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         Heat Related Injuries:     more detail
  1. Managing the heat in Florida: A text for safety & health professionals who assist employers in reducing heat related occupational injuries by Kris Bancroft, 1995
  2. Injuries Related to Summer Heat (Home Health Aide on-the-Go in-Service Lessons, Volume 7) by Carol O., Ph.D. Long, 2007-12-31
  3. Thermal injury and related problems by William G Eckert, 1974

21. Kid Tips -- Heat-Related Injuries.
heatrelated injuries Three dangers of summertime are heat cramps, heat exhaustion, and heatstroke.
http://www2.kumc.edu/kids/kid_tips_heat_stress.htm
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Heat-Related Injuries:
Three dangers of summertime are heat cramps, heat exhaustion, and heatstroke. These are all manifestations of dehydration caused by excessive sweating.
Heat cramps:
Heat cramps is the mildest of these three forms. It is characterized by severe cramping of the muscles, similar to what is seen with football players during a game. Treatment is straightforward. Give your child a cold glass of water every 15 minutes and put him or her in a cool shaded place. Heat cramps are rarely, if ever, serious. Unless your child is showing some additional signs of distress, you do not need to contact your physician.

22. NASD: Outdoor Action Guide To Heat-Related Illnesses & Fluid Balance
heatrelated injuries Among Young Football Players on the Rise
http://www.cdc.gov/nasd/docs/d001201-d001300/d001215/d001215.html
Rick Curtis
Princeton University, Outdoor Action
Heat injuries can be immediately life-threatening. Be aware of the temperature conditions and your hydration levels.
The information provided here is designed for educational use only and is not a substitute for specific training or experience. Princeton University and the author assume no liability for any individual's use of or reliance upon any material contained or referenced herein. This article is prepared to provide basic information about heat related illnesses for t e lay person. Medical research is always expanding our knowledge of the causes and treatment. It is your responsibility to learn the latest information. The material contained in this article may not Fluid Balance All the body's fluids make up one large body fluid pool. Losses of fluid from any one source is reflected in the levels of all the body's other fluids: e.g. profuse sweating will ultimately result in decreased blood volume. If a patient loses enough fluid through any manner-bleeding, sweating, vomiting, or diarrhea-the end result is the same: dehydration and, potentially, volume shock. Adequate fluid is also critically important in hot environments to help our body thermoregulate (see Heat llnesses page 00). Remember, dehydration can kill!

23. NASD: OA Guide To Heat-Related Injuries & Fluid Balance
Outdoor Action Guide to heatrelated Illnesses Fluid Balance by Rick Curtis - Outdoor Action Program, Princeton University heat injuries can be immediately life-threatening. Be aware of the temperature conditions and your hydration levels.
http://are.berkeley.edu/heat/outdoorguide.html
Outdoor Action Guide to Heat-Related
by Rick Curtis - Outdoor Action Program, Princeton University
Heat injuries can be immediately life-threatening. Be aware of the temperature conditions and your hydration levels. The information provided here is designed for educational use only and is not a substitute for specific training or experience. Princeton University and the author assume no liability for any individual's use of or reliance upon any material contained or referenced herein. This article is prepared to provide basic information about heat related illnesses for t e lay person. Medical research is always expanding our knowledge of the causes and treatment. It is your responsibility to learn the latest information. The material contained in this article may not Fluid Balance All the body's fluids make up one large body fluid pool. Losses of fluid from any one source is reflected in the levels of all the body's other fluids: e.g. profuse sweating will ultimately result in decreased blood volume. If a patient loses enough fluid through any manner-bleeding, sweating, vomiting, or diarrhea-the end result is the same: dehydration and, potentially, volume shock. Adequate fluid is also critically important in hot environments to help our body thermoregulate (see Heat llnesses page 00). Remember, dehydration can kill! If someone is chronically losing fluid (from diarrhea or vomiting), then you have a real emergency on your hands. Treat the cause of the fluid lose as best you can (see Shock page 00, Bleeding page 00, Heat Illnesses page 00, Abdominal Infections page 00) and rehydrate the patient.

24. Kid Tips -- Heat-Related Injuries.
Do not read or use the information on this page until you have readand understood our disclaimer policy. heatrelated injuries
http://www2.kumc.edu/kids/Accessible/acc_kidtips_heat.htm
Skip to core content. These text-only pages are provided to accomodate our visitors who are disabled or use non-graphical browsers. If you would prefer an enhanced experience, please visit our graphical web site. Start of Navigation Menu: Home. What is KUCC? Providers. Services. ... Medical Education. End of Navigation Menu.
The World Wide Web is not a substitute for the care of a competent health care provider. Do not read or use the information on this page until you have read and understood our
Heat-Related Injuries:
Three dangers of summertime are heat cramps, heat exhaustion, and heatstroke. These are all manifestations of dehydration caused by excessive sweating.
Heat cramps:
Heat cramps is the mildest of these three forms. It is characterized by severe cramping of the muscles, similar to what is seen with football players during a game. Treatment is straightforward. Give your child a cold glass of water every 15 minutes and put him or her in a cool shaded place. Heat cramps are rarely, if ever, serious. Unless your child is showing some additional signs of distress, you do not need to contact your physician.

