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TABLE A <br /> Signs and Symptoms of Heat Stress <br /> Heat rash may result from continuous exposure to heat or humid air <br /> Heat cramps are caused by heavy sweating with inadequate electrolyte replacement Signs <br /> and symptoms include <br /> muscle spasms <br /> pain in the hands, feet and abdomen <br /> Heat exhaustion occurs from increased stress on various body organs, including inadequate <br /> blood circulation caused by cardiovascular insufficiency or dehydration Signs and <br /> symptoms include <br /> pale, cool, moist skin <br /> heavy, sweating <br /> dizziness <br /> nausea <br /> fainting <br /> Heat stroke is the most serious form of heat stress Temperature regulation fails and the body <br /> temperature rises to critical levels Immediate action must be taken to cool the body <br /> before serious injury and death occur Competent medical help must be obtained <br /> Signs and symptoms include <br /> red, hot, usually dry skin <br /> lack of or reduced perspiration <br /> nausea <br /> dizziness and confusion <br /> strong, rapid pulse <br /> coma <br /> Source National Institute of Occupational Safety and <br /> Health/Occupational Safety and Health Administration/U S Coast Guard/U S <br /> Environmental Protection Agency, 1985 Occupational Safety and Health <br /> Guidance Manual for Hazardous Waste Site Activities <br /> Avalon Environmental Consultants 9627-001-2 <br /> Kashmar Singh foes Truck Stop <br /> October 20, 1998 Lathrop, California <br />