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f <br /> Natural wet bulb (NWB) temperature is measured by exposing a wet sensor, such as a wet <br /> cotton wick fitted over the bulb of a thermometer, to the effects of evaporation and convection. <br /> The term natural refers to the movement of air around the sensor. <br /> ' Dry bulb (DB) temperature is measured by a thermal sensor, such as an ordinary mercury- <br /> in-glass thermometer, that is shielded from direct radiant energy sources. <br /> HEAT DISORDERS AND HEALTH EFFECTS <br /> HEATSTROKE <br /> Heat Stroke occurs when the body's system of temperature regulation fails and body temperature <br /> rises to critical levels. This condition is caused by a combination of Highly variable factors, and its <br /> occurrence is difficult to predict. Heat stroke is a medical emergency. The primary signs and <br /> symptoms of heat stroke are confusion; irrational behavior; loss of consciousness; convulsions; a lack <br /> C of sweating (usually); hot, dry skin; and an abnormally high', body; temperature, e.g., a rectal <br /> temperature of 41'C (105.80F). If body temperature is too high, it'causes death. The elevated <br /> metabolic temperatures caused by a combination of workload and environmental heat load, both of <br /> which contribute to heat stroke, are also highly variable and difficult to predict. If a worker shows <br /> signs of possible heat stroke, professional medical treatment should be obtained immediately. The <br /> worker should be placed in a shady area and the outer clothing ishould be removed. The worker's <br /> " skin should be wetted and air movement around the worker should be increased (as long as the <br /> temperature of the air is less than 95° F) to improve evaporative cooling!until professional methods of <br /> cooling are initiated and the seriousness of the condition can be assessed. Fluids should be replaced <br /> 4 as soon as possible. <br /> The medical outcome of an episode of heat stroke depends on the victim's physical fitness and the <br /> timing and effectiveness of first aid treatment. Regardless of the worker's protests, no employee <br /> suspected of being ill from heat stroke should be sent home or left`unattended unless a physician has <br /> specifically approved such an order. <br /> HEATEXHAUSTION <br /> E <br /> The signs and symptoms of heat exhaustion are headache, nausea, vertigo, weakness, thirst, and <br /> giddiness. Fortunately, this condition responds readily to prom pttreatm'ent. Heat exhaustion should <br /> not be dismissed lightly, however, for several reasons.' One is that the fainting associated with heat <br /> exhaustion can be dangerous because the victim may be ope'�ating!0achinery or controlling an <br /> operation that should not be left unattended; moreover, the victim may be injured when he or she <br /> faints. Also, the signs and symptoms seen in heat exhaustion are similar to those of heat stroke, a <br /> real potential medical emergency. <br /> w Workers suffering from heat exhaustion should be removed from the hot environment and given fluid <br /> replacement. They should also be encouraged to get adequate rest. <br /> HEAT CRAMPS :I; : ; <br /> Heat Cramps are usually caused by performing hard physical labor inl!a hot environment. These <br /> cramps have been attributed to an electrolyte imbalance caused by sweating. It is important to <br /> understand that cramps can be caused by both too much and too little salt. Cramps appear to be <br /> caused by the lack of water replenishment. Because sweat is a hypotonic solution (±0.3% NaCl), <br /> excess salt can build up in the body if the water lost through sweating is not replaced. <br /> Thirst cannot be relied on as a guide to the need for water; instead, water must be taken every 15 to <br /> �I 20 minutes in hot environments. Under extreme conditions, such as working for 6 to 8 hours in heavy <br /> STANTEC Consulting Corporation <br /> Attachment 8 <br />