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Heat Illness Prevention

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1. CRACKCast E141 – Heat Illness

are the highest risk athlete group for heat illness Older adults and the poor, who often lack adequate air conditioning and nutrition, and those with preexisting disease are prone to heat illness during environmental extremes. It is estimated that at least 10 times as many heat-aggravated illnesses occur in patients with comorbid conditions, such as coronary artery disease, cerebrovascular disease, and diabetes. During heat waves, many deaths are prevented due to air conditioning units. Let’s talk about HEAT (...) and a decrease in cerebral perfusion leading to a LOC Usually a multifactorial disorder, but elderly people are more fragile and at risk for it Do that full hx, physical and let that guide your workup True heat syncope is self-limited and can be prevented with acclimatization, active muscle movement, compression garments, and a euvolemic state [3] Describe the types of major heat illness Heat exhaustion A clinical syndrome of volume depletion during heat stress Usually individuals working in a hot

2018 CandiEM

2. Heat Induced Illness (Hyperthermia): First Aid Management

1, 2, 3 and very old 4 are more prone to heat induced illness. 2 Prevention On warm, humid or hot days: • keep infants and the elderly in cool, ventilated areas and provide ample oral fluids • wear light coloured, loose-fitting clothing during physical exertion and hats during outside activities • take adequate fluids during exertion on hot days – thirst is a useful guide to required fluid intake. ANZCOR Guideline 9.3.4 January 2016 Page 2 of 3 For participants in, and organisers of sporting (...) Heat Induced Illness (Hyperthermia): First Aid Management ANZCOR Guideline 9.3.4 January 2016 Page 1 of 3 ANZCOR Guideline 9.3.4 – Heat Induced Illness (Hyperthermia) Guideline Who does this guideline apply to? This guideline applies to adult, child and infant victims. Who is the audience for this guideline? This guideline is for use by bystanders, first aiders and first aid providers. 1 Introduction Heat induced illness may be caused by: • excessive heat absorption from a hot environment

2016 Australian Resuscitation Council

3. Tips for Preventing Heat-Related Illness

Tips for Preventing Heat-Related Illness Tips for Preventing Heat-Related Illness | | Blogs | CDC Search Form Controls TOPIC ONLY Search The CDC cancel submit Search Form Controls TOPIC ONLY Search The CDC cancel submit Note: Javascript is disabled or is not supported by your browser. For this reason, some items on this page will be unavailable. For more information about this message, please visit this page: . Related to this Blog About this Blog Tips for Preventing Heat-Related Illness Posted (...) : Electric fans may provide comfort, but when the temperature is in the high 90s, they will 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. Use your stove and oven less to maintain a cooler temperature in your home. Schedule Outdoor Activities Carefully: Try to limit your outdoor activity to when it’s coolest, like morning and evening hours. Rest often in shady areas so that your body has a chance to recover. Pace

2017 CDC Your Health - Your Environment Blog

4. Preventive measures and lifestyle habits against exertional heat illness in radiation decontamination workers (PubMed)

Preventive measures and lifestyle habits against exertional heat illness in radiation decontamination workers The aim of this study was to reveal the current state of preventive measures and lifestyle habits against heat illness in radiation decontamination workers and to examine whether young radiation decontamination workers take less preventive measures and have worse lifestyle habits than the elder workers.This was a cross-sectional study. Self-administered questionnaires were sent to 1,505 (...) radiation decontamination workers in Fukushima, Japan. Five hundred fifty-eight men who replied and answered all questions were included in the statistical analysis. The questionnaire included age, duration of decontamination work, previous occupation, lifestyle habit, and preventive measures for heat illness. We classified age of the respondents into five groups: <30, 30-39, 40-49, 50-59, and ≥60 years and defined the workers under 30 years of age as young workers. Logistic regression analysis was used

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2017 Journal of occupational health

5. Preventing heat illness in the anticipated hot climate of the Tokyo 2020 Summer Olympic Games (PubMed)

Preventing heat illness in the anticipated hot climate of the Tokyo 2020 Summer Olympic Games Amid the effects of global warming, Tokyo has become an increasingly hot city, especially during the summertime. To prepare for the upcoming 2020 Summer Olympics and Paralympics in Tokyo, all participants, including the athletes, staff, and spectators, will need to familiarize themselves with Tokyo's hot and humid summer conditions. This paper uses the wet-bulb globe temperature (WBGT) index, which (...) Tokyo Olympics. We also found that Tokyo had a higher WBGT than any of those previous host cities and is poorly suited for outdoor sporting events. Combined efforts by the official organizers, government, various related organizations, and the participants will be necessary to deal with these challenging conditions and to allow athletes to perform their best, as well as to prevent heat illnesses among staff and spectators. The sporting committees, as well as the Olympic organizing committee, should

