Heat related illness

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Education forum presentation on heat illness

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Heat related illness

  1. 1. Midday work break •Two-and-a-half hour break from 12.30pm to 3pm •Daily working hours must not exceed eight hours in the morning or night shift •Must be supplied with water •Must be supplied with salt and lemon
  2. 2. Heat Safety • Drink at least 2 litres of water every 2-3 hours • Add a little more salt to meals in summer to replace salt lost in sweat • Slow down and rest in very hot weather conditions • Get plenty of sleep and rest at night • When you feel unwell tell your supervisor
  3. 3. Risk factors • High temperatures • High humidity • Co-morbidities • Medications • Age • Weight • Lack of acclimatization • Hydration status • Activity levels • Clothing
  4. 4. Heat Exhaustion Water depletion and/or Salt depletion • Confusion • Dark-colored urine • Dizziness • Fainting • Fatigue • Headache • Muscle cramps • Nausea • Pale skin • Profuse sweating • Rapid heartbeat
  5. 5. Heat Stroke • Hyperthermia • Prolonged exposure to high temperatures • Usually in combination with dehydration • Temperature > 40.6 °C • Not sweating? • Confusion
  6. 6. Heat Stroke • Throbbing headache • Dizziness • Light-headedness • +/- sweating • Red, hot, dry skin • Muscle weakness or cramps • Nausea and vomiting • Tachycardia • Tachypnoea • Confusion, disorientation • Seizures • Unconsciousness
  7. 7. Treatment • Immediately get out of the heat • Rest • Air-conditioned room or cool, shady place. • Drink plenty of fluid • Remove any tight or unnecessary clothing • Cool shower, bath or spray • Other cooling measures such as fans
  8. 8. Treatment – evidence?
  9. 9. Drowning
  10. 10. Treatment
  11. 11. Further reading • Health Authority Abu Dhabi - http://www.haad.ae/safety- in-heat/ • Lipman GS, Eifling KP, Ellis MA, Gaudio FG, Otten EM, Grissom CK; Wilderness Medical Society. Wilderness Medical Society practice guidelines for the prevention and treatment of heat-related illness. Wilderness Environ Med. 2013 Dec;24(4):351-61. PMID: 24140191. • London Health Sciences Centre, Canada – Heat Illness webinar – available soon free at bit.ly/1yIsyQ2

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