Materiały źródłowe

• #1 Heat Exhaustion | Korey Stringer Institute

  https://koreystringer.institute.uconn.edu/heat-exhaustion/

  Heat exhaustion is the most common heat-related condition observed in active populations ranging from athletes to recreational hikers. […] It is important to note that heat illnesses are not on a continuum and that one condition does not lead to another condition, although having heat exhaustion one day can predispose an individual to heat illness the next day. […] Individuals should adapt to exercise in the heat gradually acclimatize over 10-14 days by progressively increasing duration and intensity of work in hot conditions. […] Athletes should recognize heat exhaustion and exertional heat stroke signs and symptoms to indicate the need to slow, modify, or stop activity before a medical emergency arises. […] Being adequately hydrated before and during exercise can help prevent heat illnesses including heat exhaustion. Maintaining blood volume is key in the prevention of heat exhaustion.

• #2 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #3 Heat Exhaustion | Korey Stringer Institute

  https://koreystringer.institute.uconn.edu/heat-exhaustion/

  Heat exhaustion is the most common heat-related condition observed in active populations ranging from athletes to recreational hikers. […] It is important to note that heat illnesses are not on a continuum and that one condition does not lead to another condition, although having heat exhaustion one day can predispose an individual to heat illness the next day. […] Individuals should adapt to exercise in the heat gradually acclimatize over 10-14 days by progressively increasing duration and intensity of work in hot conditions. […] Athletes should recognize heat exhaustion and exertional heat stroke signs and symptoms to indicate the need to slow, modify, or stop activity before a medical emergency arises. […] Being adequately hydrated before and during exercise can help prevent heat illnesses including heat exhaustion. Maintaining blood volume is key in the prevention of heat exhaustion.

• #4 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Fortunately, heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related illnesses. When temperatures climb, remember to: […] Wear loose fitting, lightweight clothing. Wearing too much clothing or clothing that fits tightly won’t allow your body to cool properly. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself. Protect yourself outdoors with a wide-brimmed hat and sunglasses. Use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously and reapply every two hours. Reapply more often if you’re swimming or sweating. […] Drink plenty of fluids. Staying hydrated helps your body sweat and keep a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.

• #5 Follow heatstroke prevention tips – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/when-temps-rise-remember-these-heatstroke-prevention-tips

  Summer can bring hot temperatures, and working or playing in the heat can be dangerous. As you head out this summer, remember to take precautionary measures to prevent heat-related injuries when you’re far from climate-controlled environments. […] The good news is that you can prevent heat exhaustion and heat stroke. […] Take these steps to prevent heatstroke during hot weather: Wear loose-fitting, lightweight clothing. Wearing excess clothing or clothing that fits tightly won’t allow your body to cool properly. Protect against sunburn. Sunburn affects your body’s ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with a sun protection factor, or SPF, of at least 30. Apply sunscreen generously and reapply every two hours, or more often if you’re swimming or sweating. Drink plenty of fluids. Staying hydrated will help your body sweat and maintain an average body temperature. Take extra precautions with certain medications. Ask your health care team your medications can affect your body’s ability to stay hydrated and dissipate heat. Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees F in 10 minutes. It’s unsafe to leave a person or pet in a parked car in warm or hot weather, even if the windows are cracked or the car is in the shade. Keep your car locked to prevent a child from getting inside when it is parked. Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. Get acclimated. It can take several weeks for your body to adjust to hot weather. Limit time spent working or exercising in the heat until you’re conditioned to it. People not used to hot weather are especially susceptible to heat-related illnesses. Be cautious if you’re at increased risk. If you take medications or have a condition that increases your risk of heat-related problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure medical services are available in case of a heat emergency.

• #6 Management of Heatstroke and Heat Exhaustion | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000

  Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat.

• #7 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #8 Extreme Heat Safety | Heat Exhaustion Safety | Red Cross

  https://www.redcross.org/get-help/how-to-prepare-for-emergencies/types-of-emergencies/extreme-heat-safety.html?srsltid=AfmBOoplj15f3Z_PerMUvLAC20F9edPxClN98a3MH3qVamZXA_fGFSwq

  You need to drink enough water to prevent heat illness. An average person needs to drink about 3/4 of a gallon of water daily. […] Do not rely only on electric fans during extreme heat. When temperatures are in the high 90s, fans may not prevent heat-related illness. Taking a cool shower or bath or moving to an air-conditioned place is a much better way to cool off. […] Drink plenty of fluids. Encourage others to drink plenty of fluids, too. […] Check on your friends, family, and neighbors. Help them prevent heat illness. Act fast if you notice someone with symptoms. […] Heat Exhaustion is severe and may require emergency medical treatment. […] Move to a cool place. Loosen tight clothing. Cool the body using wet cloths, misting, fanning, or a cool bath. Sip water slowly. Get medical help right away if: Vomiting occurs, Symptoms last longer than 1 hour or get worse, Confusion develops.

• #9

  https://www.safeatworkca.com/safety-articles/preventing-heat-illness/

  When the body heats up faster than it can cool itself, mild to severe illness may develop. […] It’s important to recognize the warning signs and symptoms of heat-related illness and then take steps to prevent and control it. This can help reduce the likelihood of experiencing heat illness and keep your workers safe on the job. […] Drink water throughout the day. Do not wait to become thirsty. Instead drink small amounts of water frequently, but at a minimum, 4 cups of water per hour. Also, keep water as close as practicable, the importance of doing this cannot be overstated. […] Limit exposure time and/or temperature try to schedule hot jobs for cooler times of the day or cooler seasons of the year. Take rest breaks in cool areas. […] Take time to acclimate workers are at greatest risk with the sudden onset of heat. Gradually exposing a worker to heat will help the body adapt when the temperature rises, thus reducing the likelihood of experiencing heat illness.

• #10 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  Athlete measures immediately before and during activity: […] – Hydrate before activity and keep well hydrated throughout activity. Before training and competition in the heat, athletes should drink 6 mL of fluid per kg of body mass every two to three hours in order to begin exercise properly hydrated. We begin this process approximately four to six hours prior to the start of training or competition. Of note, unless an athlete is deficient in sodium and other electrolytes, increased salt intake before and during exercise is unlikely to help prevent EHI. […] – Avoid exercise in severe heat and/or humidity when ill. […] – Stop exercising and notify medical staff immediately if severe exhaustion, lightheadedness, or other concerning symptoms develop in yourself or a teammate. […] – „Precooling” (ie, implementing cooling measures before or especially during play) may benefit athletes whose sport involves sustained exercise (eg, middle- and long-distance running, cycling, tennis, and team sports) in hot environments. Precooling strategies can include both internal methods (eg, ice slurry) and external methods (eg, cooling vests). In addition to precooling, athletes can use cooling strategies during exercise. Athletes who participate in sports with regular breaks in play (eg, American football, tennis) can implement cooling methods during such breaks. In addition to drinking an ice slurry, such cooling methods may include donning an ice vest or ice hat, draping an ice towel around the neck or over the head, or immersing arms or hands in an ice chest. Precooling and intra-event cooling methods affect some athletes differently than others, and thus it is important to experiment or practice with these strategies before they are used in competition. […] – Wear athletic clothing that ventilates well and allows for evaporative cooling when exercising in the heat. Clothing should be changed when it becomes saturated with sweat, which limits evaporative cooling.

• #11 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  A general recommendation for those doing moderate- to high-intensity exercise is to drink 17 to 20 ounces of fluid 2-3 hours before exercise. Consider adding another 8 ounces of water or a sports drink right before exercise. During exercise, you should consume another 7-10 ounces of water every 20 minutes, even if you don’t feel thirsty. Also, drink another 8 ounces within a half hour after exercise. Take additional precautions when exercising or working outdoors. […] If you have epilepsy or severe heart, kidney, or liver disease, are on a fluid-restricted diet, or have a problem with fluid retention, check with your doctor before increasing liquid intake. Get advice on what kinds of fluid are best for you. […] Get used to the heat. If you just arrived at a hot location or you’re experiencing the first heat wave of the year in your neck of the woods, take some time to get used to the change. Limit your time working or exercising in the heat until your body adapts.

• #12 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  A general recommendation for those doing moderate- to high-intensity exercise is to drink 17 to 20 ounces of fluid 2-3 hours before exercise. Consider adding another 8 ounces of water or a sports drink right before exercise. During exercise, you should consume another 7-10 ounces of water every 20 minutes, even if you don’t feel thirsty. Also, drink another 8 ounces within a half hour after exercise. Take additional precautions when exercising or working outdoors. […] If you have epilepsy or severe heart, kidney, or liver disease, are on a fluid-restricted diet, or have a problem with fluid retention, check with your doctor before increasing liquid intake. Get advice on what kinds of fluid are best for you. […] Get used to the heat. If you just arrived at a hot location or you’re experiencing the first heat wave of the year in your neck of the woods, take some time to get used to the change. Limit your time working or exercising in the heat until your body adapts.

• #13 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  A general recommendation for those doing moderate- to high-intensity exercise is to drink 17 to 20 ounces of fluid 2-3 hours before exercise. Consider adding another 8 ounces of water or a sports drink right before exercise. During exercise, you should consume another 7-10 ounces of water every 20 minutes, even if you don’t feel thirsty. Also, drink another 8 ounces within a half hour after exercise. Take additional precautions when exercising or working outdoors. […] If you have epilepsy or severe heart, kidney, or liver disease, are on a fluid-restricted diet, or have a problem with fluid retention, check with your doctor before increasing liquid intake. Get advice on what kinds of fluid are best for you. […] Get used to the heat. If you just arrived at a hot location or you’re experiencing the first heat wave of the year in your neck of the woods, take some time to get used to the change. Limit your time working or exercising in the heat until your body adapts.

• #14 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  A general recommendation for those doing moderate- to high-intensity exercise is to drink 17 to 20 ounces of fluid 2-3 hours before exercise. Consider adding another 8 ounces of water or a sports drink right before exercise. During exercise, you should consume another 7-10 ounces of water every 20 minutes, even if you don’t feel thirsty. Also, drink another 8 ounces within a half hour after exercise. Take additional precautions when exercising or working outdoors. […] If you have epilepsy or severe heart, kidney, or liver disease, are on a fluid-restricted diet, or have a problem with fluid retention, check with your doctor before increasing liquid intake. Get advice on what kinds of fluid are best for you. […] Get used to the heat. If you just arrived at a hot location or you’re experiencing the first heat wave of the year in your neck of the woods, take some time to get used to the change. Limit your time working or exercising in the heat until your body adapts.

