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Site Safety and Health Plan <br /> Mild Hypothermia <br /> Symptoms Uncontrolled shivering begins. The individual is still alert, but movement <br /> becomes less coordinated and some pain and discomfort exists. The body's <br /> core temperature drops to 93.2°F. <br /> Treatment Call for emergency help (ambulance or 911). <br /> Move the person to a warm, dry area. DO NOT leave the person alone. <br /> Remove any wet clothing and replace with warm, dry clothing or wrap the <br /> person in blankets. <br /> Have the person drink warm, sweet drinks (sugar water or sports-type <br /> drinks) if they are alert. Avoid drinks with caffeine (coffee, tea, or hot <br /> chocolate) or alcohol. <br /> Have the person move their arms and legs to create muscle heat. If they are <br /> unable to do so,place warm bottles or hot packs in the arm pits, groin, neck, <br /> and head areas DO NOT rub the person's body or place them in a warm <br /> water bath—this may stop the heart. <br /> Prevention Dress appropriately. Layer clothing to adjust to changing environmental <br /> temperatures. Wear a hat and gloves, in addition to underwear that will <br /> keep water away from the skin(i.e., polypropylene). Take frequent breaks <br /> in warm, dry shelters. Change wet clothes as soon as possible. Perform <br /> work during the warmest part of the day. Avoid exhaustion or fatigue <br /> because energy is needed to keep muscles warm. <br /> Severe Hypothermia <br /> Symptoms The skin becomes cold and may appear bluish in color. The individual is <br /> weak and uncoordinated. Speech is slurred, and the victim appears <br /> exhausted, denies problem, and may resist help. Gradually, there is a loss of <br /> consciousness,with little or no breathing occurring. The individual may be <br /> rigid and appear dead. Body's core temperature drops below 87.8°F. <br /> Treatment Call for emergency help (ambulance or 911). <br /> Check for pulse and breathing. If neither is present,begin CPR and mouth- <br /> to-mouth resuscitation. Continue until medical help arrives. Never give up <br /> on a victim. <br /> Move the person to a warm, dry area. DO NOT leave the person alone. <br /> Remove any wet clothing and replace with warm, dry clothing or wrap the <br /> person in blankets. <br /> Have the person drink warm, sweet drinks (sugar water or sports-type <br /> drinks) if they are alert. Avoid drinks with caffeine (coffee,tea, or hot <br /> chocolate) or alcohol. <br /> Have the person move their arms and legs to create muscle heat. If they are <br /> unable to do so,place warm bottles or hot packs in the arm pits, groin,neck, <br /> and head areas DO NOT rub the person's body or place there in a warm <br /> water bath—this may stop the heart. <br /> Incident Free Operation Page 43 of 68 <br />