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2017 Environmental health and preventive medicine

6. Recruitment, Methods and Descriptive Results of a Physiologic Assessment of Latino Farmworkers: the California Heat Illness Prevention Study (CHIPS) (PubMed)

Recruitment, Methods and Descriptive Results of a Physiologic Assessment of Latino Farmworkers: the California Heat Illness Prevention Study (CHIPS) The California heat illness prevention study (CHIPS) devised methodology and collected physiological data to assess heat related illness (HRI) risk in Latino farmworkers.Bilingual researchers monitored HRI across a workshift, recording core temperature, work rate (metabolic equivalents [METs]), and heart rate at minute intervals. Hydration status (...) was assessed by changes in weight and blood osmolality. Personal data loggers and a weather station measured exposure to heat. Interviewer administered questionnaires were used to collect demographic and occupational information.California farmworkers (n = 588) were assessed. Acceptable quality data was obtained from 80% of participants (core temperature) to 100% of participants (weight change). Workers (8.3%) experienced a core body temperature more than or equal to 38.5 °C and 11.8% experienced

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2017 Journal of Occupational and Environmental Medicine

7. Heat and moisture exchangers (HMEs) and heated humidifiers (HHs) in adult critically ill patients: a systematic review, meta-analysis and meta-regression of randomized controlled trials. (PubMed)

Heat and moisture exchangers (HMEs) and heated humidifiers (HHs) in adult critically ill patients: a systematic review, meta-analysis and meta-regression of randomized controlled trials. The aims of this systematic review and meta-analysis of randomized controlled trials are to evaluate the effects of active heated humidifiers (HHs) and moisture exchangers (HMEs) in preventing artificial airway occlusion and pneumonia, and on mortality in adult critically ill patients. In addition, we planned (...) to perform a meta-regression analysis to evaluate the relationship between the incidence of artificial airway occlusion, pneumonia and mortality and clinical features of adult critically ill patients.Computerized databases were searched for randomized controlled trials (RCTs) comparing HHs and HMEs and reporting artificial airway occlusion, pneumonia and mortality as predefined outcomes. Relative risk (RR), 95% confidence interval for each outcome and I 2 were estimated for each outcome. Furthermore

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2017 Critical care (London, England)

8. Heat Illness Prevention

Heat Illness Prevention Heat Illness Prevention Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Heat Illness Prevention Heat Illness (...) Prevention Aka: Heat Illness Prevention II. Prevention Measures Identify high risk patients See See Limit activity in very hot and humid environments See Wear light clothing Hydration Fluid type Water: moderate intensity for under 1 hour Electrolyte drink: for over 1 hour Pre- : 12-20 ounces (15 min before ) During : 8 ounces fluid every 15 minutes Heat acclimatization to exertion in a warm environment Usually requires 2 to 3 weeks May be as long as 2 to 3 months for some patients Measure weight before

2018 FP Notebook

9. Characteristics of Heat Illness during Hajj: A Cross-Sectional Study (PubMed)

treated per heat illness guidelines.Although authorities are working on research and forming interdisciplinary teams to prevent health problems during the Hajj, the mortality rate from heatstroke is high and the majority of the patients had hyperthermia, varied signs and symptoms, elevated creatinine levels, and electrolyte imbalances. (...) Characteristics of Heat Illness during Hajj: A Cross-Sectional Study Data regarding the characteristics and outcomes of heat illness are lacking in the literature. The present study aimed to identify the clinical characteristics, morbidity, management, and mortality associated with heat illness among Hajj participants.A cross-sectional study was conducted during the Hajj in 2016 on patients who presented to emergency departments and were diagnosed with heat exhaustion or heatstroke. Data were

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2018 BioMed research international