• #15 Extreme Heat Safety | Heat Exhaustion Safety | Red Cross

  https://www.redcross.org/get-help/how-to-prepare-for-emergencies/types-of-emergencies/extreme-heat-safety.html?srsltid=AfmBOoplj15f3Z_PerMUvLAC20F9edPxClN98a3MH3qVamZXA_fGFSwq

  You need to drink enough water to prevent heat illness. An average person needs to drink about 3/4 of a gallon of water daily. […] Do not rely only on electric fans during extreme heat. When temperatures are in the high 90s, fans may not prevent heat-related illness. Taking a cool shower or bath or moving to an air-conditioned place is a much better way to cool off. […] Drink plenty of fluids. Encourage others to drink plenty of fluids, too. […] Check on your friends, family, and neighbors. Help them prevent heat illness. Act fast if you notice someone with symptoms. […] Heat Exhaustion is severe and may require emergency medical treatment. […] Move to a cool place. Loosen tight clothing. Cool the body using wet cloths, misting, fanning, or a cool bath. Sip water slowly. Get medical help right away if: Vomiting occurs, Symptoms last longer than 1 hour or get worse, Confusion develops.

• #16 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #17 Heat related illness prevention tips – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/featured-topic/prevent-heat-related-illness

  Heat-related illnesses, like heat exhaustion and heatstroke, can be life-threatening and often prevented. […] Tip for preventing heat-related illness: Stay cool. Stay in air-conditioned buildings as much as possible. If you do not have air conditioning, consider a shopping mall or public building, such as a library, to help cool down. Do not rely solely on box fans during extreme temperatures. […] People over 65 may not tolerate sudden changes in temperature as well as younger people. Check on older adults more frequently, and ensure they are drinking enough water. […] Stay hydrated. Don’t wait until you are thirsty. Water and sports drinks are the most effective warm-weather drinks. […] Avoid alcohol, as it can make you more dehydrated. […] Eat lighter meals. […] Wear lightweight clothing or loose-fitting clothes.

• #18 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  A general recommendation for those doing moderate- to high-intensity exercise is to drink 17 to 20 ounces of fluid 2-3 hours before exercise. Consider adding another 8 ounces of water or a sports drink right before exercise. During exercise, you should consume another 7-10 ounces of water every 20 minutes, even if you don’t feel thirsty. Also, drink another 8 ounces within a half hour after exercise. Take additional precautions when exercising or working outdoors. […] If you have epilepsy or severe heart, kidney, or liver disease, are on a fluid-restricted diet, or have a problem with fluid retention, check with your doctor before increasing liquid intake. Get advice on what kinds of fluid are best for you. […] Get used to the heat. If you just arrived at a hot location or you’re experiencing the first heat wave of the year in your neck of the woods, take some time to get used to the change. Limit your time working or exercising in the heat until your body adapts.

• #19 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Fortunately, heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related illnesses. When temperatures climb, remember to: […] Wear loose fitting, lightweight clothing. Wearing too much clothing or clothing that fits tightly won’t allow your body to cool properly. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself. Protect yourself outdoors with a wide-brimmed hat and sunglasses. Use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously and reapply every two hours. Reapply more often if you’re swimming or sweating. […] Drink plenty of fluids. Staying hydrated helps your body sweat and keep a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.

• #20 Follow heatstroke prevention tips – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/when-temps-rise-remember-these-heatstroke-prevention-tips

  Summer can bring hot temperatures, and working or playing in the heat can be dangerous. As you head out this summer, remember to take precautionary measures to prevent heat-related injuries when you’re far from climate-controlled environments. […] The good news is that you can prevent heat exhaustion and heat stroke. […] Take these steps to prevent heatstroke during hot weather: Wear loose-fitting, lightweight clothing. Wearing excess clothing or clothing that fits tightly won’t allow your body to cool properly. Protect against sunburn. Sunburn affects your body’s ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with a sun protection factor, or SPF, of at least 30. Apply sunscreen generously and reapply every two hours, or more often if you’re swimming or sweating. Drink plenty of fluids. Staying hydrated will help your body sweat and maintain an average body temperature. Take extra precautions with certain medications. Ask your health care team your medications can affect your body’s ability to stay hydrated and dissipate heat. Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees F in 10 minutes. It’s unsafe to leave a person or pet in a parked car in warm or hot weather, even if the windows are cracked or the car is in the shade. Keep your car locked to prevent a child from getting inside when it is parked. Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. Get acclimated. It can take several weeks for your body to adjust to hot weather. Limit time spent working or exercising in the heat until you’re conditioned to it. People not used to hot weather are especially susceptible to heat-related illnesses. Be cautious if you’re at increased risk. If you take medications or have a condition that increases your risk of heat-related problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure medical services are available in case of a heat emergency.

• #21 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.

• #22 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.

• #23 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.

• #24 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  When the heat index is high, it’s best to stay inside in air conditioning. If you must go outdoors, you can avoid heat exhaustion by taking these steps: […] Dress for the weather. Wear lightweight, light-colored, loose-fitting clothing, and a wide-brimmed hat. […] Prevent sunburn. Getting burned can increase your risk for heat illness. So, in addition to wearing a hat, you should use a broad-spectrum sunscreen with an SPF of at least 15 and reapply it every 2 hours or after swimming or sweating a lot. Wear sunglasses as well. […] Time your activities. Do your outdoor exercise, yard work, or other activities early in the morning or in the evening to avoid the hottest parts of the day. […] Drink extra fluids. To prevent dehydration, drink plenty of water or other nonalcoholic, caffeine-free drinks. Because salt depletion can play a role in heat-related illness, consider an electrolyte-rich sports drink when it’s very hot and humid.

• #25 Heatstroke – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-stroke/symptoms-causes/syc-20353581

  Heatstroke is predictable and preventable. Take these steps to prevent heatstroke during hot weather: […] Wear loose-fitting, lightweight clothing. Excess clothing or clothing that fits tightly doesn’t allow your body to cool properly. Clothes made of linen, silk, cotton or hemp are cooling. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses. And use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously, and reapply every two hours or more often if you’re swimming or sweating. […] Drink plenty of fluids. Stay hydrated to help your body sweat and maintain a normal body temperature. […] Take extra precautions with certain medicines. Be on the lookout for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and dissipate heat.

• #26 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  If you work outside in the heat or a hot indoor environment — such as a bakery or steel mill — your employer should allow you to take these steps for your safety, according to U.S. government recommendations. Some states require such steps, along with water breaks and other heat illness prevention strategies. […] Know your risks. If you have a medical condition or take medicine that increases your risks, you might have to take it easier than others around you. If you take part in organized sports that involve strenuous activity, make sure medical help is on hand for anyone who overheats. […] Preventing hot car tragedies. Never stay or leave a child or pet in a hot car, even for a few minutes, even if the windows are cracked, or even if you parked in the shade. Children can quickly progress from overheating to heat exhaustion, then to heat stroke and even death. […] Lowering risks inside. If your home doesn’t have air conditioning, open windows and run fans to increase ventilation. If possible, get to cool indoor spaces, such as libraries or shopping malls, during the day. Some cities have cooling centers open during heat waves.

• #27 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  Athlete measures immediately before and during activity: […] – Hydrate before activity and keep well hydrated throughout activity. Before training and competition in the heat, athletes should drink 6 mL of fluid per kg of body mass every two to three hours in order to begin exercise properly hydrated. We begin this process approximately four to six hours prior to the start of training or competition. Of note, unless an athlete is deficient in sodium and other electrolytes, increased salt intake before and during exercise is unlikely to help prevent EHI. […] – Avoid exercise in severe heat and/or humidity when ill. […] – Stop exercising and notify medical staff immediately if severe exhaustion, lightheadedness, or other concerning symptoms develop in yourself or a teammate. […] – „Precooling” (ie, implementing cooling measures before or especially during play) may benefit athletes whose sport involves sustained exercise (eg, middle- and long-distance running, cycling, tennis, and team sports) in hot environments. Precooling strategies can include both internal methods (eg, ice slurry) and external methods (eg, cooling vests). In addition to precooling, athletes can use cooling strategies during exercise. Athletes who participate in sports with regular breaks in play (eg, American football, tennis) can implement cooling methods during such breaks. In addition to drinking an ice slurry, such cooling methods may include donning an ice vest or ice hat, draping an ice towel around the neck or over the head, or immersing arms or hands in an ice chest. Precooling and intra-event cooling methods affect some athletes differently than others, and thus it is important to experiment or practice with these strategies before they are used in competition. […] – Wear athletic clothing that ventilates well and allows for evaporative cooling when exercising in the heat. Clothing should be changed when it becomes saturated with sweat, which limits evaporative cooling.

• #28 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Fortunately, heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related illnesses. When temperatures climb, remember to: […] Wear loose fitting, lightweight clothing. Wearing too much clothing or clothing that fits tightly won’t allow your body to cool properly. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself. Protect yourself outdoors with a wide-brimmed hat and sunglasses. Use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously and reapply every two hours. Reapply more often if you’re swimming or sweating. […] Drink plenty of fluids. Staying hydrated helps your body sweat and keep a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.

• #29 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Fortunately, heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related illnesses. When temperatures climb, remember to: […] Wear loose fitting, lightweight clothing. Wearing too much clothing or clothing that fits tightly won’t allow your body to cool properly. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself. Protect yourself outdoors with a wide-brimmed hat and sunglasses. Use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously and reapply every two hours. Reapply more often if you’re swimming or sweating. […] Drink plenty of fluids. Staying hydrated helps your body sweat and keep a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.

• #30 Follow heatstroke prevention tips – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/when-temps-rise-remember-these-heatstroke-prevention-tips

  Summer can bring hot temperatures, and working or playing in the heat can be dangerous. As you head out this summer, remember to take precautionary measures to prevent heat-related injuries when you’re far from climate-controlled environments. […] The good news is that you can prevent heat exhaustion and heat stroke. […] Take these steps to prevent heatstroke during hot weather: Wear loose-fitting, lightweight clothing. Wearing excess clothing or clothing that fits tightly won’t allow your body to cool properly. Protect against sunburn. Sunburn affects your body’s ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with a sun protection factor, or SPF, of at least 30. Apply sunscreen generously and reapply every two hours, or more often if you’re swimming or sweating. Drink plenty of fluids. Staying hydrated will help your body sweat and maintain an average body temperature. Take extra precautions with certain medications. Ask your health care team your medications can affect your body’s ability to stay hydrated and dissipate heat. Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees F in 10 minutes. It’s unsafe to leave a person or pet in a parked car in warm or hot weather, even if the windows are cracked or the car is in the shade. Keep your car locked to prevent a child from getting inside when it is parked. Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. Get acclimated. It can take several weeks for your body to adjust to hot weather. Limit time spent working or exercising in the heat until you’re conditioned to it. People not used to hot weather are especially susceptible to heat-related illnesses. Be cautious if you’re at increased risk. If you take medications or have a condition that increases your risk of heat-related problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure medical services are available in case of a heat emergency.

• #31 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Fortunately, heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related illnesses. When temperatures climb, remember to: […] Wear loose fitting, lightweight clothing. Wearing too much clothing or clothing that fits tightly won’t allow your body to cool properly. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself. Protect yourself outdoors with a wide-brimmed hat and sunglasses. Use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously and reapply every two hours. Reapply more often if you’re swimming or sweating. […] Drink plenty of fluids. Staying hydrated helps your body sweat and keep a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.

