, Body Heat, and Thermoregulation Metabolic Rate the amount of energy liberated in the body in a given period of time (kcal/hr or kcal/day) calorimeter a closed chamber with water
More informationHeat Illness Prevention Program
I. Policy Heat Illness Prevention Program Responsible Executive: Vice President for Administration and Finance Responsible Office: Environmental Health and Instructional Safety Originally Issued: February
More informationDEPARTMENTOFTHE NAVY
DEPARTMENTOFTHE NAVY NAVAL ACADEMY PREPARATORY SCHOOL 440 MEYERKORD AVENUE NEWPORT, RI 02841-1519 NAVAL ACADEMY PREPARATORY SCHOOL INSTRUCTION 6110.lA NAPSINST 6110.lA Nl From: Subj: Commanding Officer,
More informationAccident/Injury Reporting, Investigation, & Basic First Aid Plan
Accident/Injury Reporting, Investigation, & Basic First Aid Plan Environmental Health, Safety, and Risk Management Department Box 6113, SFA Station Nacogdoches, Texas 75962-6113 Revised: January 2011 Purpose
More informationSCRIPT NUMBER 123 HEATSTROKE - 2 (ONE SPEAKER)
SCRIPT NUMBER 123 HEATSTROKE - 2 (ONE SPEAKER) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: HEATSTROKE - 2 PROGRAM NUMBER: 123 SUBJECT: CAUSES, SYMPTOMS, COMPLICATIONS, TREATMENT OF HEAT-RELATED CONDITIONS
More informationHeat Illness Prevention Program
Heat Illness Prevention Program I. Policy Employees working in outdoor places of employment or in other areas at times when the environmental risk factors for heat illness are present, are at risk for
More informationPlay it Safe in the Heat Tips for Coaches and Parents
Play it Safe in the Heat Tips for Coaches and Parents Heat is the number one weather related killer in the United States. Heat illness is the leading cause of preventable death in high school athletics
More informationFISD ATHLETIC DEPARTMENT COLD WEATHER GUIDELINES
FISD ATHLETIC DEPARTMENT COLD WEATHER GUIDELINES Cold exposure can be uncomfortable, impair performance and even become life threatening. Conditions created by cold exposure include frostbite and hypothermia.
More informationTo protect your health when temperatures are extremely high, remember to keep cool and use common sense. The following tips are important:
What Is Extreme Heat? Temperatures that hover 10 degrees or more above the average high temperature for the region and last for several weeks are defined as extreme heat. Humid or muggy conditions, which
More informationSTRATEGIES TO DEAL WITH THE HEAT IN COMPETITION HORSES
STRATEGIES TO DEAL WITH THE HEAT IN COMPETITION HORSES The Normal Horse Heart Rate: 28-44 bpm Respiratory Rate: 8-16 bpm Dr Anushka Chaku BSc BVMS MANCVS Temperature: 37.0-38.5 C Membrane colour: pink,
More informationFailure and shutdown of the body s thermoregulatory system Heat is generated by muscle exercise which is unable to be dissipated into the environment
ASEP Successful Coaching Webinar Series Combating Heat- related Illnesses Presenter: John Storsved, HSD, ATC August 11, 2010 Combating Heat Related Illness Wednesday August 11, 2010 John Storsved HSD,
More informationShift Commander: The senior ranking uniformed line officer at the DOC facility, most commonly a Sergeant, Lieutenant or Captain.
I Index: Date Signed: 04/18/2015 Replaces : N/A Supersedes Dated: 05/21/2014 Affected Units: Adult Institutions Effective Date: 04/20/2015 Scheduled Revision Date: March 2016 Revision Number: 12 Office
More informationHeat Stress Training
Heat Stress Training Agenda 1. What is Heat Stress - The Physiology - Heat Exhaustion (Symptoms and First Aid) - Heat Stroke (Symptoms and First Aid) - Other Conditions associated with Heat Stress 2. Who
More informationFall Arrest System: A series of equipment components designed to stop the fall of individuals working at heights should they fall.
