Thermal Stress
Thermal Stress
v Thermal Balance
v Heat Stress
v Cold Stress
Thermal Balance
• Acute
Heat
• Heat Stroke, Heat Syncope, Other heat illness
• Chronic
• Possible link to kidney, liver, heart , digestive
system, central nervous system & skin problems
• Acute
• Hypothermia, frostbite, trench foot
Cold • Chronic
• Respiratory and cardiovascular effects
Heat Stress
Heat & Humidity = Heat Index
Assessment of the Environmental Conditions
Wet bulb globe temperature (WBGT)
n The environmental factors that are central to the
assessment of heat stress are
¨ air temperature,
¨ humidity,
¨ air speed,
¨ and average temperature of the solid surroundings.
n 血液循环集中到皮肤表层
n 内部器官的供血减少
n 身体功能减退
n 协调性和警惕性降低
n 热疲劳的处理方式
¨ 在阴凉的地方休息
¨ 中断接触热量的工作
¨ 逐步适应高温的环境
3a
Heat Rash 热痱
n 身体通过出汗达到降温的目的, 汗腺堵塞时,引起皮肤发炎,会产生不适的
皮疹-痱子。痱子可能导致感染。
n 这是身体对过热和过湿的反应
n 常出现于颈部、前胸、腹股沟、肘部出现红疙瘩或小水泡
n 热痱的处理
¨ 到凉爽的地方休息
¨ 皮肤保持干净干燥
¨ 就医,防止感染
¨ 定期洗澡
4a
Heat Cramps 热痉挛
晕倒的处理方式:
到阴凉处休息
适当活动,恢复供血平衡
逐渐返回高温作业岗位
Heat Exhaustion 热衰竭(轻度中暑)
n Cause: Body’s internal air-conditioning system is overworked; surface
blood vessels and capillaries collapse from loss of body fluids and
necessary minerals
n 原因:身体内部的体温调节系统负荷太大,身体水分和矿物质流失导致体表
血管和毛细血管功能丧失。
n Symptoms: Headache, heavy sweating, intense thirst, dizziness, fatigue,
loss of coordination, nausea, impaired judgment, loss of appetite,
hyperventilation, tingling in hands or feet, anxiety, cool moist skin, weak
and rapid pulse, low to normal blood pressure
n 症状:头疼、大量流汗、严重口渴、眼花、疲劳、不协调、恶心、判断力下
降、无食欲、呼吸沉重、手足麻木、焦虑、皮肤湿冷、脉搏虚弱加速、血压
降低。
n 处理方式 Treatment
• Move to cooler place 到凉爽的地方
• Remove or loosen tight clothing 松开/解开衣服
• Apply cool, wet cloths 换上凉快的湿衣物
• Drink fluids 喝饮料/水
• Monitor for changes in condition 观察身体情况变化
Heat Stroke 中暑
Life Threatening Illness with a High Death Rate!
威胁生命的高死亡率疾病
n Cause: Body has depleted its supply of water and salt; body
temperature rises to deadly levels
n 原因:身体耗尽了水分和盐分,体温上升到致命的程度
n Symptoms: High body temperature, distinct absence of
sweating, hot red or flushed dry skin, rapid pulse, difficulty
breathing, constricted pupils, high blood pressure.
n 症状:身体高温、不出汗、皮肤红热或红润干燥、脉搏迅速、呼
吸困难、瞳孔收缩、血压升高。
n 处理方式 Treatment
• Get medical attention immediately 立即就医
• Move to cooler place 到凉爽区域
• Quickly cool the body 快速使身体降温
• Monitor breathing 观察呼吸
• Do not give fluids 不要喝饮料/水
Heat Stress Illness
Acclimation
n Acclimation is the adaptation of the body to prolonged daily heat
stress exposures. The ability to work increases and the risk of heat
disorders decreases with acclimation.
n Acclimation is lost when there are no heat exposures. The loss is
accelerated when an illness occurs. The process should be
recognized and expectations adjusted. Workers will be able to work
better after several days of heat exposures and they should expect
less of themselves in the early days.
Specific Controls for Heat Stress
What can we do about hot conditions?
• Training
Administrative Controls • Water & Bathroom breaks
• Acclimatization
• PPE Design
PPE
• Reduce weight of PPE
• Appropriate materials
• Cooling vortex on respirators
http://www.osha.gov/SLTC/heatillness/index.html
COLD STRESS
It’s not just the air temperature it’s the…
COLD STRESS
What can we do about cold conditions?
• Not Applicable
Administrative •• Training
Adequate breaks
Controls • Buddy System