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First Aid:Imm diately remove the victim from the work area to a shady or cool area with good air circulation(avoid drafts or sudden chilling). Remove all protective outerwear. Call a physician. Treat the victim for shock. (Make the victim he down, raise his or her feet 6-12 inches and keep him or her warm but loosen all clothing.) If the victim is conscious, it may be helpful to give him or her sips of water.Transport victim to a medical facility as soon as possible. 5.5.2 Heat Stroke Symptoms: This is the most serious of heat casualties due to the fact that the body excessively overheats,body temperatures often rise to between 105 0-110°. As the victim progresses toward heat stroke, symptoms such as headache,dizziness,nausea, oppression, can be noted, and the skin is observed to be dry,red, and hot. Sudden collapse and loss of consciousness follows quickly and death is imminent if exposure continues.The attack will usually occur suddenly. First Aid: Immediately evacuate the victim to a cool and shady area. Remove all protective outerwear and all personal clothing. Lay the victim on his or her back with the head and shoulders slightly elevated. Apply cold wet towels, ice bags, etc. to the head, armpits, and thighs. Sponge off the bare skin with cool water or rubbing alcohol, if available, or even place the victim in a tub of cool water. The main objective is to cool without chilling the victim. Give no stimulants or hot drinks. Since heat stroke is a severe medical condition requiring professional medical attention emergency medical help should be summoned immediately to provide on-site treatment of the victim and proper transport to a medical facility. 5.5.3 Prevention of Heat Related Conditions A. General 1. Maintain good physical conditioning and control your blood pressure(avoid weight gain,smoking,etc.). 2. Eat regularly and properly. Increase salt intake through food consumption during the hot season or hot spells and avoid the use of salt tablets.Consult a physician if you are on a salt restrictive diet. 3. Regulate alcohol intake if you are going to be working in hot environments, either from ambient conditions or through the wearing of Chemical Protective Clothing. 4. Obtain basic First Aid and CPR training. 5. Participate in a yearly medical monitoring program If you are on medication or have a chronic medical history,consult a physician prior to working in a hot environment. B. On Site/Scene 1. If you anticipate fieldwork, get acclimated and conditioned prior to working in high temperatures. This process usually takes from 4-7 days. 2. Plan site work for cooler periods in the day, early morning or evening. 3. Take frequent short breaks. Open or remove protective clothing while on break. 4. The Site Safety Plan shall include a telephone number for the local hospital,ambulance and rescue squad. 5. Drink cool water or an electrolyte solution while on the site/scene. Vary your intake of both fluids. While working on site/scene drink 1 cup of replacement fluid every 15 -20 minutes.Remember that the sensation of thirst is not a good gauge for the need for replacement fluids. 6. Work using the buddy system Watch out for your buddy and fellow workers. Look for the signs and symptoms of heat related emergencies. Workers with heat related emergencies may have physiological as well as physical problems. Workers may do unsafe things, make poor decisions, or act hastily due to the situation. 7. If you experience the symptoms of heat related emergencies, STOP WORK,notify your on-site supervisor, then go to a cool, shaded area and rest. If the condition persists or worsens, consider seeking advance medical care.If in doubt call for an ambulance. 8. Monitoring for Heat Stress shall be performed by the SSO. Workers shall be advised of precautions and symptoms of Heat Stress. HEAT RASH Also known as prickly heat, this is a condition affecting the skin. This condition occurs in situations where the skin remains wet most of the time.The sweat ducts become plugged and a skin rash soon appears. Page 19