25. Health/Conditions_and_Diseases/Wounds_and_Injuries/Heat_Related
heatrelated Illnesses (heat Cramps, heat Exhaustion, heat Stroke) chart contains the most common symptoms of heat-related injuries. However, each child may experience symptoms
http://www.health-information-resource.com/Health/Conditions_and_Diseases/Wounds
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Heat exhaustion, heatstroke and sunstroke. Health Heat Related Heatstroke and Heat Exhaustion: thrive@health
Brief overview of these two heat related illnesses. Includes causes and possible treatments.
URL: http://www.thriveonline.com/health/Library/illsymp/illness260.html
MEDLINEplus: Heat Illness

Resources and fact sheets for dealing with heat related illnesses.
URL: http://www.nlm.nih.gov/medlineplus/heatillness.html
Heat Safety

What to do when a heat wave strikes. Heat related illnesses and symptoms. The heat index section and its effects is especially important for high risk individuals. From the National Weather Service.
URL: http://www.nws.noaa.gov/er/lwx/heat.htm
How to Prevent Heat-Related Illness in Children
Steps tips and overall warnings. From eHow.com URL: http://www.ehow.com/eHow/eHow/0 1053 7177 FF.html Heat Exhaustion Heatstroke An article about how why and what to do about heat-related injuries. URL: http://www.runnersworld.com/injuries/htstroke.html What Is Heat-Related Illness? - The Daily Apple Description signs and symptoms and suggested treatments. URL: http://www.thedailyapple.com/target/cs/article/tda/100836.html

26. Directory Vaionline: Siti_Mondiali/Health/Conditions_and_Diseases/Wounds_and_Inj
what to do about heatrelated injuries. heat Safety - What to do when a heat wave strikes. heat related illnesses and
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27. Common Childhood Injuries And Poisonings - Heat-Related Illnesses (Heat Cramps,
heatrelated Illnesses (heat Cramps, heat Exhaustion, heat Stroke) chart contains the most common symptoms of heat-related injuries. However, each child may experience symptoms
http://www.uuhsc.utah.edu/healthinfo/pediatric/Poison/heat.htm
Heat-Related Illnesses (Heat Cramps, Heat Exhaustion, Heat Stroke) What are heat-related illnesses?
Exposure to abnormal or prolonged amounts of heat and humidity without relief or adequate fluid intake can cause various types of heat-related illness. Children adjust more slowly than adults do to changes in environmental heat. They also produce more heat with activity than adults, and sweat less. Sweating is one of the body’s normal cooling mechanisms. Children often do not think to rest when having fun and may not drink enough fluids when playing, exercising, or participating in sports. Children with chronic health problems, or those who take certain medicines, may be more susceptible to heat-related illnesses. Children who are overweight or wear heavy clothing during exertion, such as marching band or football uniforms, are also more susceptible. There are three types of heat-related illnesses:
  • heat cramps heat exhaustion heat stroke
What are heat cramps?

28. Heat Injuries - US Army, 1998-2000
visits, and reportable medical events between 1998 and 2000 were searched to identifyincident cases per calendar year of heatrelated injuries among active
http://amsa.army.mil/1MSMR/2001/v07_n03_Article1.htm
MSMR Mar Vol. 07 / No. 03 Page 2
Heat Injuries - US Army, 1998-2000 Since 1995, the Army Medical Surveillance Activity has reported periodically on the occurrence of heat injuries in the US Army. Assessments of trends, seasonality, and demographic correlates of heat injury risk may help target prevention efforts at high-risk activities, settings, and subgroups. This analysis summarizes heat injuries among active duty soldiers from 1998-2000. Methods. All data were derived from the Defense Medical Surveillance System. Records of all hospitalizations, outpatient visits, and reportable medical events between 1998 and 2000 were searched to identify incident cases per calendar year of heat-related injuries among active duty soldiers. To estimate the “expected” numbers of cases among soldiers with various lengths of service, the total number of heat injury cases was multiplied by the proportions of soldiers in length-of-service-defined year groups. Results.

29. Heat-Related Illnesses (Heat Cramps, Heat Exhaustion, Heat Stroke) - Lucile Pack
Symptoms and firstaid measures for heat injuries The following chartcontains the most common symptoms of heat-related injuries.
http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/poison/heat.html
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Common Childhood Injuries and Poisonings
Heat-Related Illnesses (Heat Cramps, Heat Exhaustion, Heat Stroke)
What are heat-related illnesses?
Exposure to abnormal or prolonged amounts of heat and humidity without relief or adequate fluid intake can cause various types of heat-related illness. Children adjust more slowly than adults do to changes in environmental heat. They also produce more heat with activity than adults, and sweat less. Sweating is one of the body's normal cooling mechanisms. Children often do not think to rest when having fun and may not drink enough fluids when playing, exercising, or participating in sports. Children with chronic health problems, or those who take certain medicines, may be more susceptible to heat-related illnesses. Children who are overweight or wear heavy clothing during exertion, such as marching band or football uniforms, are also more susceptible. There are three types of heat-related illnesses:
  • heat cramps heat exhaustion heat stroke
What are heat cramps?