10. Evaluation of a Novel Syndromic Surveillance Query for Heat-Related Illness Using Hospital Data From Maricopa County, Arizona, 2015 (PubMed)

diagnosis codes, chief complaint text terms, and exclusion criteria had a high PPV for heat-related illness, particularly during the heat season. Public health departments can use this query to meet local needs; however, use of this novel query to substantially improve public health heat-related illness prevention remains to be seen. (...) Evaluation of a Novel Syndromic Surveillance Query for Heat-Related Illness Using Hospital Data From Maricopa County, Arizona, 2015 We evaluated a novel syndromic surveillance query, developed by the Council of State and Territorial Epidemiologists (CSTE) Heat Syndrome Workgroup, for identifying heat-related illness cases in near real time, using emergency department and inpatient hospital data from Maricopa County, Arizona, in 2015.The Maricopa County Department of Public Health applied 2

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2017 Public Health Reports

11. Heat Sepsis Precedes Heat Toxicity in the Pathophysiology of Heat Stroke—A New Paradigm on an Ancient Disease (PubMed)

Heat Sepsis Precedes Heat Toxicity in the Pathophysiology of Heat Stroke—A New Paradigm on an Ancient Disease Heat stroke (HS) is an ancient illness dating back more than 2000 years and continues to be a health threat and to cause fatality during physical exertion, especially in military personnel, fire-fighters, athletes, and outdoor laborers. The current paradigm in the pathophysiology and prevention of HS focuses predominantly on heat as the primary trigger and driver of HS, which has (...) not changed significantly for centuries. However, pathological and clinical reports from HS victims and research evidence from animal and human studies support the notion that heat alone does not fully explain the pathophysiology of HS and that HS may also be triggered and driven by heat- and exercise-induced endotoxemia. Exposure to heat and exercise stresses independently promote the translocation of lipopolysaccharides (LPS) from gram-negative bacteria in the gut to blood in the circulatory system

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2018 Antioxidants

12. Exertional Heat Illness in American Football Players: When Is the Risk Greatest? (PubMed)

Exertional Heat Illness in American Football Players: When Is the Risk Greatest? Knowledge about the specific environmental and practice risks to participants in American intercollegiate football during preseason practices is limited. Identifying risks may mitigate occurrences of exertional heat illness (EHI).To evaluate the associations among preseason practice day, session number, and wet bulb globe temperature (WBGT) and the incidence of EHI.Descriptive epidemiology study.Sixty colleges (...) [CI] = 1.42, 1.68). Approximately 74% (n = 407) of the reported EHI cases were exertional heat cramps (incidence rate = 1.14/1000 AEs; 95% CI = 1.03, 1.25), and about 26% (n = 146) were a combination of exertional heat syncope and heat exhaustion (incidence rate = 0.40/1000 AEs; 95% CI = 0.35, 0.48). The highest rate of EHI occurred during the first 14 days of the preseason period, and the greatest risk was during the first 7 days. The risk of EHI increased substantially when the WBGT was 82.0°F

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2016 Journal of athletic training

13. Economic Burden of Hospitalizations for Heat-Related Illnesses in the United States, 2001–2010 (PubMed)

Economic Burden of Hospitalizations for Heat-Related Illnesses in the United States, 2001–2010 Understanding how heat waves affect morbidity and mortality, as well as the associated economic costs, is essential for characterizing the human health impacts of extreme heat under a changing climate. Only a handful of studies have examined healthcare costs associated with exposures to high temperatures. This research explores costs associated with hospitalizations for heat-related illness (HRI (...) compared to Whites, who accounted for almost 65% of all HRI hospitalizations. Observed differences in costs based on income, insurance, and gender were also significant. These results suggest that these populations are suffering disproportionately from health inequity, thus, they could shoulder greater disease and financial burdens due to climate change. These findings may have important implications in understanding the economic impact public health planning and interventions will have on preventing

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2016 International journal of environmental research and public health

14. Heat Stress Illness Emergency Department Visits in National Environmental Public Health Tracking States, 2005–2010 (PubMed)

Heat Stress Illness Emergency Department Visits in National Environmental Public Health Tracking States, 2005–2010 Variability of heat stress illness (HSI) by urbanicity and climate region has rarely been considered in previous HSI studies. We investigated temporal and geographic trends in HSI emergency department (ED) visits in CDC Environmental Public Health Tracking Network (Tracking) states for 2005-2010. We obtained county-level HSI ED visit data for 14 Tracking states. We used (...) suggest a need to consider HSI ED visit variability by county urbanicity and climate region when designing and implementing local HSI preventive measures and interventions.

