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An initial work/rest cycle of 1 hour work and 15 minutes rest is recommended for protection of <br />staff when the heat stress hazard is high. The recommended cycle will be adjusted up or down <br />based upon worker monitoring, environmental conditions, and the judgement of the site safety <br />officer, At any time, field team members recognize the signs or symptoms of heat stress prior to a <br />scheduled rest period, they will notify the SSO immediately in order that the rest period can be <br />called. <br />Heat stress, if not prevented, results in heat stress illnesses. Two critical illnesses, if not <br />recognized and treated immediately, can become life-threatening. These are heat exhaustion and <br />heat stroke. Heat exhaustion will result if the prevention measures decided above are not <br />implemented. Ignoring the signs and symptoms of heat exhaustion will lead to the development of <br />heat stroke, if unsafe conditions persist. <br />Heat stroke is immediate, life threatening condition that results because the body's heat regulating <br />mechanisms shut down, and the body cannot cool itself sufficiently. As heat is excessively stored <br />in the body, brain damage can result causing permanent disability or death. <br />Heat Exhaustion. The signs and symptoms of heat exhaustion are headache; dizziness; nausea; <br />weakness; sainting; profuse sweating; loss of appetite; approximately normal body temperature; <br />dilated pupils; weak and raid pulse; shallow and rapid breathing; possible cramps in abdomen and <br />extremities; possible vomiting, difficulty walking;=deaty skin to the tn�arh• Hale to alien <br />Qglo. <br />First aid for heat exhaustion is as follows: <br />1. Immediately remove victim to the support area, or if you are the victim proceed to the <br />support area. <br />2. Start cooling, but be careful not to cause a chill (i.e. rest in shade and apply wet towel to <br />forehead; open up and/or remove clothing as much as practical, especially chemical - <br />resistant clothing). <br />3. Drink cool water , but only if conscious and not in shock. <br />4. If vomiting and/or the signs and symptoms are not lessening within an hour, call for <br />emergency help and/or transport the victim to emergency room <br />5. It is likely that a heat exhaustion victim will be unable to work for the remainder of the <br />day. <br />Heat Stroke (aka sun stroke). The signs and symptoms of heat stroke are hot,da akin to the <br />tguh; reddish coloring, body temperature > 105 degrees F; no sweating; mental confusion; deep, <br />rapid breathing that sounds like snoring progressing to shallow, weak breathing, headache; <br />dizziness; nausea; vomiting; weakness; dry mouth; convulsions, muscular twitching, sudden <br />collapse; possible unconsciousness. <br />