Blog Back to Blog Listings Suspension Trauma 101 March 18, 2016 @ 10:37am Why are rescue at height plans so important? Why do we talk so much about knowing what to do when sh!t hits the fan? One of the
More informationWET, COUGHING AND COLD NEAR RIVER BANK STUNG BY BEE CAUSING ANAPHYLACTIC SHOCK TO WRIST
GRIT IN EYE BROKEN LEG BONE WET, COUGHING AND COLD NEAR RIVER BANK STUNG BY BEE CAUSING ANAPHYLACTIC SHOCK HEART ATTACK SUFFERING FROM SHOCK CHOKING SEVERE BLEEDING TO WRIST HYPOTHERMIA ANGINA Localised
More informationChapter 12. Temperature Regulation. Temperature Regulation. Heat Balance. An Overview of Heat Balance. Temperature Regulation. Temperature Regulation
Chapter 12 Body core temperature regulation Critical for: Cellular structures Metabolic pathways Too high Protein structure of cells destroyed Too low Slowed metabolism Cardiac arrhythmias Homeothermic
More informationFainting - Syncope. This reference summary explains fainting. It discusses the causes and treatment options for the condition.
Fainting - Syncope Introduction Fainting, also known as syncope, is a temporary loss of consciousness. It is caused by a drop in blood flow to the brain. You may feel dizzy, lightheaded or nauseous before
More informationBrian M. Satula Administrator. Cell: (608) 219-4008. Wisconsin Heat Awareness Day June 11, 2015
State Of Wisconsin Department of Military Affairs g h g h g h g h g h g h g h g h g h g h g h g h g h g h g h g h g h g h Division of Emergency Management Brian M. Satula Administrator For more information
More informationDRI Heat Stress Fact Sheet
Introduction As a reminder to employees who work outside during hot weather, be mindful of the hazards this presents. High temperatures and humidity (generally not an issue in Nevada, but be mindful that
More informationDr.Karima Elshamy Faculty of Nursing Mansoura University Egypt
Body Temperature ١ Dr.Karima Elshamy Faculty of Nursing Mansoura University Egypt ٢ Learning objectives: At the end of this lecture the student should be able to: Define body temperature. Identify sites
More informationProtecting Yourself from. Heat Stress
Fast Facts Heat stress, from exertion or hot environments, places workers at risk for illnesses such as heat stroke, heat exhaustion, or heat cramps. Heat Stroke A condition that occurs when the body becomes
More informationThe human body core temperature is constant around 37.1±1.0 o C ( degree Fahrenheit = degree Celsius 1.8 + 32 )
The human body core temperature is constant around 37.1±1.0 o C ( degree Fahrenheit = degree Celsius 1.8 + 32 ) ( good to 20% over this range of T a and T skin ) 1. What is wind chill temperature?
More informationU.S. CONCRETE, INC. SAFETY POLICY and PROCEDURE MANUAL
SAFE-25 Page 1 of 13 U.S. CONCRETE, INC. SAFETY POLICY and PROCEDURE MANUAL FUNCTION Safety TOPIC Heat Stress Prevention Plan OBJECTIVE(S): Heat stress hazards are among the most neglected health hazards
More informationAltitude. Thermoregulation & Extreme Environments. The Stress of Altitude. Reduced PO 2. O 2 Transport Cascade. Oxygen loading at altitude:
Altitude Thermoregulation & Extreme Environments Reduced PO 2 The Stress of Altitude O 2 Transport Cascade Progressive change in environments oxygen pressure & various body areas Oxygen loading at altitude:
More informationThe Family Library. Understanding Diabetes
The Family Library Understanding Diabetes What is Diabetes? Diabetes is caused when the body has a problem in making or using insulin. Insulin is a hormone secreted by the pancreas and is needed for the
More informationMRC Medical Jeopardy Feud List of Treatments for Possible Injuries/Conditions
List of Treatments for Possible Injuries/Conditions A. Apply cold compresses to affected area; elevate the area to reduce swelling and possible bleeding B. Apply direct pressure to wound area with sterile
More informationExtreme Heat: A Prevention Guide to Promote Your Personal Health and Safety
Extreme Heat: A Prevention Guide to Promote Your Personal Health and Safety Heat-related deaths and illness are preventable yet annually many people succumb to extreme heat. Historically, from 1979-2003,
More informationTypes of electrical injuries
Types of electrical injuries Electrical injury is a term for all injuries caused by contact with electrical energy. Electrical contact can cause a wide variety of injuries involving most organ systems.