• #32 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Fortunately, heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related illnesses. When temperatures climb, remember to: […] Wear loose fitting, lightweight clothing. Wearing too much clothing or clothing that fits tightly won’t allow your body to cool properly. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself. Protect yourself outdoors with a wide-brimmed hat and sunglasses. Use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously and reapply every two hours. Reapply more often if you’re swimming or sweating. […] Drink plenty of fluids. Staying hydrated helps your body sweat and keep a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.

• #33 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  When the heat index is high, it’s best to stay inside in air conditioning. If you must go outdoors, you can avoid heat exhaustion by taking these steps: […] Dress for the weather. Wear lightweight, light-colored, loose-fitting clothing, and a wide-brimmed hat. […] Prevent sunburn. Getting burned can increase your risk for heat illness. So, in addition to wearing a hat, you should use a broad-spectrum sunscreen with an SPF of at least 15 and reapply it every 2 hours or after swimming or sweating a lot. Wear sunglasses as well. […] Time your activities. Do your outdoor exercise, yard work, or other activities early in the morning or in the evening to avoid the hottest parts of the day. […] Drink extra fluids. To prevent dehydration, drink plenty of water or other nonalcoholic, caffeine-free drinks. Because salt depletion can play a role in heat-related illness, consider an electrolyte-rich sports drink when it’s very hot and humid.

• #34 Heat Illness Prevention Program

  https://blink.ucsd.edu/safety/occupational/hazard-control/heat.html

  Learn how to control the risk of heat-induced illness, train workers to protect themselves, recognize symptoms, and respond should a heat illness emergency occur. […] The Heat Illness Prevention Standard (CCR, Title 8, Section 3395) requires employers to implement measures to prevent heat-related illnesses in all outdoor places of employment. […] The following procedures below describe the minimum essential heat illness prevention measures for the UC San Diego main campus location. […] Supervisors must ensure adequate shade when temperatures reach or exceed 80F. […] For extended work or projects under direct sun, supervisors should provide other means of shade such as a tent or canopy to be located as close as practicable to the areas where employees are working. […] Employees shall be closely monitored by a supervisor or designee during a heatwave.

• #35 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees Fahrenheit (more than 11 C) in 10 minutes. […] Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest often in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. […] Get acclimated. Limit time spent working or exercising in heat until you’re conditioned to it. People who aren’t used to hot weather are especially susceptible to heat-related illness. It can take several weeks for your body to adjust to hot weather. […] Be cautious if you’re at increased risk. If you take medicines or have a condition that increases your risk of heat-related problems, such as a history of prior heat illness, be cautious. Avoid the heat and act quickly if you notice symptoms of overheating. If you take part in a strenuous sporting event or activity in hot weather, make sure there are medical services ready in case of a heat emergency.

• #36 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.

• #37 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees Fahrenheit (more than 11 C) in 10 minutes. […] Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest often in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. […] Get acclimated. Limit time spent working or exercising in heat until you’re conditioned to it. People who aren’t used to hot weather are especially susceptible to heat-related illness. It can take several weeks for your body to adjust to hot weather. […] Be cautious if you’re at increased risk. If you take medicines or have a condition that increases your risk of heat-related problems, such as a history of prior heat illness, be cautious. Avoid the heat and act quickly if you notice symptoms of overheating. If you take part in a strenuous sporting event or activity in hot weather, make sure there are medical services ready in case of a heat emergency.

• #38 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  If you are not used to working or exercising in hot weather, start slowly and pick up the pace gradually. Take frequent, regularly scheduled breaks. If activity in the heat makes your heart pound or leaves you gasping for breath, stop activity, get into a cool or shady area, and rest. Especially if you become lightheaded, confused, weak or feel faint. […] During a heat wave, check on your friends and family and have someone do the same for you. If you know someone who is elderly or has a health condition, check on them twice a day during a heat wave. Watch for signs of heat exhaustion or heat stroke. High temperatures can cause serious health problems. Know the symptoms of heat-related illness and be ready to help.

• #39 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  If you are not used to working or exercising in hot weather, start slowly and pick up the pace gradually. Take frequent, regularly scheduled breaks. If activity in the heat makes your heart pound or leaves you gasping for breath, stop activity, get into a cool or shady area, and rest. Especially if you become lightheaded, confused, weak or feel faint. […] During a heat wave, check on your friends and family and have someone do the same for you. If you know someone who is elderly or has a health condition, check on them twice a day during a heat wave. Watch for signs of heat exhaustion or heat stroke. High temperatures can cause serious health problems. Know the symptoms of heat-related illness and be ready to help.

• #40 7 Tips to Avoid Heat Exhaustion and Heat Stroke.

  https://www.medstarhealth.org/blog/avoid-heat-related-illnesses

  Keep in mind the time of day youll be outside, as early mornings and late evenings are the coolest times of the day. And always check the heat index, or the combination of the temperature and humidity levels, on a mobile app or online. When you see heat indexes in the high 90s or above, be especially careful about the amount of time you spend outside.

• #41

  https://www.safeatworkca.com/safety-articles/preventing-heat-illness/

  Implement engineering controls start the shift earlier or later (during the cooler hours of the day) or cut the shift short. Increasing air movement with fans or coolers can also help. […] Wear loose, light-colored clothing clothing can affect heat buildup. […] Immediately report any signs or symptoms to a supervisor a worker needs to report symptoms they have or if they witness heat illness symptoms in a coworker. […] When someone displays possible signs or symptoms of heat illness initiate your emergency procedures. […] Youll want to remind your employees where to find the water you provide and encourage them to drink. Go over cool down and rest breaks and explain that they should not wait until they feel sick. […] Ensure that effective communication is maintained regularly and remind employees of their right to take a cool-down rest period as necessary.

• #42 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  If you are not used to working or exercising in hot weather, start slowly and pick up the pace gradually. Take frequent, regularly scheduled breaks. If activity in the heat makes your heart pound or leaves you gasping for breath, stop activity, get into a cool or shady area, and rest. Especially if you become lightheaded, confused, weak or feel faint. […] During a heat wave, check on your friends and family and have someone do the same for you. If you know someone who is elderly or has a health condition, check on them twice a day during a heat wave. Watch for signs of heat exhaustion or heat stroke. High temperatures can cause serious health problems. Know the symptoms of heat-related illness and be ready to help.

• #43 Heat Illness Prevention – Stanford Environmental Health & Safety

  https://ehs.stanford.edu/subtopic/heat-illness-prevention

  Hydration: Drink plenty of water, at least four (4) cups (32 ounces) per hour. Avoid caffeine and alcohol as they contribute to dehydration. Supervisors should remind workers to be drinking water throughout the day. […] Clothing: Wear lightweight, loose-fitting clothing to keep your body cool while keeping with existing workplace dress code, including required personal protective equipment (PPE). […] Meals: Avoid eating heavy, hot, or hard-to-digest foods. Light, cool, and easy-to-digest foods include fruit or salads. […] Shade: Minimize direct exposure to the sun. Use window shades/ curtains, outdoor portable shade tents, etc. […] Fans: Use electric fans to provide cooling when the air temperature is below 95F (except in laboratory environments, as it disrupts the ventilation system).

• #44 Practical strategies for prevention and treatment of heat-induced illness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4131963/

  Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.

• #45 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees Fahrenheit (more than 11 C) in 10 minutes. […] Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest often in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. […] Get acclimated. Limit time spent working or exercising in heat until you’re conditioned to it. People who aren’t used to hot weather are especially susceptible to heat-related illness. It can take several weeks for your body to adjust to hot weather. […] Be cautious if you’re at increased risk. If you take medicines or have a condition that increases your risk of heat-related problems, such as a history of prior heat illness, be cautious. Avoid the heat and act quickly if you notice symptoms of overheating. If you take part in a strenuous sporting event or activity in hot weather, make sure there are medical services ready in case of a heat emergency.

• #46 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees Fahrenheit (more than 11 C) in 10 minutes. […] Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest often in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. […] Get acclimated. Limit time spent working or exercising in heat until you’re conditioned to it. People who aren’t used to hot weather are especially susceptible to heat-related illness. It can take several weeks for your body to adjust to hot weather. […] Be cautious if you’re at increased risk. If you take medicines or have a condition that increases your risk of heat-related problems, such as a history of prior heat illness, be cautious. Avoid the heat and act quickly if you notice symptoms of overheating. If you take part in a strenuous sporting event or activity in hot weather, make sure there are medical services ready in case of a heat emergency.

• #47 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  Exertional heat illness (EHI) is often preventable. Important principles for developing a prevention program for EHI and specific measures for reducing risk, including several recommendations included in consensus statements, are described below and in the accompanying table (table 2). […] Measures that can be taken to reduce the risk of EHI include the following: […] Long-term institutional measures: […] – Institute prevention policies, including an emergency action plan (table 3). […] – Educate staff and athletes about heat illness. […] Long-term and preparatory measures for athletes: […] – Maintain a high level of fitness. […] – Acclimatize gradually to exercising in hot and/or humid conditions. The process of heat acclimatization generally requires 7 to 14 days, but ideally, athletes should train for two weeks under a heat stress comparable to the target competition. Most adaptations occur during the first week.

• #48 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  – Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] – Provide frequent breaks for hydration and cooling. […] – Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] – Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] – Carefully monitor those athletes with any history suggestive of prior heat illness. […] – Minimize equipment and clothing that hinder heat loss in hot or humid conditions.

• #49 We Define the Future

  https://www.csusb.edu/ehs/occupational-health-and-safety/heat-illness-prevention/heat-illness-prevention-procedures

  This Heat Illness Prevention Procedures Manual has been created to comply with California Code of Regulations Title 8, Section 3395, and Heat Illness Prevention. The Heat Illness Prevention standard is applicable to any outdoor workplace, whenever environmental or personal risk factors for heat illness are present. […] Supervisors must evaluate work conditions before sending employees to perform outdoor work in hot conditions. […] Typically, temperatures above 80F, especially with heavy physical work activities, would represent conditions where there is a risk of heat illness. […] For heavy work under very hot conditions, a period of 4-10 days of progressively increasing work time is recommended. […] Employees are encouraged to drink water frequently and clean, fresh, and cool potable water shall be readily available to employees.

• #50 Be Heat Smart

  https://www.lni.wa.gov/safety-health/safety-training-materials/workshops-events/beheatsmart

  Provide adequate shade (or alternative cooling methods) at all times, to allow for access to prevent or respond to heat illness. […] Encourage and allow workers to take paid, preventative cool down rest periods so they dont overheat. […] Closely observe employees not acclimatized to the heat, including new employees, those returning from absences, and all workers during a heat wave. […] Have emergency procedures to respond appropriately to any employee with symptoms of heat-related illness. […] Make sure supervisors and employees always have a way to communicate with each other so they can promptly report heat illness and get medical assistance. […] Heat Illness training covers heat safety basics including preventing heat-related illnesses through shade, rest breaks, and acclimatization.

