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Health ("KLE//VFELOER Safet Blight People,Fight Solutions. Safety 5-09.5.2.2 First Aid Get the victim into a warm place. Put the frozen parts in warm (100-1050F) but not hot water. Handle them gently and do not rub or massage them. If the toes or fingers are affected, put dry, sterile gauze between them after warming them. Loosely bandage the injured parts. If the part has been thawed and refrozen, then you should re-warm it at room temperature. 5-09.5.3 Preventing Cold Stress In preventing cold stress, consider factors relating both to the individual and the environment. Acclimatization, water and salt replacement, medical screening, continuing medical supervision, proper work clothing, and training and education will contribute to the prevention of cold stress and injury related to working in a cold environment. Control of the environment involves engineering controls, work practices, work-rest schedules, environmental monitoring, and consideration of the wind-chill temperature. 5-09.5.4 Acclimatization Some degree of acclimatization may be achieved in cold environments. With sufficient exposure to cold, the body does undergo some changes that increase comfort and reduce the risk of cold injury. However, these physiological changes are usually minor and require repeated uncomfortably cold exposures to induce them. People who are physically unfit, older, obese, taking medications or using alcohol or drugs may not acclimatize readily. 5-09.5.5 Dehydration Working in cold areas causes significant water losses through the skin and lungs as a result of the dryness of the air. Increased fluid intake is essential to prevent dehydration, which affects the flow of blood to the extremities and increases the risk of cold injury. 5-09.5.6 Salt The body needs a certain amount of salt and other electrolytes to function properly. However, using salt tablets is not recommended. Salt tablets cause stomach irritation, which may include nausea and vomiting. A normal, balanced diet normally takes care of salt needs. However, heavy perspiration may require electrolyte replacement in addition to two quarts of water intake. The use of commercial electrolyte replacement should be used in accordance to manufacturer's recommended dosage. Anyone with high blood pressure or who is on a restricted sodium diet should consult a physician for advice on salt intake. Page 4 of 11 Copyright 2019 Kleinfelder, Inc Important: When modifying this document, update properties with your name, date, and nature of changes made.