More informationFact Sheet: Working in hot temperatures
Fact Sheet: Working in hot temperatures Why is working in the heat bad for your health? Human beings need to maintain a constant body temperature if they are to stay healthy. Working in high temperatures
More informationFirefighter Rehabilitation. by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter
Firefighter Rehabilitation by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter Goals We will discuss the need for firefighter rehab A review of the necessary components to a rehab area A discussion of the steps
More informationSouthern Stone County Fire Protection District Emergency Medical Protocols
TITLE Pediatric Medical Assessment PM 2.4 Confirm scene safety Appropriate body substance isolation procedures Number of patients Nature of illness Evaluate the need for assistance B.L.S ABC s & LOC Focused
More informationWhat Medical Emergencies Should a Dental Office be Prepared to Handle?
What Medical Emergencies Should a Dental Office be Prepared to Handle? Gary Cuttrell, DDS, JD, University of NM Division of Dental Services Santiago Macias, MD, First Choice Community Healthcare Dentists
More informationExtreme Heat: A Prevention Guide to Promote Your Personal Health and Safety
Extreme Heat: A Prevention Guide to Promote Your Personal Health and Safety Heat-related deaths and illness are preventable yet annually many people succumb to extreme heat. Historically, from 1979-2003,
More informationTHERAPEUTIC USE OF HEAT AND COLD
THERAPEUTIC USE OF HEAT AND COLD INTRODUCTION Heat and cold are simple and very effective therapeutic tools. They can be used locally or over the whole body, and the proper application of heat and cold
More informationHOW TO CARE FOR A PATIENT WITH DIABETES
HOW TO CARE FOR A PATIENT WITH DIABETES INTRODUCTION Diabetes is one of the most common diseases in the United States, and diabetes is a disease that affects the way the body handles blood sugar. Approximately
More informationHot environments in HORECA
27 1. Introduction Hot environments Workers in the hotel, restaurant and catering (HORECA) sector are at risk of heat stress when unloading supplies, working in kitchens and while serving. Particularly
More informationGuide to Prevention of Heat Stress At Work
Guide to Prevention of Heat Stress At Work WCB Website: www.wcb.pe.ca Toll free in Atlantic Canada: 1-800-237-5049 Feb, 2008 1 Prevention of Heat Stress at Work On Prince Edward Island illness from excess
More informationBody Heat and Temperature Regulation
LECTURE 8 Body Heat and Temperature Regulation Homeotherm- warm blooded (mammals and birds) Poikilotherm- cold blooded (reptiles and amphibians) I. Body Temperature (Reece Table 11.1 p 335) A. Gradients
More informationWorkplace Health and Safety Queensland. Heat Stress. managing the risk
Workplace Health and Safety Queensland Heat Stress managing the risk What is heat stress? Heat stress occurs when heat is absorbed from the environment faster than the body can get rid of it. The resulting
More informationheatwave A GUIDE TO LOOKING AFTER YOURSELF AND OTHERS DURING HOT WEATHER
heatwave A GUIDE TO LOOKING AFTER YOURSELF AND OTHERS DURING HOT WEATHER heatwave Most of us enjoy sunny weather, but extreme heat can seriously damage your health. During a heatwave, when temperatures
More informationOregon Youth Soccer Association Weather Related Safety Precautions
Oregon Youth Soccer Association Weather Related Safety Precautions Safety during all soccer activities is the primary concern for any individual participating in Oregon Youth Soccer or the activities of
More informationDiabetes Hypoglycemia/Hyperglycemia Reaction
Diabetes Hypoglycemia/Hyperglycemia Reaction Hypoglycemic Reaction (Insulin Shock) A. Hypoglycemic reactions (insulin reactions) should be treated according to current nursing and medical recommendations.