• #51 Heat Illness: Avoidance and Prevention

  https://www.sadlersports.com/riskmanagement/sports-insurance-heatillness.php

  Excessive clothing and protective equipment such as helmets, shoulder pads, and tape increase heat stress by both interfering with evaporation of sweat and inhibiting pathways for heat loss. […] The following tips are recommended: Minimize the amount of equipment and clothing worn by athletes on hot and humid days – particularly during an acclimatization period. […] Heat Exhaustion is a moderate heat illness that occurs when an athlete continues to be physically active after starting to suffer from heat stress. […] Heat exhaustion should be treated by moving the athlete to a shaded or air conditioned area and removing any extra clothing or equipment. […] The planning process should take into account the following considerations to reduce the instances and severity of heat illness where the temperature and humidity are above predetermined levels: Educate administrators, officials, and coaches on all aspects of heat illness. […] Mandatory non-routine fluid breaks should be scheduled during practice and games. […] Always follow the rules of the respective governing body (if any) to comply with procedures that have been established to protect against heat illness.

• #52 Heat Illness Prevention | Pacific Northwest Agricultural Safety and Health Center

  https://deohs.washington.edu/pnash/heat_illness

  Heat illness is preventable but, if left unchecked, could lead to death. […] The adopted rule for agriculture (WAC 296-307-097) includes requirements for shade, rest, and acclimatization, and lowers the temperatures at which some preventive actions must be taken. […] Overall, the adopted requirements address access to shade; drinking water; high heat practices, including the development of heat illness prevention break schedules for certain temperature thresholds; emergency medical and actions plans; acclimatization plan; heat illness prevention plan; supervisor and employee training; and training documentation.

• #53 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.

• #54 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.

• #55 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  The best way to beat the heat is to stay in an air conditioned area. If you dont have an air conditioner, go to a shopping mall or public building for a few hours. A cool shower or bath is also a good way to cool off. […] Wear as little clothing as possible when you are at home. Choose lightweight, light-colored, loose-fitting clothing. In the hot sun, a wide-brimmed hat will keep the head cool. If you will be in direct sun, use a sunscreen with a sun protection factor (SPF) of 15 or higher and follow package directions. Reapply every 2 hours while in the sun. […] Try to be less active during the hottest part of the day, late afternoon. If you must be out in the heat, plan your activities so that you are outdoors either before noon or in the evening. While outdoors, rest often in a shady area. Never leave kids or pets in a parked car.

• #56 Extreme Heat Safety | Heat Exhaustion Safety | Red Cross

  https://www.redcross.org/get-help/how-to-prepare-for-emergencies/types-of-emergencies/extreme-heat-safety.html?srsltid=AfmBOoplj15f3Z_PerMUvLAC20F9edPxClN98a3MH3qVamZXA_fGFSwq

  You need to drink enough water to prevent heat illness. An average person needs to drink about 3/4 of a gallon of water daily. […] Do not rely only on electric fans during extreme heat. When temperatures are in the high 90s, fans may not prevent heat-related illness. Taking a cool shower or bath or moving to an air-conditioned place is a much better way to cool off. […] Drink plenty of fluids. Encourage others to drink plenty of fluids, too. […] Check on your friends, family, and neighbors. Help them prevent heat illness. Act fast if you notice someone with symptoms. […] Heat Exhaustion is severe and may require emergency medical treatment. […] Move to a cool place. Loosen tight clothing. Cool the body using wet cloths, misting, fanning, or a cool bath. Sip water slowly. Get medical help right away if: Vomiting occurs, Symptoms last longer than 1 hour or get worse, Confusion develops.

• #57 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  If you work outside in the heat or a hot indoor environment — such as a bakery or steel mill — your employer should allow you to take these steps for your safety, according to U.S. government recommendations. Some states require such steps, along with water breaks and other heat illness prevention strategies. […] Know your risks. If you have a medical condition or take medicine that increases your risks, you might have to take it easier than others around you. If you take part in organized sports that involve strenuous activity, make sure medical help is on hand for anyone who overheats. […] Preventing hot car tragedies. Never stay or leave a child or pet in a hot car, even for a few minutes, even if the windows are cracked, or even if you parked in the shade. Children can quickly progress from overheating to heat exhaustion, then to heat stroke and even death. […] Lowering risks inside. If your home doesn’t have air conditioning, open windows and run fans to increase ventilation. If possible, get to cool indoor spaces, such as libraries or shopping malls, during the day. Some cities have cooling centers open during heat waves.

• #58 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  If you work outside in the heat or a hot indoor environment — such as a bakery or steel mill — your employer should allow you to take these steps for your safety, according to U.S. government recommendations. Some states require such steps, along with water breaks and other heat illness prevention strategies. […] Know your risks. If you have a medical condition or take medicine that increases your risks, you might have to take it easier than others around you. If you take part in organized sports that involve strenuous activity, make sure medical help is on hand for anyone who overheats. […] Preventing hot car tragedies. Never stay or leave a child or pet in a hot car, even for a few minutes, even if the windows are cracked, or even if you parked in the shade. Children can quickly progress from overheating to heat exhaustion, then to heat stroke and even death. […] Lowering risks inside. If your home doesn’t have air conditioning, open windows and run fans to increase ventilation. If possible, get to cool indoor spaces, such as libraries or shopping malls, during the day. Some cities have cooling centers open during heat waves.

• #59 Cal/OSHA Heat Illness Prevention Guidance and Resources

  https://www.dir.ca.gov/dosh/heatillnessinfo.html

  For indoor workplaces, the cool-down areas must be kept at less than 82F and shielded from other high-radiant heat sources. […] Encourage workers to take preventative cool-down rest periods. […] Allow workers who ask for a cool-down rest period to take one. […] Monitor workers taking such rest periods for symptoms of heat-related illness. […] Establish, implement, and maintain an effective written Indoor Heat Illness Prevention Plan that includes procedures for providing drinking water, cool-down areas, preventative rest periods, close observation during acclimatization, assessment and measurement of heat, training, prompt emergency response, and feasible control measures.

• #60 Cal/OSHA Heat Illness Prevention Guidance and Resources

  https://www.dir.ca.gov/dosh/heatillnessinfo.html

  For indoor workplaces, the cool-down areas must be kept at less than 82F and shielded from other high-radiant heat sources. […] Encourage workers to take preventative cool-down rest periods. […] Allow workers who ask for a cool-down rest period to take one. […] Monitor workers taking such rest periods for symptoms of heat-related illness. […] Establish, implement, and maintain an effective written Indoor Heat Illness Prevention Plan that includes procedures for providing drinking water, cool-down areas, preventative rest periods, close observation during acclimatization, assessment and measurement of heat, training, prompt emergency response, and feasible control measures.

• #61 Practical strategies for prevention and treatment of heat-induced illness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4131963/

  Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.

• #62 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees Fahrenheit (more than 11 C) in 10 minutes. […] Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest often in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. […] Get acclimated. Limit time spent working or exercising in heat until you’re conditioned to it. People who aren’t used to hot weather are especially susceptible to heat-related illness. It can take several weeks for your body to adjust to hot weather. […] Be cautious if you’re at increased risk. If you take medicines or have a condition that increases your risk of heat-related problems, such as a history of prior heat illness, be cautious. Avoid the heat and act quickly if you notice symptoms of overheating. If you take part in a strenuous sporting event or activity in hot weather, make sure there are medical services ready in case of a heat emergency.

• #63 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #64 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #65 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #66 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #67 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #68 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #69 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #70 Follow heatstroke prevention tips – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/when-temps-rise-remember-these-heatstroke-prevention-tips

  Summer can bring hot temperatures, and working or playing in the heat can be dangerous. As you head out this summer, remember to take precautionary measures to prevent heat-related injuries when you’re far from climate-controlled environments. […] The good news is that you can prevent heat exhaustion and heat stroke. […] Take these steps to prevent heatstroke during hot weather: Wear loose-fitting, lightweight clothing. Wearing excess clothing or clothing that fits tightly won’t allow your body to cool properly. Protect against sunburn. Sunburn affects your body’s ability to cool itself, so protect yourself outdoors with a wide-brimmed hat and sunglasses and use a broad-spectrum sunscreen with a sun protection factor, or SPF, of at least 30. Apply sunscreen generously and reapply every two hours, or more often if you’re swimming or sweating. Drink plenty of fluids. Staying hydrated will help your body sweat and maintain an average body temperature. Take extra precautions with certain medications. Ask your health care team your medications can affect your body’s ability to stay hydrated and dissipate heat. Never leave anyone in a parked car. This is a common cause of heat-related deaths in children. When parked in the sun, the temperature in your car can rise 20 degrees F in 10 minutes. It’s unsafe to leave a person or pet in a parked car in warm or hot weather, even if the windows are cracked or the car is in the shade. Keep your car locked to prevent a child from getting inside when it is parked. Take it easy during the hottest parts of the day. If you can’t avoid strenuous activity in hot weather, drink fluids and rest frequently in a cool spot. Try to schedule exercise or physical labor for cooler parts of the day, such as early morning or evening. Get acclimated. It can take several weeks for your body to adjust to hot weather. Limit time spent working or exercising in the heat until you’re conditioned to it. People not used to hot weather are especially susceptible to heat-related illnesses. Be cautious if you’re at increased risk. If you take medications or have a condition that increases your risk of heat-related problems, avoid the heat and act quickly if you notice symptoms of overheating. If you participate in a strenuous sporting event or activity in hot weather, make sure medical services are available in case of a heat emergency.

• #71 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  – Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] – Provide frequent breaks for hydration and cooling. […] – Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] – Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] – Carefully monitor those athletes with any history suggestive of prior heat illness. […] – Minimize equipment and clothing that hinder heat loss in hot or humid conditions.

• #72 7 Tips to Avoid Heat Exhaustion and Heat Stroke.

  https://www.medstarhealth.org/blog/avoid-heat-related-illnesses

  People who are obese are at much greater risk for heat-related illnesses. Carrying excess weight can affect your bodys ability to regulate its temperature and cause you to retain more heat. Talk to your doctor if you need help managing your weight. […] Limit sun exposure when youre outside by wearing a wide-brimmed hat and light, loose-fitting clothing. Also consider bringing an umbrella, awning, or overhang to protect yourself from the sun. […] Infections such as the flu can cause your body temperature to spike. If youve recently overcome an illness, be cautious about the amount of time you spend outside and spend exercising for a couple of weeks. […] If youre older than 70, youre more susceptible to heat stroke due to underlying medical conditions that can affect their body temperature. If you live alone or cant get around well, the risk is increased, especially if your air conditioner breaks. Use the buddy systemfind a friend or relative who can help when the temperature rises.

• #73 7 Tips to Avoid Heat Exhaustion and Heat Stroke.

  https://www.medstarhealth.org/blog/avoid-heat-related-illnesses

  People who are obese are at much greater risk for heat-related illnesses. Carrying excess weight can affect your bodys ability to regulate its temperature and cause you to retain more heat. Talk to your doctor if you need help managing your weight. […] Limit sun exposure when youre outside by wearing a wide-brimmed hat and light, loose-fitting clothing. Also consider bringing an umbrella, awning, or overhang to protect yourself from the sun. […] Infections such as the flu can cause your body temperature to spike. If youve recently overcome an illness, be cautious about the amount of time you spend outside and spend exercising for a couple of weeks. […] If youre older than 70, youre more susceptible to heat stroke due to underlying medical conditions that can affect their body temperature. If you live alone or cant get around well, the risk is increased, especially if your air conditioner breaks. Use the buddy systemfind a friend or relative who can help when the temperature rises.

