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Haight Road Tank Remova <br />NOA Project Number: E07174A <br />January 2008 <br />i 9 <br />quench the thirst, he/she consumes large quantities of water without replacing the <br />salt. Heat cramps usually occur in the arms, legs, or abdomen (the major complaint <br />may be severe abdominal pain) and are often a signal of approaching heat exhaustion. <br />Hot weather is not necessarily a prerequisite to heat cramps. A person who exercises <br />strenuously in cold weather and perspires may develop heat cramps if he/she drinks <br />water but does not replace salt. Heat cramps result when blood calcium levels are too <br />high in proportion to those of blood sodium. To function properly, the muscles need a <br />strict balance of water, calcium, and sodium; whenever that balance is disrupted, <br />regardless of temperature, muscular contraction malfunctions, and heat cramps may <br />result. Cramping occurs when the muscle contracts without relaxing again; the muscle <br />remains firm in a knotted configuration, leaving a cavity at its origin. <br />Some signs and symptoms of heat cramps are as follows: <br />• Severe muscular cramps and pain, especially of the legs, calves, and abdomen <br />• Faintness and dizziness <br />• A stiff, board like abdomen <br />• Possible nausea and vomiting <br />• Normal mental status and consciousness <br />Emergency care of heat cramps is as follows: <br />• If the patient is in a hot environment, remove him from the heat immediately. <br />• To relieve pain, try gently stretching the involved muscle groups. Manipulate <br />or push the knotted muscle mass back to its normal position. <br />To prevent heat cramps the out -of -shape or un -acclimated should not overexert <br />themselves. Take frequent breaks in cool places. Before any strenuous activities are <br />undertaken, warm up with exercises. Keep well hydrated and drink liquids that can <br />replenish electrolytes. <br />Fainting <br />A worker who is not accustomed to hot environments and who stands immobile in the <br />heat can faint. Due to the body's attempts to control internal temperature, enlarged <br />blood vessels in the skin and lower part of the body may pool blood rather than <br />returning it to the heart. Upon lying down, the worker should soon recover. Keeping <br />slightly active should prevent blood from pooling and further fainting. <br />Heat Rash <br />Heat rash is likely to occur in hot, humid environments where sweat does not readily <br />evaporate from the skin, leaving it wet most of the time. Sweat ducts become <br />plugged, and a skin rash can develop. When the rash is extensive or complicated by <br />infection, heat rash can be very uncomfortable and may reduce a worker's <br />performance. The worker can prevent this condition by taking breaks and resting in a <br />cool place, changing into dry clothes, and regularly bathing and drying the skin. <br />