More informationHeat-Related Disorders
Heat-Related Disorders Exposure to the combination of external heat stress and the inability to dissipate metabolically generated heat can lead to three heat-related disorders (see figure 2): Heat cramps
More informationHeat Overheating exhaustion and heatstroke
Heat Overheating exhaustion and heatstroke Heat exhaustion and heatstroke Heat exhaustion is not an illness in itself, but a symptom of something is wrong. Staying in a warm climate there is a great risk
More informationSTANDARD OPERATING GUIDELINE
STANDARD OPERATING GUIDELINE OPERATIONS REHAB EFFECTIVE: 11/26/2012 REVISED: S.O.G #: 320 PAGE: 1 of 6 1.0 Objective 1.1 To ensure the physical and mental conditions of personnel operating do not deteriorate
More informationSnohomish County Fire Chiefs Association
Snohomish County Fire Chiefs Association DOCUMENT 60-06-09 ON SCENE REHABILITATION GUIDELINE Adopted December 2009 County Chiefs Meeting INTENT To provide standard operating guidelines to implement and
More informationFIREGROUND REHAB PROCEDURES
FIREGROUND REHAB PROCEDURES The University of Pittsburgh Emergency Responder Human Performance Lab created these procedures as a guideline. Obtain approval from the local medical director before implementation.
More informationFor More Information: U.S. Department of Labor Occupational Safety and Health Administration 1-800-321-OSHA (6742) TTY 1-877-889-5627 www.osha.
Acknowledgments: This Heat Illness Prevention Training Guide was adapted from materials developed by the Labor Occupational Health Program (LOHP), University of California, Berkeley. These materials are
More informationEVERYONE'S RESPONSIBILITY
EVERYONE'S RESPONSIBILITY Guideline for Thermal Stress September 2007 Guideline for Thermal Stress Workplace Safety & Health Division 200 401 York Avenue Winnipeg, Manitoba R3C 0P8 September, 2007 TABLE
More informationPolicy # 7-A Effective Date: 6/1/2012 Pages: 8. San Diego County Operational Area. Rehabilitation
San Diego County Operational Area Rehabilitation Policy # 7-A Effective Date: 6/1/2012 Pages: 8 Purpose: This guideline provides the San Diego County Operational Area procedures for fire personnel rehabilitation
More informationFirst Responder (FR) and Emergency Medical Responder (EMR) Progress Log
First Responder (FR) and Emergency Medical Responder (EMR) Progress Log Note: Those competencies that are for EMR only are denoted by boldface type. For further details on the National Occupational Competencies
More informationWhat Is Extreme Heat?