• #74 Heat exhaustion – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/heat-exhaustion/symptoms-causes/syc-20373250

  Fortunately, heat exhaustion is preventable. […] There are a lot of things you can do to prevent heat exhaustion and other heat-related illnesses. When temperatures climb, remember to: […] Wear loose fitting, lightweight clothing. Wearing too much clothing or clothing that fits tightly won’t allow your body to cool properly. […] Protect against sunburn. Sunburn affects your body’s ability to cool itself. Protect yourself outdoors with a wide-brimmed hat and sunglasses. Use a broad-spectrum sunscreen with an SPF of at least 15. Apply sunscreen generously and reapply every two hours. Reapply more often if you’re swimming or sweating. […] Drink plenty of fluids. Staying hydrated helps your body sweat and keep a normal body temperature. […] Be careful with certain medicines. Watch for heat-related problems if you take medicines that can affect your body’s ability to stay hydrated and respond to heat.

• #75 Heat illness – Wikipedia

  https://en.wikipedia.org/wiki/Heat_illness

  Prevention includes avoiding medications that can increase the risk of heat illness, gradual adjustment to heat, and sufficient fluids and electrolytes. […] Prevention includes avoiding medications that can increase the risk of heat illness (e.g. antihypertensives, diuretics, and anticholinergics), gradual adjustment to heat, and sufficient fluids and electrolytes.

• #76 Heat illness – Wikipedia

  https://en.wikipedia.org/wiki/Heat_illness

  Prevention includes avoiding medications that can increase the risk of heat illness, gradual adjustment to heat, and sufficient fluids and electrolytes. […] Prevention includes avoiding medications that can increase the risk of heat illness (e.g. antihypertensives, diuretics, and anticholinergics), gradual adjustment to heat, and sufficient fluids and electrolytes.

• #77 Heat illness – Wikipedia

  https://en.wikipedia.org/wiki/Heat_illness

  Prevention includes avoiding medications that can increase the risk of heat illness, gradual adjustment to heat, and sufficient fluids and electrolytes. […] Prevention includes avoiding medications that can increase the risk of heat illness (e.g. antihypertensives, diuretics, and anticholinergics), gradual adjustment to heat, and sufficient fluids and electrolytes.

• #78 Practical strategies for prevention and treatment of heat-induced illness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4131963/

  Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.

• #79 Hyperthermia (Heat-Related Illnesses) Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/22111-hyperthermia

  You can lower your risk of heat illness by staying hydrated and limiting physical activity in hot weather. […] You can lower the risk of your body overheating by: […] Wearing loose-fitting, breathable clothing in the heat. […] Staying hydrated at all times whether you’re active or not. […] Keeping your home at a cool, comfortable temperature with fans and/or air conditioning. […] Finding places to go during hot weather (like malls or community centers) if your home is too hot. […] Limiting or avoiding physical activity in hot conditions. If you can’t avoid it, take frequent breaks in the shade or a cool, indoor location. […] Taking a cool shower after time in the heat. […] Speaking with your healthcare provider about your risks for heat-related illness (like with certain medical conditions or medications). They’ll work with you to lower these risks whenever possible.

• #80 Beat the Heat | Pima County, AZ

  https://www.pima.gov/2042/Beat-the-Heat

  Stay cool to avoid heat-related illness. […] The good news is that heat-related illnesses and deaths are preventable. […] Drink a lot of fluid to replace what you lose through sweat, which is your body’s way of cooling itself. […] Check the weather forecast, sign up for heat alerts, and plan heat-safe activities when it’s hot outside. […] Although anyone can suffer from heat-related illness, some people are at greater risk than others. […] Young people are more at-risk than adults for heat-related illness because they are more likely to over-exert themselves outdoors without adequate hydration. […] People who use certain medications may have to take extra precautions when it gets hot. […] Excessive heat causes changes in emotions and behavior that can result in feelings of anger, irritability, aggression, discomfort, stress, and fatigue. […] Pets and livestock are also susceptible to heat stress.

• #81 Heat Exhaustion Signs and Treatment

  https://www.webmd.com/fitness-exercise/heat-exhaustion

  If you work outside in the heat or a hot indoor environment — such as a bakery or steel mill — your employer should allow you to take these steps for your safety, according to U.S. government recommendations. Some states require such steps, along with water breaks and other heat illness prevention strategies. […] Know your risks. If you have a medical condition or take medicine that increases your risks, you might have to take it easier than others around you. If you take part in organized sports that involve strenuous activity, make sure medical help is on hand for anyone who overheats. […] Preventing hot car tragedies. Never stay or leave a child or pet in a hot car, even for a few minutes, even if the windows are cracked, or even if you parked in the shade. Children can quickly progress from overheating to heat exhaustion, then to heat stroke and even death. […] Lowering risks inside. If your home doesn’t have air conditioning, open windows and run fans to increase ventilation. If possible, get to cool indoor spaces, such as libraries or shopping malls, during the day. Some cities have cooling centers open during heat waves.

• #82 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia

  https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines

  Watch for these signs of overheating and heat-related illness: […] Heat exhaustion and heat stroke sound scary, and they are. But your child is unlikely to experience them if you follow simple precautions. […] Dr. Pollack offers these precautions and suggestions to stay safe and comfortable on hot days and prevent overheating. […] When your children are old enough to understand and communicate how theyre feeling, remind them to pay attention to their bodies in the heat, and to tell an adult if they dont feel well or need to take a break. Parents and caregivers can follow these guidelines to help keep everyone in the family cool and healthy on those steamy summer days. […] Keep them hydrated. Remind your kids to drink water regularly, all day long. Bring water with you when you go out so its always available. Monitor urine output. If your kids arent peeing, they are likely not drinking enough.

• #83 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia

  https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines

  Watch for these signs of overheating and heat-related illness: […] Heat exhaustion and heat stroke sound scary, and they are. But your child is unlikely to experience them if you follow simple precautions. […] Dr. Pollack offers these precautions and suggestions to stay safe and comfortable on hot days and prevent overheating. […] When your children are old enough to understand and communicate how theyre feeling, remind them to pay attention to their bodies in the heat, and to tell an adult if they dont feel well or need to take a break. Parents and caregivers can follow these guidelines to help keep everyone in the family cool and healthy on those steamy summer days. […] Keep them hydrated. Remind your kids to drink water regularly, all day long. Bring water with you when you go out so its always available. Monitor urine output. If your kids arent peeing, they are likely not drinking enough.

• #84 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia

  https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines

  Dress them in light clothes. Children, like adults, need light clothes in hot weather light in weight and color. Dark colors absorb heat from sunlight, while light colors reflect it. […] Go outside when the sun is low and the air is at its coolest, in the morning and late afternoon or evening. The hours between noon and 4 p.m. are the most dangerous for heat exposure in very hot weather. […] Allow extra time for rest. Heat is tiring, and especially tiring for children. Plan you day with breaks for everyone. […] Help your kids cool off. Give them a cool bath or spray them with a water mist. Run their wrists and ankles under cold water. Wipe their heads with a wet towel. […] Never leave a child unattended in the car. Cars heat up quickly to dangerous temperatures when parked in the sun, even when it isnt hot outside.

• #85 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia

  https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines

  Dress them in light clothes. Children, like adults, need light clothes in hot weather light in weight and color. Dark colors absorb heat from sunlight, while light colors reflect it. […] Go outside when the sun is low and the air is at its coolest, in the morning and late afternoon or evening. The hours between noon and 4 p.m. are the most dangerous for heat exposure in very hot weather. […] Allow extra time for rest. Heat is tiring, and especially tiring for children. Plan you day with breaks for everyone. […] Help your kids cool off. Give them a cool bath or spray them with a water mist. Run their wrists and ankles under cold water. Wipe their heads with a wet towel. […] Never leave a child unattended in the car. Cars heat up quickly to dangerous temperatures when parked in the sun, even when it isnt hot outside.

• #86 How to Prevent Heat Stroke: Common Sense Guidelines | Children’s Hospital of Philadelphia

  https://www.chop.edu/news/health-tip/how-prevent-heat-stroke-common-sense-guidelines

  Dress them in light clothes. Children, like adults, need light clothes in hot weather light in weight and color. Dark colors absorb heat from sunlight, while light colors reflect it. […] Go outside when the sun is low and the air is at its coolest, in the morning and late afternoon or evening. The hours between noon and 4 p.m. are the most dangerous for heat exposure in very hot weather. […] Allow extra time for rest. Heat is tiring, and especially tiring for children. Plan you day with breaks for everyone. […] Help your kids cool off. Give them a cool bath or spray them with a water mist. Run their wrists and ankles under cold water. Wipe their heads with a wet towel. […] Never leave a child unattended in the car. Cars heat up quickly to dangerous temperatures when parked in the sun, even when it isnt hot outside.

• #87 7 Heat Stress Prevention Tips | Vector Solutions

  https://www.vectorsolutions.com/resources/blogs/heat-stress-prevention/

  When employees are working in extreme heat, it’s important to provide them with frequent breaks. […] Keeping track of weather forecasts and heat index values is crucial for anticipating and responding to potential heat stress risks. […] Performing regular heat stress risk assessments allows organizations to identify potential hazards, evaluate existing control measures, and implement additional preventive actions as needed. […] By conducting thorough risk assessments, you can proactively address heat stress risks and ensure continuous improvement in your heat stress prevention efforts.

• #88 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  Heat can be dangerous. A very high body temperature can damage the brain and other vital organs. Some health conditions can make it harder for the body to stay cool in hot weather. These include old age, obesity, fever, dehydration, heart disease, poor circulation, sunburn and drug and alcohol use. […] Look up the daily forecast for heat risk (at the County level) based on your zip code using the Centers for Disease Control and Preventions (CDC) HeatRisk Dashboard. This tool also provides additional tips for how to keep yourself and loved ones stay safe during hotter temperatures, as well as information on heat and air quality. […] Get Plenty to Drink. Sweating removes needed salt and minerals from the body. When it is hot, drink more water, juice and sports drinks. Avoid drinks with caffeine (tea, coffee, and cola) and alcohol. Be sure to eat regularly.

• #89 We Define the Future

  https://www.csusb.edu/ehs/occupational-health-and-safety/heat-illness-prevention/heat-illness-prevention-procedures

  Supervisors shall encourage the frequent consumption of small quantities of water, up to 4 cups per hour, when the work environment is hot and employees are likely to be sweating more than usual in the performance of their duties. […] A shaded area will be provided which employees may use when they are suffering from heat illness or believe they need a recovery period to prevent heat illness. […] Additional high-heat procedures are required when the temperature equals or exceeds 95 degrees Fahrenheit. […] Supervisors are responsible for monitoring weather conditions and scheduling work appropriately. […] Allow and encourage employees to take breaks in a cool, shaded area as needed to allow the body to cool and dissipate internal heat load. […] Stress during employee training, the importance of frequent drinking of water.