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2016 Journal of community health

15. Heat Illness Risk Factors

Heat Illness Risk Factors Heat Illness Risk Factors Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Heat Illness Risk Factors Heat (...) Illness Risk Factors Aka: Heat Illness Risk Factors From Related Chapters II. Pathophysiology Predisposing conditions alter heat balance See III. Causes: Increased endogenous heat load Vigorous or overexertion drugs (see below) IV. Causes: Increased Exogenous Heat load Increased V. Causes: Decreased Heat Dissipation Exogenous cause Humidity Evaporation of sweat stops at 75% humidity (and sweating has no cooling effect at 95% humidity) Occlusive or excessive clothing Endogenous cause Dehydration Lack

2018 FP Notebook

16. Heat Related Illness

Heat Related Illness Heat Related Illness Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Heat Related Illness Heat Related Illness (...) of Heat Illness VI. Associated Conditions VII. Prevention See VIII. References Czerkawski (1996) Your Patient Fitness 10(4): 13-20 Sandor (1997) Physician SportsMed, 25(6):35-40 Salinas and Ruttan (2017) Crit Dec Emerg Med 31(9): 3-10 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Heat Related Illness." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database

2018 FP Notebook

17. Medications Predisposing to Heat Illness

Medications Predisposing to Heat Illness Medications Predisposing to Heat Illness Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Medications Predisposing to Heat Illness Medications Predisposing to Heat Illness Aka: Medications Predisposing to Heat Illness , Drugs Predisposing to Heat Illness II. Causes: Sympathomimetics (alpha adrenergic agonists) s -containing supplements s III. Causes: Anticholinergics Scopolamine Benztropine mesylate s IV. Causes: Neurologic and psychiatric agents Antiparkinsonism Medications Butyrophenones ( ) ( ) Protriptyline s Miscellaneous psychiatric agents s ( ) V. Causes: Cardiovascular s s s ( ) ( ) VI

2018 FP Notebook

18. A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population (PubMed)

A Comprehensive Evaluation of the Burden of Heat-Related Illness and Death within the Florida Population The failure of the human body to thermoregulate can lead to severe outcomes (e.g., death) and lasting physiological damage. However, heat-related illness (HRI) is highly preventable via individual- and community-level modification. A thorough understanding of the burden is necessary for effective intervention. This paper describes the burden of severe HRI morbidity and mortality among

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2016 International journal of environmental research and public health

19. Cost-Effectiveness Analysis of Heat and Moisture Exchangers in Mechanically Ventilated Critically Ill Patients (PubMed)

Cost-Effectiveness Analysis of Heat and Moisture Exchangers in Mechanically Ventilated Critically Ill Patients Moisturizing, heating and filtering gases inspired via the mechanical ventilation (MV) circuits help to reduce the adverse effects of MV. However, there is still no consensus regarding whether these measures improve patient prognosis, shorten MV duration, decrease airway secretion and lower the incidence of ventilator associated pneumonia (VAP) and other complications.The aim (...) of this study was to study the incremental cost-effectiveness ratio associated with the use of heat and moisture exchangers (HME) filter to prevent VAP compared with the heated humidifiers (HH) presently adopted by intensive care unit (ICU) services within the Brazilian Healthcare Unified System.This study was a cost-effectiveness analysis (CEA) comparing HME and HH in preventing VAP (outcome) in mechanically ventilated adult patients admitted to an ICU of a public university hospital.The analysis

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2016 Anesthesiology and pain medicine

20. Surveillance of carbon monoxide-related incidents - Implications for prevention of related illnesses and injuries, 2005-2014. (PubMed)

Surveillance of carbon monoxide-related incidents - Implications for prevention of related illnesses and injuries, 2005-2014. Carbon monoxide (CO) is an insidious gas responsible for approximately 21,000 emergency department visits, 2300 hospitalizations, and 500 deaths in the United States annually. We analyzed 10 combined years of data from two Agency for Toxic Substances and Disease Registry acute hazardous substance release surveillance programs to evaluate CO incident-related (...) by educational facilities (10.0%). Educational services had a high number of people injured per incident (16.3%). The three most common sources of CO were heating, ventilation, and air conditioning systems; generators; and motor vehicles. Equipment failure was the primary contributing factor for most CO incidents.States have used the data to evaluate trends in CO poisoning and develop targeted public health outreach. Surveillance data are useful for setting new policies or supporting existing policy

2018 American Journal of Emergency Medicine

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