EXTREME HEAT A Guide to Prevention Heat-related deaths and illness are preventable yet annually many people succumb to extreme heat. Historically, from 1979 to 1999, excessive heat exposure caused 8,015
More informationAutonomic Nervous System
CHAPTER 4 Autonomic Nervous System Autonomic Dysreflexia What is Dysreflexia? Autonomic dysreflexia (or hyperreflexia) is a complication which occurs in people with spinal cord injuries at or above the
More informationDate Issued: Page No.: Document No.: August 2002 1 SOP-Safety-01. 3.0 Working in Hot Environments
August 2002 1 SOP-Safety-01 1. Introduction: The Environmental Health & Safety Standard Operating Procedure for working in hot environments was developed by the Department of Environmental Health & Safety
More informationHeat Stress: Defining, Evaluating and Preventing. Glenn E. Lamson CIH OSHA Health Response Team 2012 OSHA Oil & Gas Safety Conference
Heat Stress: Defining, Evaluating and Preventing Glenn E. Lamson CIH OSHA Health Response Team 2012 OSHA Oil & Gas Safety Conference Defining Heat Stress The net heat load that a worker is exposed to from
More informationKeeping Our State Active
Policy number S 002/14 Version 1 Drafted by Dean Russell Approved by Board on 10/07/14 Responsible person Sport Manager Tournament Manager Scheduled review date 01/06/15 INTRODUCTION HOT WEATHER POLICY
More informationGHSA Heat Guidelines. Jeff Hopp, ATC, LAT Head Athletic Trainer, Marietta High School May 30, 2013
GHSA Heat Guidelines Jeff Hopp, ATC, LAT Head Athletic Trainer, Marietta High School May 30, 2013 Exertional Heat Illnesses Heat Cramps muscle cramping, fatigued, sweating Heat Syncope pale, lightheaded,
More informationIntroduction to Thermal Injury: Burn Care and Management of the Cold Injury Patient. William Schecter, MD
Introduction to Thermal Injury: Burn Care and Management of the Cold Injury Patient William Schecter, MD Priorities Airway Breathing Circulation Disability (Mini-Neurologic Exam) Exposure/Temperature Control
More informationThroughout this reference summary, you will find out what massage therapy is, its benefits, risks, and what to expect during and after a massage.
Massage Therapy Introduction Massage therapy is the manipulation of the soft tissues of the body, including the skin, tendons, muscles and connective tissue by a professional, for relaxation or to enhance
More informationMEDICAL GUIDANCE Competition in Hot and Humid Environments
MEDICAL GUIDANCE Competition in Hot and Humid Environments CONTENTS 1 Introduction... 2 2 Physiological considerations... 2 3 Physical Performance... 4 4 Medical considerations... 5 5 Preventing Heat Illness:
More informationTherefore, the first step to successfully managing anxiety is to learn to understand and recognize it. Self-awareness is essential. The Facts!
WHAT IS ANXIETY? Why is it important to learn about anxiety? Most people do not recognize their anxiety for what it is, and instead think there is something wrong with them. Some people are preoccupied
More informationDiabetic Emergencies. David Hill, D.O.
Diabetic Emergencies David Hill, D.O. Class Outline Diabetic emergency/glucometer training Identify the different signs of insulin shock Diabetic coma, and HHNK Participants will understand the treatment
More informationMOTOR VEHICLE ACCIDENT QUESTIONNAIRE
MOTOR VEHICLE ACCIDENT QUESTIONNAIRE Thank you in advance for taking the time to complete this form, this will help us to better assess all of your pain concerns and provide you with the best treatment.
More informationLow Blood Pressure. This reference summary explains low blood pressure and how it can be prevented and controlled.
Low Blood Pressure Introduction Low blood pressure, or hypotension, is when your blood pressure reading is 90/60 or lower. Some people have low blood pressure all of the time. In other people, blood pressure
More informationMINI - COURSE On TEMPERATURE CONTROL IN THE NEWBORN
MINI - COURSE On TEMPERATURE CONTROL IN THE NEWBORN Instructions: Read each sheet and answer any questions as honestly as possible The first sheets have four questions to allow you to give your thoughts
More informationMcHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education November 2014 Hypothermia in Adults
McHenry Western Lake County EMS System Paramedic, EMT-B and PHRN Optional Continuing Education November 2014 Hypothermia in Adults Death from exposure and accidental hypothermia occurs throughout the world
More informationStandard Operating Guideline for
MABAS DIVISION 5 Standard Operating Guideline SUBJECT: Emergency Incident Rehabilitation S.O.G. REHAB 2009 Approved: December 16, 2009 Revised: Standard Operating Guideline for Emergency Incident Rehabilitation
More informationN E B R A S K A JAIL BULLETIN NUMBER 102 OCTOBER 1993
N E B R A S K A JAIL BULLETIN NUMBER 102 OCTOBER 1993 The Jail Bulletin is a monthly feature of the Crime Commission Update. The Bulletin may be used as a supplement to your jail in-service training program
More informationTired, Aching Legs? Swollen Ankles? Varicose Veins?
