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I <br /> �i <br /> Ilvgothermia is defined as a decrease in the patient core temperature below <br /> 96-OF. The body temperature is norm, aily maintained by a combination of ' <br /> . central (brain and spinai cord) and oertpherai (skin and muscle) activity, <br /> Interferences with any of these mechanisms can result in hypothermia_ even in <br /> the absence of what normaiiv is considered a "cold" ambient temperature. <br /> Symptoms of hypothermia inciude: shivering, apathy, listlessness. sleepiness. <br /> 1 and unconsciousness. <br /> - Frostbite is both a general and medical terra given to areas of local cold <br /> injury. Unlike systemic hypothermia. frostbite rarely occurs unless the f <br /> ambient temperatures are less than freezing and usually less than ZfcF. <br /> Symptoms of frostbite are- a sudden blanching or whitening of the skin; the <br /> s skin has a waxy or whites appearance and is firm to the touch; tissues are ecoid, <br /> pale,and solid. <br /> { Prevention of Cold Related Illness - <br /> f <br /> • Educate workers to recognize the symptoms of frostbite and hypothermia <br /> • Identify and limit known risk factors: <br /> • Assure the availability of enclosed. heated environment on or adjacent to the <br /> site. <br /> Assure the availability ofd changes of clothing. <br /> . t"Y B g- � <br /> • Develop the capability for temperature recording at the site. <br /> Assure the availability of warm drinks. <br /> Monitoring - <br /> - Start (oral) temperature recording a the job site: <br /> I <br /> yAt the Field Team Leader's discretion when suspicion is based on changes <br /> ti .in a worker's performance or mentai status. <br /> • At a worker's retauest. <br /> • As a screening measure. two times per shift. under unusually hazardous <br /> conditions (e.g., wind-chill less than 00F, or wind-chill less than 33Q°F with <br /> precipitation). <br /> • As a screening measure whenever any one worker on the site develops <br /> hypothermia. <br /> Any person developing moderate hypother;r:ia (a core temperature of 920F) <br /> cannot return to work for 48 hours. <br /> h <br /> CT <br /> I <br /> i <br /> ' I <br /> E <br /> F.+1r��s�-�il�•1 <br /> i 2-5 I <br />