• #90 What’s New

  https://www.cdph.ca.gov/Programs/EPO/pages/bi_natural-disasters_extreme-heat_tips-for-preventing-heat-related-illness.aspx

  If you are not used to working or exercising in hot weather, start slowly and pick up the pace gradually. Take frequent, regularly scheduled breaks. If activity in the heat makes your heart pound or leaves you gasping for breath, stop activity, get into a cool or shady area, and rest. Especially if you become lightheaded, confused, weak or feel faint. […] During a heat wave, check on your friends and family and have someone do the same for you. If you know someone who is elderly or has a health condition, check on them twice a day during a heat wave. Watch for signs of heat exhaustion or heat stroke. High temperatures can cause serious health problems. Know the symptoms of heat-related illness and be ready to help.

• #91 Heat Stress – Environment, Health and Safety

  https://ehs.unc.edu/topics/heat-stress/

  Take time to cool down. Rest often in shady areas. […] Use a buddy system. When working in the heat, monitor the condition of your coworkers and have someone do the same for you. […] Monitor those at high risk. Some people are at greater risk than others, including people who are overweight, people who overexert themselves, and people with heart disease or high blood pressure, or who take certain medications. […] Take time to acclimate to heat and humidity. A heat wave is stressful to your body. You will have a greater tolerance for heat if you limit physical activity until you become accustomed to it.

• #92 Practical strategies for prevention and treatment of heat-induced illness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4131963/

  Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.

• #93 Practical strategies for prevention and treatment of heat-induced illness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4131963/

  Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.

• #94 Heat Illness Prevention Campaign | Occupational Safety and Health Administration

  https://www.osha.gov/heat

  Every year, dozens of workers die and thousands more become ill while working in hot or humid conditions. OSHA’s Heat Illness Prevention campaign educates employers and workers on heat hazards and provides resources to keep workers safe. […] Employers can keep workers safe in the heat. […] Understand workers’ rights and what workers should know about heat illness. […] Heat illness is serious, but you can prevent it. […] Protecting Workers from the Effects of Heat (PDF) […] Personal Risk Factors and Heat Exposure (PDF)

• #95 Heat Illness Prevention Campaign | Occupational Safety and Health Administration

  https://www.osha.gov/heat

  Every year, dozens of workers die and thousands more become ill while working in hot or humid conditions. OSHA’s Heat Illness Prevention campaign educates employers and workers on heat hazards and provides resources to keep workers safe. […] Employers can keep workers safe in the heat. […] Understand workers’ rights and what workers should know about heat illness. […] Heat illness is serious, but you can prevent it. […] Protecting Workers from the Effects of Heat (PDF) […] Personal Risk Factors and Heat Exposure (PDF)

• #96 Heat Stress and Workers | Heat | CDC

  https://www.cdc.gov/niosh/heat-stress/about/index.html

  Prevention of heat stress in workers is important. Employers should reduce workplace heat stress by using engineering and administrative (work practice) controls. Employers should provide training to workers so they understand what heat stress is, how it affects their health and safety, and how it can be prevented.

• #97 Cal/OSHA Heat Illness Prevention Guidance and Resources

  https://www.dir.ca.gov/dosh/heatillnessinfo.html

  On June 20, 2024, the Occupational Safety and Health Standards Board approved California Code of Regulations, Title 8, section 3396, Heat Illness Prevention in Indoor Places of Employment. This standard applies to most workplaces where the indoor temperature reaches 82F. It establishes required safety measures for indoor workplaces to prevent worker exposure to risk of heat illness. This standard went into effect on July 23, 2024. […] In California, employers must take steps to protect workers from heat illness in both indoor and outdoor workplaces under California Code of Regulations, Title 8 (T8CCR), sections 3395 and 3396. Employers may be covered under both the indoor and outdoor regulations if they have both indoor and outdoor workplaces. […] For indoor workplaces, provide access to at least one cool-down area which must be kept at a temperature below 82F.

• #98 Cal/OSHA Heat Illness Prevention Guidance and Resources

  https://www.dir.ca.gov/dosh/heatillnessinfo.html

  For indoor workplaces, the cool-down areas must be kept at less than 82F and shielded from other high-radiant heat sources. […] Encourage workers to take preventative cool-down rest periods. […] Allow workers who ask for a cool-down rest period to take one. […] Monitor workers taking such rest periods for symptoms of heat-related illness. […] Establish, implement, and maintain an effective written Indoor Heat Illness Prevention Plan that includes procedures for providing drinking water, cool-down areas, preventative rest periods, close observation during acclimatization, assessment and measurement of heat, training, prompt emergency response, and feasible control measures.

• #99 Cal/OSHA Heat Illness Prevention Guidance and Resources

  https://www.dir.ca.gov/dosh/heatillnessinfo.html

  For indoor workplaces, the cool-down areas must be kept at less than 82F and shielded from other high-radiant heat sources. […] Encourage workers to take preventative cool-down rest periods. […] Allow workers who ask for a cool-down rest period to take one. […] Monitor workers taking such rest periods for symptoms of heat-related illness. […] Establish, implement, and maintain an effective written Indoor Heat Illness Prevention Plan that includes procedures for providing drinking water, cool-down areas, preventative rest periods, close observation during acclimatization, assessment and measurement of heat, training, prompt emergency response, and feasible control measures.

• #100 Cal/OSHA Heat Illness Prevention Guidance and Resources

  https://www.dir.ca.gov/dosh/heatillnessinfo.html

  For indoor workplaces, the cool-down areas must be kept at less than 82F and shielded from other high-radiant heat sources. […] Encourage workers to take preventative cool-down rest periods. […] Allow workers who ask for a cool-down rest period to take one. […] Monitor workers taking such rest periods for symptoms of heat-related illness. […] Establish, implement, and maintain an effective written Indoor Heat Illness Prevention Plan that includes procedures for providing drinking water, cool-down areas, preventative rest periods, close observation during acclimatization, assessment and measurement of heat, training, prompt emergency response, and feasible control measures.

• #101 Cal/OSHA Heat Illness Prevention Guidance and Resources

  https://www.dir.ca.gov/dosh/heatillnessinfo.html

  For indoor workplaces, the cool-down areas must be kept at less than 82F and shielded from other high-radiant heat sources. […] Encourage workers to take preventative cool-down rest periods. […] Allow workers who ask for a cool-down rest period to take one. […] Monitor workers taking such rest periods for symptoms of heat-related illness. […] Establish, implement, and maintain an effective written Indoor Heat Illness Prevention Plan that includes procedures for providing drinking water, cool-down areas, preventative rest periods, close observation during acclimatization, assessment and measurement of heat, training, prompt emergency response, and feasible control measures.

• #102 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  – Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] – Provide frequent breaks for hydration and cooling. […] – Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] – Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] – Carefully monitor those athletes with any history suggestive of prior heat illness. […] – Minimize equipment and clothing that hinder heat loss in hot or humid conditions.

• #103 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  – Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] – Provide frequent breaks for hydration and cooling. […] – Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] – Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] – Carefully monitor those athletes with any history suggestive of prior heat illness. […] – Minimize equipment and clothing that hinder heat loss in hot or humid conditions.

• #104 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  – Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] – Provide frequent breaks for hydration and cooling. […] – Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] – Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] – Carefully monitor those athletes with any history suggestive of prior heat illness. […] – Minimize equipment and clothing that hinder heat loss in hot or humid conditions.

• #105 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  – Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] – Provide frequent breaks for hydration and cooling. […] – Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] – Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] – Carefully monitor those athletes with any history suggestive of prior heat illness. […] – Minimize equipment and clothing that hinder heat loss in hot or humid conditions.

• #106 Exertional heat illness in adolescents and adults: Management and prevention – UpToDate

  https://www.uptodate.com/contents/exertional-heat-illness-in-adolescents-and-adults-management-and-prevention

  – Training sessions for heat acclimatization should last at least 60 minutes per day and induce an increase in core and skin temperatures, as well as stimulate sweating. […] Institutional/coaching measures during activity: […] – Provide frequent breaks for hydration and cooling. […] – Avoid activity during severe heat and/or humidity (use Wet Bulb Globe Temperature [WBGT] as a guide (table 3)); practicing when the WBGT is lower (ie, night, early morning) or in a cooler indoor facility may be a reasonable alternative. […] – Pay careful attention to athletes with large mass-to-skin surface ratios (eg, obese athletes) during workouts in hot or humid conditions. […] – Carefully monitor those athletes with any history suggestive of prior heat illness. […] – Minimize equipment and clothing that hinder heat loss in hot or humid conditions.

• #107 Cal/OSHA Heat Illness Prevention Guidance and Resources

  https://www.dir.ca.gov/dosh/heatillnessinfo.html

  On June 20, 2024, the Occupational Safety and Health Standards Board approved California Code of Regulations, Title 8, section 3396, Heat Illness Prevention in Indoor Places of Employment. This standard applies to most workplaces where the indoor temperature reaches 82F. It establishes required safety measures for indoor workplaces to prevent worker exposure to risk of heat illness. This standard went into effect on July 23, 2024. […] In California, employers must take steps to protect workers from heat illness in both indoor and outdoor workplaces under California Code of Regulations, Title 8 (T8CCR), sections 3395 and 3396. Employers may be covered under both the indoor and outdoor regulations if they have both indoor and outdoor workplaces. […] For indoor workplaces, provide access to at least one cool-down area which must be kept at a temperature below 82F.

• #108 We Define the Future

  https://www.csusb.edu/ehs/occupational-health-and-safety/heat-illness-prevention/heat-illness-prevention-procedures

  Supervisors shall encourage the frequent consumption of small quantities of water, up to 4 cups per hour, when the work environment is hot and employees are likely to be sweating more than usual in the performance of their duties. […] A shaded area will be provided which employees may use when they are suffering from heat illness or believe they need a recovery period to prevent heat illness. […] Additional high-heat procedures are required when the temperature equals or exceeds 95 degrees Fahrenheit. […] Supervisors are responsible for monitoring weather conditions and scheduling work appropriately. […] Allow and encourage employees to take breaks in a cool, shaded area as needed to allow the body to cool and dissipate internal heat load. […] Stress during employee training, the importance of frequent drinking of water.

• #109 Heat Illness Prevention | Safety, Health, & Sustainability | CSUSM

  https://www.csusm.edu/shs/safetyprograms/occheatillness.html

  Heat-related illnesses include heat cramps, heat exhaustion, heat rash, or heat stroke, each with its own symptoms and treatments. […] The Heat Illness Prevention Standard (CCR, Title 8, Section 3395) requires employers to implement measures to prevent heat-related illnesses in all outdoor places of employment. […] For days with temperatures above 95 degrees, supervisors must implement high-heat procedures: Employee observation/monitoring: Supervisor or designee directly observe employees. […] Conduct pre-shift meetings before work starts to review prevention procedures, encourage hydration, and promote cool-down rests as necessary (Water, Rest Shade). […] Drink water often, even if you aren’t thirsty. […] Report heat symptoms early. Watch out for co-workers and immediately inform supervisor(s) know if anyone exhibits heat stress symptoms.