Tired, Aching Legs? Swollen Ankles? Varicose Veins? Healthy Legs 2006 http://healthylegs.com Page 1 Venous disorders are widespread Leg problems are widespread throughout the world, but what most people
More informationOPTIONAL LESSON Anaphylaxis and Epinephrine Auto-Injector
OPTIONAL LESSON Anaphylaxis and Epinephrine Auto-Injector Lesson Length: 54 minutes GUIDANCE FOR THE INSTRUCTOR To complete this lesson and meet the lesson objectives, you must: Discuss all points in the
More informationStreptococcal Infections
Streptococcal Infections Introduction Streptococcal, or strep, infections cause a variety of health problems. These infections can cause a mild skin infection or sore throat. But they can also cause severe,
More informationPesticide Harmful Effects And Emergency Response
Pesticide Harmful Effects And Emergency Response Most pesticides are designed to harm or kill pests. Because some pests have systems similar to the human system, some pesticides also can harm or kill humans.
More informationHeat-Related Health Impact and Public Health in Thailand: Gaps and Suggestions
Heat-Related Health Impact and Public Health in Thailand: Gaps and Suggestions Assoc. Prof. Dr. Phongtape Wiwatanadate LL.B., M.D., Ph.D. Department of Community Medicine, Faculty of Medicine Chiang Mai
More informationMABAS DIVISION XII REHABILITATION POLICY
MABAS DIVISION XII REHABILITATION POLICY Purpose To ensure that the physical and mental condition of employees operating at the scene of an emergency, training exercise, or other fire department activity
More informationChapter 16 Emergency Incident Rehabilitation
Division 05 Emergency Medical March 2009 PO LICY This General Order establishes specific, mandatory procedures and responsibilities developed in accordance with NFPA 1584: Standard on the Rehabilitation
More information404 Section 5 Shock and Resuscitation. Scene Size-up. Primary Assessment. History Taking
404 Section 5 and Resuscitation Scene Size-up Scene Safety Mechanism of Injury (MOI)/ Nature of Illness (NOI) Ensure scene safety and address hazards. Standard precautions should include a minimum of gloves
More informationFIRST AID FOR BASEBALL COACHES
FIRST AID FOR BASEBALL COACHES Liability Issues. Do the right thing State provides qualified immunity Chapter 258 C, Section 13. Good Samaritan Law: No person who, in good faith, provides or obtains, or
More information1.0 Purpose, Applicability, and Scope
Policy Subject: Heat Stress Guidelines Effective Date: 8/1/2011 Area Affected: All students, faculty and staff who work in hot environments Contact Information: Policy Owner: Environmental Health and Safety
More informationTAKE HEAT STRESS SERIOUSLY
TAKE HEAT STRESS SERIOUSLY What Is Heat Illness? Safety Talk A hot work environment or summer weather can bring heat illness - in three stages... Seven Heat Stress Statistics One factor that can bring
More informationutdoor ction Outdoor Action Guide to Hypothermia and Cold Weather Injuries by Rick Curtis
utdoor ction Outdoor Action Guide to Hypothermia and Cold Weather Injuries by Rick Curtis Traveling in cold weather conditions can be life threatening. The information provided here is designed for educational
More informationState Of Wisconsin Department of Military Affairs
State Of Wisconsin Department of Military Affairs Division of Emergency Management Brian M. Satula Administrator Scott Walker Governor For more information contact: Tod Pritchard Lori Getter Office (608)
More informationHow To Care For A Sick Person
39 How to Take Care of a Sick Person Sickness weakens the body. To gain strength and get well quickly, special care is needed. Medicines are often not necessary. But good care is always important. The
More information