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Heat Illness Prevention

Heat illness is a serious medical condition when heat exposure exceeds the physiological capacity of the body to cool itself, resulting in an increase in the core body temperature. This would result in a range of heat-related symptoms, from treatable heat cramps to heat stroke. Heat stroke can be fatal, especially if medical treatment is delayed.

Learn how to control the risk of heat-induced illness, train workers to protect themselves, recognize symptoms, and respond should a heat illness emergency occur.

UC Merced has developed a heat illness prevention program  to plan for, prevent and respond to heat-related illness situations.

If you supervise employees who work outside in heat, you should know how to respond should a heat illness emergency occur.

Select a topic for more information:
•    Supervisor’s responsibilities
•    Risk factors
•    Reduce the risk
•    Identifying Heat Illness: Symptoms and First Aid
•    Emergency response
•    Regulations and policies
•    Safety training information

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Supervisor’s Responsibilities

Department Director/Chair Deans
     • Insure that Heat Illness Prevention Procedures Manual is implemented and available
     • Insure employees receive heat illness prevention training

Supervisors
     • Be aware of the risk factors that contribute to heat illness
     • Reduce the risk by taking special precautions to prevent heat illness
     • Be alert for the symptoms of serious heat illness
     • Train employees about heat illness risks and how to protect themselves
     • Know what to do and how to summon emergency responders should a heat illness emergency occur

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Risk Factors

Personal Risk Factors
   • Age, weight, and physical condition
   • Acclimated to working in the heat
   • Consumption of water, alcohol and caffeine
   • Use of medications that affect tolerance to heat

Environmental Risk Factors
   • Air temperature and/or Relative Humidity
   • Direct exposure to the sun or heat sources
   • Limited air movement
   • Physical exertion and duration
   • Protective clothing and protective equipment worn by employees

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Reduce the Risk

General Prevention
   • Rest in shaded or a cool, ventilated area
   • Stay hydrated
   • Avoid vigorous physical activities in hot and humid weather
   • At work, if you must perform physical activities in hot weather:
     - Drink plenty of fluids
     - Avoid alcohol, coffee and tea
     - Take frequent mini-breaks to hydrate yourself
     - As practical; wear hats, light colored and light/loose clothes

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Identifying Heat Illness

Select an illness for information on definition, symptoms and first aid response/treatment options:
•    Transient Heat Fatigue
•    Heat Rash (prickly heat)
•    Heat Cramps
•    Heat Exhaustion
•    Heat Stroke

Transient Heat Fatigue
   • What is it?
     - Temporary discomfort and mental or psychological strain
   • Symptoms
     - Decline in task performance, coordination, alertness
   • First Aid Response/Treatment
     - Drink fluids (water)
     - Rest in a cool environment

Heat Rash (prickly heat)
   • What is it?
     - Skin problems caused by heat exposure or overheating
   • Symptoms
     - May be pinpoint bumps or red/pink patches on skin
     - Large welts, hives or raised red bumps
     - Itching
   • First Aid Response/Treatment
     - Wash affected area with gentle soap
     - Rinse area with water and gently pat dry with towel
     - Remain in cool environment
     - Drink water
     - Use cortisone creams to treat rashes

Heat Cramps
   • What is it?
     - Painful spasms of the muscles
   • Symptoms
     - Heavy sweating
     - Involuntary spasms
   • First Aid Response/Treatment
     - Stop activity being performed, if not already
     - Find cool place to rest
     - Gently stretch cramped muscle
     - Drink water or an electrolyte beverage

Heat Exhaustion
   • What is it?
     - Characterized by loss of fluid from sweating when a worker fails to drink enough fluids
   • Symptoms
     - Heavy sweating
     - Extreme thirst
     - Extreme weakness and fatigue
     - Giddiness, nausea, or headaches
     - Skin is cool, clammy and moist
     - Complexion is pale or flushed
     - Body temperature is normal or slightly higher
   • First Aid Response/Treatment
     - Move victim into shade
     - Loose and remove clothing
     - Cool the victim (web cloth, spray mist)
     - Have victim slowly drink water
     - Elevate victim’s legs
     - Seek medical aid immediately if victim isn’t better
*    Caution: Persons with heart problems or with low sodium diet should consult a physician.

Heat Stroke
   • What is it?
     - Failure of body’s internal mechanism to regulate its core temperature
   • Symptoms
     - Lack of sweat
     - Mental confusion, delirium, loss of concentration, convulsion or coma
     - Rapid pulse
     - A body temperature of 106° F or higher
     - Hot dry skin, which may be red, mottled or blush
     - Convulsions, seizures, unconsciousness, or death can occur
   • First Aid Response/Treatment
     - Call for emergency help immediately
     - Move victim into shade
     - Loosen outer clothing
     - Lower body temperature (massage body with ice or damp cloth)
     - If victim is alert, have them slowly drink water or an electrolyte beverage, such as Gatorade

To print out hardcopy of full table with definitions, symptoms and first aid response/treatment options, click here.
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Emergency Response

When heat illness occurs:
   • Call 911 for emergency medical help
   • Tell the dispatcher this is a heat related illness
   • Notify your supervisor and contact UCM Worker’s Compensation, 877-6UC-RPRT (877-682-7778)
   • If an employee is hospitalized, notify the UCM Police dispatcher by calling 9-911 from a campus phone or 209-228-2677 (209-CAT-COPS) from cell phones

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Regulations and policies

   • Heat Illness Prevention, California Code of Regulations, Title 8, Section 3395, Heat Illness Prevention

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Safety training information

   • Heat-Related Illness Prevention and Information, Division of Occupational Safety and Health (DOSH)
   • To schedule group training, contact Environmental Health & Safety.