• #110 Heat Illness Prevention | Safety, Health, & Sustainability | CSUSM

  https://www.csusm.edu/shs/safetyprograms/occheatillness.html

  Heat-related illnesses include heat cramps, heat exhaustion, heat rash, or heat stroke, each with its own symptoms and treatments. […] The Heat Illness Prevention Standard (CCR, Title 8, Section 3395) requires employers to implement measures to prevent heat-related illnesses in all outdoor places of employment. […] For days with temperatures above 95 degrees, supervisors must implement high-heat procedures: Employee observation/monitoring: Supervisor or designee directly observe employees. […] Conduct pre-shift meetings before work starts to review prevention procedures, encourage hydration, and promote cool-down rests as necessary (Water, Rest Shade). […] Drink water often, even if you aren’t thirsty. […] Report heat symptoms early. Watch out for co-workers and immediately inform supervisor(s) know if anyone exhibits heat stress symptoms.

• #111

  https://www.safeatworkca.com/safety-articles/preventing-heat-illness/

  Implement engineering controls start the shift earlier or later (during the cooler hours of the day) or cut the shift short. Increasing air movement with fans or coolers can also help. […] Wear loose, light-colored clothing clothing can affect heat buildup. […] Immediately report any signs or symptoms to a supervisor a worker needs to report symptoms they have or if they witness heat illness symptoms in a coworker. […] When someone displays possible signs or symptoms of heat illness initiate your emergency procedures. […] Youll want to remind your employees where to find the water you provide and encourage them to drink. Go over cool down and rest breaks and explain that they should not wait until they feel sick. […] Ensure that effective communication is maintained regularly and remind employees of their right to take a cool-down rest period as necessary.

• #112 Be Heat Smart

  https://www.lni.wa.gov/safety-health/safety-training-materials/workshops-events/beheatsmart

  Provide adequate shade (or alternative cooling methods) at all times, to allow for access to prevent or respond to heat illness. […] Encourage and allow workers to take paid, preventative cool down rest periods so they dont overheat. […] Closely observe employees not acclimatized to the heat, including new employees, those returning from absences, and all workers during a heat wave. […] Have emergency procedures to respond appropriately to any employee with symptoms of heat-related illness. […] Make sure supervisors and employees always have a way to communicate with each other so they can promptly report heat illness and get medical assistance. […] Heat Illness training covers heat safety basics including preventing heat-related illnesses through shade, rest breaks, and acclimatization.

• #113 Preventing Heat-Related Illness – High Plains Intermountain Center for Agricultural Health and Safety

  https://vetmedbiosci.colostate.edu/hicahs/resources/preventing-heat-related-illness/

  With gradual exposure, the body develops an improved ability to cope with the heat. This process of adjusting to heat is called acclimatization or acclimation and can take up to two weeks. […] Workers should be trained to recognize, prevent, and respond to heat-related illness signs and symptoms. […] Since May 2022, the state of Colorado requires all agricultural employers to comply with 7 CCR 1103-15, Agricultural Labor Conditions Rules. This includes, but is not limited to, provision of water, shade, cool-down breaks, and training.

• #114 Preventing Heat-Related Illness – High Plains Intermountain Center for Agricultural Health and Safety

  https://vetmedbiosci.colostate.edu/hicahs/resources/preventing-heat-related-illness/

  Is your team ready to work in the heat? Now is the time to prepare them. […] Colorado requires agricultural employers to train all employees to prevent heat illness. We will help you do this. […] Our webinar provides FREE access to essential training materials. Learn how to avoid heat illnesses, and keep your team safe from the risks. […] Strategies to reduce the risk: Learn practical ways to minimize heat-related risks, such as acclimatization and solutions for providing water and shade. […] Discover the difference between water, energy drinks, coffee, and alcohol for proper hydration. […] Consider the elements of a successful heat illness prevention program, following Colorado’s Agricultural Labor Right and Responsibilities Act (ALRRA) requirements. […] The gold standard for prevention of heat-related illness at work is to implement Water, Rest, and Shade procedures. Workers should drink 32oz of cool water every hour.

• #115 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #116 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #117 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #118 What is exertional heat illness? | Sports Medicine News | AOSSM

  https://www.sportsmed.org/membership/sports-medicine-update/summer-2024/a-review-of-exertional-heat-illnesses-ehi

  Heat illnesses fall on a continuum ranging from very mild, including heat rash, heat cramps, heat edema, and heat syncope, to the moderate heat illness of exertional heat exhaustion (EHE). If not recognized quickly and treated appropriately, EHS can lead to a myriad of complications, including but not limited to: multiple organ failure (including circulatory shock, hepatic failure, respiratory failure, renal failure, disseminated intravascular coagulopathy, rhabdomyolysis, encephalopathy, cognitive disability, and even death. […] The treatment of heat exhaustion is like the other milder forms of heat illness but with a greater effort on quickly cooling the athlete. Move the athlete to a cool area, preferably an air-conditioned room if one is nearby. Have the athlete lie down with legs and feet elevated and start drinking cold water or a cold electrolyte replacement drink. Remove excess clothing from the athlete and transfer athlete to a swirling ice immersion tub, if available, or wrap the athlete in an ice taco blanket or an ice sheet if an immersion bath is not available.

• #119 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #120 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #121 What is exertional heat illness? | Sports Medicine News | AOSSM

  https://www.sportsmed.org/membership/sports-medicine-update/summer-2024/a-review-of-exertional-heat-illnesses-ehi

  Heat illnesses fall on a continuum ranging from very mild, including heat rash, heat cramps, heat edema, and heat syncope, to the moderate heat illness of exertional heat exhaustion (EHE). If not recognized quickly and treated appropriately, EHS can lead to a myriad of complications, including but not limited to: multiple organ failure (including circulatory shock, hepatic failure, respiratory failure, renal failure, disseminated intravascular coagulopathy, rhabdomyolysis, encephalopathy, cognitive disability, and even death. […] The treatment of heat exhaustion is like the other milder forms of heat illness but with a greater effort on quickly cooling the athlete. Move the athlete to a cool area, preferably an air-conditioned room if one is nearby. Have the athlete lie down with legs and feet elevated and start drinking cold water or a cold electrolyte replacement drink. Remove excess clothing from the athlete and transfer athlete to a swirling ice immersion tub, if available, or wrap the athlete in an ice taco blanket or an ice sheet if an immersion bath is not available.

• #122 What is exertional heat illness? | Sports Medicine News | AOSSM

  https://www.sportsmed.org/membership/sports-medicine-update/summer-2024/a-review-of-exertional-heat-illnesses-ehi

  Heat illnesses fall on a continuum ranging from very mild, including heat rash, heat cramps, heat edema, and heat syncope, to the moderate heat illness of exertional heat exhaustion (EHE). If not recognized quickly and treated appropriately, EHS can lead to a myriad of complications, including but not limited to: multiple organ failure (including circulatory shock, hepatic failure, respiratory failure, renal failure, disseminated intravascular coagulopathy, rhabdomyolysis, encephalopathy, cognitive disability, and even death. […] The treatment of heat exhaustion is like the other milder forms of heat illness but with a greater effort on quickly cooling the athlete. Move the athlete to a cool area, preferably an air-conditioned room if one is nearby. Have the athlete lie down with legs and feet elevated and start drinking cold water or a cold electrolyte replacement drink. Remove excess clothing from the athlete and transfer athlete to a swirling ice immersion tub, if available, or wrap the athlete in an ice taco blanket or an ice sheet if an immersion bath is not available.

• #123 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #124 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #125 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #126 Heat Cramps, Exhaustion, Stroke

  https://www.weather.gov/safety/heat-illness

  Heat exhaustion may be the first sign of heat-related illness, and may lead to heat exhaustion or stroke. […] First Aid: Move person to a cooler environment, preferably a well air-conditioned room. Loosen clothing. Apply cool, wet cloths or have person sit in a cool bath. Offer sips of water. Seek immediate medical attention if the person vomits, symptoms worsen or last longer than 1 hour.

• #127 Heat Exhaustion and Heat Stroke – Mississippi State Department of Health

  https://msdh.ms.gov/page/42,3942,98,261.html

  High summer temperatures bring the risk of heat exhaustion and heat stroke, especially if you are out of doors. […] Basic steps can keep children and adults safer in times of high heat and humidity. […] Drink plenty of fluids, especially water. […] Avoid alcohol and caffeinated drinks. […] Relax. Avoid sports and strenuous activity, especially after noon, when the heat is highest. […] Heat exhaustion is a milder form of heat-related illness that can develop after long exposure to high temperatures and inadequate water. […] Those most prone to heat exhaustion are elderly people, people with high blood pressure, and people working or exercising in a hot environment. […] Seek medical attention immediately if any of the following occurs: Symptoms are severe; The victim has heart problems or high blood pressure. […] Otherwise, help the victim

• #128 Heat Illness Prevention and Response | Office of Environment, Health & Safety

  https://ehs.berkeley.edu/safety-subjects/heat-illness-prevention-and-response

  Work in hot environments can have direct effects on human health including, heat exhaustion, heat stoke, and can lead to reduced labor productivity. […] It is important to take precautions and to be prepared for high heat conditions. […] Important precautions include: Scheduling breaks. Providing ample shade and water. Monitoring workers for signs and symptoms of heat illness. Resting in shade if experiencing heat exhaustion; don’t return to work in the sun. […] If someone is experiencing signs of heat exhaustion stop all exertion, move to a cool shaded place and hydrate with cool water. If no improvement, call 911 and seek medical help. Do not return to work in the sun. […] As of 2024, all employees must take Heat Illness Prevention Training, and the campus must create plans in case employees exhibit signs of heat illness or heat stroke.

• #129 How to Beat the Heat and Prevent Heat Illness: A Step-by-Step Guide – KPA

  https://kpa.io/blog/how-to-beat-the-heat-and-prevent-heat-illness-a-step-by-step-guide/

  Managers should be aware of these symptoms to assist their employees. […] In all cases, when in doubt, call 911. […] Get medical help right away if: Your symptoms get worse. […] There are two common kinds of heat-related illness: heat exhaustion and heatstroke. […] While people working outdoors in extreme heat are the most susceptible to heat illness, it can also affect people indoors. […] Remember that people frequently overestimate their limits and ability to continue working in the heat. […] Also, make sure your team is acclimated to working in the heat. […] Those measures may include any or all of the following: more time for acclimation, additional safety briefs, additional water sources, hydrating snacks and drinks, periodic hydration reminders, additional shade, faster job rotation, mandatory sunscreen applications, more frequent breaks, cooling equipment and clothing, large fans.

