Cold Stress

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Cold stress

Explain dangers Treatment


• Hypothermia can kill—get medical aid
When you’re cold, blood vessels in your skin, immediately.
arms, and legs constrict, decreasing the blood • Carefully move the person to a shelter.
flow to your arms and legs. This helps your critical (Sudden movement can upset heart rhythm.)
organs stay warm, but you risk frostbite in your
extremities. • Keep the person awake. Remove any wet
clothing and wrap them in warm covers.
Cold-related illnesses and injuries can cause
permanent tissue damage or death. • Apply direct body heat—rewarm neck, chest,
abdomen, and groin, but not extremities.
FROSTBITE • If conscious, give warm, sweet drinks.
This means that your flesh freezes. Blood vessels
are damaged and the reduced blood flow can Identify controls
lead to gangrene. Frostbitten skin looks waxy
and feels numb. Once tissue becomes hard, it’s a • Wear several layers of clothing rather than
medical emergency. one thick layer to capture air as an insulator.
Treatment • Wear synthetic fabrics next to the skin to
“wick” away sweat.
• Get medical aid.
• If conditions require, wear a waterproof or
• Warm the area with body heat—do not rub.
wind-resistant outer layer.
• Don’t thaw hands and feet unless medical
• Wear warm gloves, hats, and hoods. You may
aid is far away and there’s no chance of
also need a balaclava.
refreezing. It’s best to thaw body parts at a
hospital. • Tight-fitting footwear restricts blood flow. You
should be able to wear either one thick or two
HYPOTHERMIA thin pairs of socks.
This means that your core temperature has • If your clothing gets wet at 2°C or less,
dropped. change into dry clothes immediately and get
checked for hypothermia.
Moderate symptoms
• If you get hot while working, open your jacket
• Shivering but keep your hat and gloves on.
• Blue lips and fingers • Take warm, high-calorie drinks and food.
• Slow breathing and heart rate
• Disorientation and confusion Demonstrate
• Poor coordination.
Ask your crew if they understand wind chill.
Severe symptoms Explain that it speeds up heat loss and give them
the following examples:
• Unconsciousness
• If the air temperature is –30°C with 16 km/h
• Heart slowdown to the point where pulse is wind (strong enough to fully extend a flag),
irregular or hard to find your skin can freeze in about a minute.
• No shivering • If the air temperature is –30°C with 48 km/h
• No detectable breathing. wind, your skin can freeze in 30 seconds.
Although these symptoms resemble death, Show the crew where they can get some relief
always assume the person is alive. from the cold (e.g., a heated shelter) and some
hot food and warm, sweet drinks.

122 Occupational Health

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