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APP/SSHP <br /> Soil Excavation at California National Guard Armory <br /> Lodi, California <br /> 8.1.3 Heat Stroke <br /> Heatstroke is the most severe of the heat-related problems. Young children, older adults, people <br /> who are obese and people born with an impaired ability to sweat are at high risk of heatstroke. <br /> Other risk factors include dehydration, alcohol use, cardiovascular disease and certain <br /> medications. <br /> What makes heatstroke severe and potentially life-threatening is that the body's normal <br /> mechanisms for dealing with heat stress, such as sweating and temperature control, are lost. <br /> The main sign of heatstroke is a markedly elevated body temperature—generally greater than <br /> 104 F (40 C) —with changes in mental status ranging from personality changes to confusion <br /> and coma. Skin may be hot and dry—although if heatstroke is caused by exertion, the skin <br /> may be moist. <br /> Other signs and symptoms may include: <br /> • Rapid heartbeat; <br /> • Rapid and shallow breathing; <br /> • Elevated or lowered blood pressure; <br /> • Cessation of sweating; <br /> • Irritability, confusion or unconsciousness; <br /> • Feeling dizzy or lightheaded; <br /> • Headache; <br /> • Nausea; and <br /> • Fainting, which may be the first sign in older adults. <br /> If you suspect heatstroke: <br /> • Move the person out of the sun and into a shady or air-conditioned space. <br /> Remove all PPE and as much clothing as possible. <br /> • Dial 911 or call for emergency medical assistance. <br /> • Place the victim flat in a supine position or with head and shoulders slightly elevated. <br /> • Cool the person by covering him or her with damp sheets or by spraying with cool water. <br /> Direct air onto the person with a fan or newspaper. Ice packs may be placed behind the <br /> neck and in the groin areas. <br /> • If victim is not nauseated, vomiting, or incoherent, offer sips of cool water but do not <br /> force the victim to drink water. <br /> • Have someone stay with the person at all times. If the person is convulsing, protect from <br /> further injury. <br /> 8.1.4 Preventing Heat Stress and Monitoring <br /> EM 385-1-1 (15 September 2008) Section 6 (1) states: <br /> 06.1.03 In hot environments, the following guidelines will be followed to prevent heat related <br /> injury. <br /> OTI E 27 <br />