• #130 Heat Exhaustion | Korey Stringer Institute

  https://koreystringer.institute.uconn.edu/heat-exhaustion/

  Appropriate work to rest ratios based on environmental conditions is necessary in the prevention of heat illnesses. Increasing rest break durations as ambient temperature increases is warranted. […] Returning to activity the same day of an episode is not prudent or advised. Individuals should wait at least 24-48 hrs before returning to activity and should gradually increase intensity and volume of exercise, and clothing and equipment. Medical clearance is recommended to rule out other conditions.

• #131 Heat Exhaustion | Korey Stringer Institute

  https://koreystringer.institute.uconn.edu/heat-exhaustion/

  Appropriate work to rest ratios based on environmental conditions is necessary in the prevention of heat illnesses. Increasing rest break durations as ambient temperature increases is warranted. […] Returning to activity the same day of an episode is not prudent or advised. Individuals should wait at least 24-48 hrs before returning to activity and should gradually increase intensity and volume of exercise, and clothing and equipment. Medical clearance is recommended to rule out other conditions.

• #132 Heat Exhaustion | Korey Stringer Institute

  https://koreystringer.institute.uconn.edu/heat-exhaustion/

  Appropriate work to rest ratios based on environmental conditions is necessary in the prevention of heat illnesses. Increasing rest break durations as ambient temperature increases is warranted. […] Returning to activity the same day of an episode is not prudent or advised. Individuals should wait at least 24-48 hrs before returning to activity and should gradually increase intensity and volume of exercise, and clothing and equipment. Medical clearance is recommended to rule out other conditions.

• #133 Heat Exhaustion | Korey Stringer Institute

  https://koreystringer.institute.uconn.edu/heat-exhaustion/

  Appropriate work to rest ratios based on environmental conditions is necessary in the prevention of heat illnesses. Increasing rest break durations as ambient temperature increases is warranted. […] Returning to activity the same day of an episode is not prudent or advised. Individuals should wait at least 24-48 hrs before returning to activity and should gradually increase intensity and volume of exercise, and clothing and equipment. Medical clearance is recommended to rule out other conditions.

• #134 Heat Exhaustion | Korey Stringer Institute

  https://koreystringer.institute.uconn.edu/heat-exhaustion/

  Heat exhaustion is the most common heat-related condition observed in active populations ranging from athletes to recreational hikers. […] It is important to note that heat illnesses are not on a continuum and that one condition does not lead to another condition, although having heat exhaustion one day can predispose an individual to heat illness the next day. […] Individuals should adapt to exercise in the heat gradually acclimatize over 10-14 days by progressively increasing duration and intensity of work in hot conditions. […] Athletes should recognize heat exhaustion and exertional heat stroke signs and symptoms to indicate the need to slow, modify, or stop activity before a medical emergency arises. […] Being adequately hydrated before and during exercise can help prevent heat illnesses including heat exhaustion. Maintaining blood volume is key in the prevention of heat exhaustion.

• #135 Management of Heatstroke and Heat Exhaustion | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000

  Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat.

• #136 Management of Heatstroke and Heat Exhaustion | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000

  Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat.

• #137 Management of Heatstroke and Heat Exhaustion | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000

  Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat.

• #138 Management of Heatstroke and Heat Exhaustion | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000

  Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat.

• #139 Management of Heatstroke and Heat Exhaustion | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000

  Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. […] Most experts believe that physicians and public health officials should focus greater attention on prevention. Programs involving identification of vulnerable individuals, dissemination of information about dangerous heat waves, and use of heat shelters may help prevent heat-related illness. These preventive measures, when paired with astute recognition of the early signs of heat-related illness, can allow physicians in the ambulatory setting to avert much of the morbidity and mortality associated with heat exhaustion and heatstroke. […] Preparation for and understanding of heat-stroke can help prevent much of its associated morbidity and mortality. Physicians should encourage their patients to protect themselves by maintaining adequate hydration, avoiding heat exposure, wearing loose, light clothing, and monitoring their exertion level. Athletes should be advised to acclimatize for at least three to four days before exerting in the heat.

• #140

  https://www.who.int/news-room/fact-sheets/detail/climate-change-heat-and-health

  The negative health impacts of heat are predictable and largely preventable with specific public health and multi-sectoral policies and interventions. […] Action on climate change combined with comprehensive preparedness and risk management can save lives now and in the future. […] Practical, feasible and often low-cost interventions at the individual, community, organizational, governmental and societal levels can save lives. […] WHO works with the health sector to strengthen governance, preparedness and response to acute impacts of heatwaves by developing heat action plans, heat early warning systems and advisories, and emergency response plans that map the risks, vulnerable populations, available capacities and resources. These plans protect high risk populations such as those in health facilities, nursing homes and schools which do not have access to cooling.

• #141 Management of Heatstroke and Heat Exhaustion | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000

  While many cities distribute fans among at-risk populations to prevent heat-related deaths, fans are inadequate at extremes of heat and humidity; in the absence of temperature and humidity gradients, evaporative and convective cooling with a fan is ineffective. […] Communities should establish heat shelters, and visiting nurses should encourage vulnerable patients to take refuge in them during dangerously warm periods. […] Partnerships created between community leaders and physicians to inform the public about heat dangers by radio, newspaper, and television have been shown to improve outcomes.

• #142 Management of Heatstroke and Heat Exhaustion | AAFP

  https://www.aafp.org/pubs/afp/issues/2005/0601/p2133.html/1000

  While many cities distribute fans among at-risk populations to prevent heat-related deaths, fans are inadequate at extremes of heat and humidity; in the absence of temperature and humidity gradients, evaporative and convective cooling with a fan is ineffective. […] Communities should establish heat shelters, and visiting nurses should encourage vulnerable patients to take refuge in them during dangerously warm periods. […] Partnerships created between community leaders and physicians to inform the public about heat dangers by radio, newspaper, and television have been shown to improve outcomes.

• #143 7 Heat Stress Prevention Tips | Vector Solutions

  https://www.vectorsolutions.com/resources/blogs/heat-stress-prevention/

  As temperatures rise this summer, the risk of heat stress increases for workers in a variety of industries. […] In this blog, we’ll share heat stress prevention tips to equip you with the knowledge and strategies needed to safeguard yourself and your team from the scorching heat. […] Due to the severity of heat-related illnesses, it’s crucial for employers and employees to prioritize heat stress prevention measures. […] Let’s explore seven practical tips to help mitigate the risks associated with heat stress. […] Engineering controls are a way to protect workers by removing hazardous conditions or placing a barrier between workers and hazards. […] That’s why it’s important to also create safe working practices such as: […] Knowledge of heat stress and the warning signs are critical to employees taking appropriate action before serious illness can occur.

• #144 Heat Illness: Avoidance and Prevention

  https://www.sadlersports.com/riskmanagement/sports-insurance-heatillness.php

  Excessive clothing and protective equipment such as helmets, shoulder pads, and tape increase heat stress by both interfering with evaporation of sweat and inhibiting pathways for heat loss. […] The following tips are recommended: Minimize the amount of equipment and clothing worn by athletes on hot and humid days – particularly during an acclimatization period. […] Heat Exhaustion is a moderate heat illness that occurs when an athlete continues to be physically active after starting to suffer from heat stress. […] Heat exhaustion should be treated by moving the athlete to a shaded or air conditioned area and removing any extra clothing or equipment. […] The planning process should take into account the following considerations to reduce the instances and severity of heat illness where the temperature and humidity are above predetermined levels: Educate administrators, officials, and coaches on all aspects of heat illness. […] Mandatory non-routine fluid breaks should be scheduled during practice and games. […] Always follow the rules of the respective governing body (if any) to comply with procedures that have been established to protect against heat illness.

• #145 Practical strategies for prevention and treatment of heat-induced illness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4131963/

  Heat-related morbidity and mortality are preventable.1 Prevention strategies are best employed by primary care providers in spring and early summer, as the risk of heat-related illness and death is greatest when individuals have not yet acclimatized to the heat.1 […] There are a number of recommendations you can provide to all patients to decrease their risk of heat-related illness, including the following. […] Many communities issue heat warnings; open public air-conditioned buildings, cooling centres, and hydration centres; and extend hours for swimming pools.1,4 […] Review with patients the signs and symptoms of heat-related illnesses and when to seek medical attention, especially with at-risk patients and families.4 Recommend that patients in high-risk groups or their caregivers monitor hydration status throughout a heat wave, with regular weight checks and assessments.2 Ensure dosages of medications that increase the risk of heat-related illnesses are optimized before the summer months. […] Many public health units declare extreme heat alerts or have heat response plans during heat waves. […] The risk of heat-related illness is likely to increase owing to climate change. Family physicians should be prepared to prevent and treat heat-related morbidity and mortality.

• #146 Heat Exhaustion | Korey Stringer Institute

  https://koreystringer.institute.uconn.edu/heat-exhaustion/

  Heat exhaustion is the most common heat-related condition observed in active populations ranging from athletes to recreational hikers. […] It is important to note that heat illnesses are not on a continuum and that one condition does not lead to another condition, although having heat exhaustion one day can predispose an individual to heat illness the next day. […] Individuals should adapt to exercise in the heat gradually acclimatize over 10-14 days by progressively increasing duration and intensity of work in hot conditions. […] Athletes should recognize heat exhaustion and exertional heat stroke signs and symptoms to indicate the need to slow, modify, or stop activity before a medical emergency arises. […] Being adequately hydrated before and during exercise can help prevent heat illnesses including heat exhaustion. Maintaining blood volume is key in the prevention of heat exhaustion.

• #147 Guidelines for Prevention of Heat Related Illness in Schools

  http://www.idph.state.il.us/public/hb/hbheatschools.htm

  Encourage the school district to establish both a policy and a plan to deal with extreme temperatures. […] Age-appropriate prevention education regarding heat related illnesses should be made available for all students, parents and staff. Call on local resources for example, local health department staff, physicians and health educators to assist with this.

• #148 Guidelines for Prevention of Heat Related Illness in Schools

  http://www.idph.state.il.us/public/hb/hbheatschools.htm

  Encourage the school district to establish both a policy and a plan to deal with extreme temperatures. […] Age-appropriate prevention education regarding heat related illnesses should be made available for all students, parents and staff. Call on local resources for example, local health department staff, physicians and health educators to assist with this.

• #149 Heat Illness – California Interscholastic Federation

  https://www.cifstate.org/sports-medicine/heat_illness/index

  On June 1, 2018, AB 2800 – California High School Coaching Education and Training Program: heat illness, was signed into law by Governor Brown that requires coaches when renewing their CPR/FIRST AID, Concussion and Sudden Cardiac Arrest (SCA) certification that they also complete separate training in the signs and symptoms of heat illness. […] A FREE online course Heat Illness Prevention is available through the CIF and NFHS, and will satisfy this mandated requirement by California law. […] A proper acclimatization plan is essential to minimize the risk of exertional heat illness during the early season practice period. Gradually increasing athletes exposure to the duration and intensity of physical activity and to the environment minimizes heat illness risk while improving athletic performance.

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