30. National SAFE KIDS Campaign: Promoting Child Safety To Prevent Unintentional Inj
children’s safety on days when temperatures are 80 degrees or higher by offeringthe following safety precautions to combat heatrelated injuries in cars.
http://www.safekids.org/tier3_cd.cfm?content_item_id=1971&folder_id=301

31. National SAFE KIDS Campaign: Promoting Child Safety To Prevent Unintentional Inj
Order additional brochures at 866700-0001 (Press/choose option No. 2). Read moreabout preventing heat-related injuries, as well as general car safety.
http://www.safekids.org/tier3_cd.cfm?content_item_id=6170&folder_id=300

32. Sports Injury Prevention--Heat Related
later in life). Respond quickly if heatrelated injuries occur. Scheduleregular fluid breaks during practice and games. Kids need
http://www.arthritis.org/resources/SIP/sun.asp
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Cool Out - Playing Safely in the Sun
While not contributing to joint problems, vigorous exercise in the sun and heat can lead to other types of injuries and, in the worst cases, even death. Playing rigorous sports in the heat requires close monitoring of both body and weather conditions. Heat-related illnesses include:
  • Dehydration deficit in body fluids
    Heat exhaustion nausea, dizziness, weakness, headache, pale and moist skin, heavy perspiration, normal or low body temperature, weak pulse, dilated pupils, disorientation, fainting spells Heat stroke headache, dizziness, confusion, and hot dry skin, possibly leading to vascular collapse, coma, and death.
Take the following simple steps to have fun in the sun:
  • Use sunscreen and a hat (where possible) to reduce the chance of sunburn (and developing various skin cancers that can occur later in life).

33. NATO/SFOR Informer: SFOR Personnel Informed Of Heat Injuries
pull out shorts, tank tops, swimsuits and sunscreen, it's important to rememberthat along with the sun comes the possibility of heatrelated injuries.
http://www.nato.int/sfor/indexinf/116/p05b/t0105b.htm
SFOR personnel informed of heat injuries
By Sgt. Kerensa Hardy
First published in
SFOR Informer#116, June 27, 2001
Summer is officially here, although sometimes it's hard to tell because the weather changes so much. Along with summer comes the threat of hot-weather injuries. Make sure you know how to protect yourself.
Camp Butmir - Although the Balkans' weather has been unpredictable and one never knows what it will be from day to day, summer is here.
As SFOR personnel pull out shorts, tank tops, swimsuits and sunscreen, it's important to remember that along with the sun comes the possibility of heat-related injuries.
"This region's high ambient temperatures present a significant health threat to our deployed soldiers, especially during the summer months," said American Maj. Tom Delk, Preventive Medicine Officer. As an example, Delk said temperatures have gone as high as 37 degrees Celsius (99 degrees Fahrenheit) in summer months - July and August. "These extreme temperatures produce undue stress on the human body, which may lead to heat injuries."
Types of heat injuries
There are three main types of heat injuries: heat cramps, heat exhaustion and heat stroke.

34. Summer 2002 News Tips From UT Southwestern
during the summer by avoiding strenuous exercise in the heat of the day, drinkingplenty of water and watching for the danger signs of heatrelated injuries.
http://www.swmed.edu/home_pages/news/summer02tips.htm
Summer 2002 Health News Tips
Note to media: To reach the media contacts for any of these health news tips, call the Office of News and Publications at 214-648-3404. UT Southwestern physicians offer tips for summer safety DALLAS - July 24, 2002 - Doctors at UT Southwestern Medical Center at Dallas have a few health tips for keeping your summer safe and cool. INSECT REPELLANT As West Nile virus moves rapidly across the United States, doctors are recommending that people be more cautious about the mosquitoes buzzing around. Mosquitoes infected with West Nile virus can pass the disease to humans. While human infection is rare, some people exposed to the virus suffer mild-to-moderate flu-like symptoms. Dr. Elizabeth Race, an infectious diseases specialist at UT Southwestern Medical Center at Dallas, recommends using an insect repellent with a low percentage of DEET in it. A recent study found these insect repellents more effective than other repellents at keeping mosquitoes and other insects away. Parents should make sure the DEET percentage is low, Race says. “Also, wear long pants and long-sleeved shirts when outdoors this summer, and avoid being outside at dawn or dusk when mosquitoes are most active,” she says.

35. WINTER EXERCISE MAY EXACERBATE ASTHMA COMPLICATIONS
RISING TEMPERATURES INCREASE RISK OF heatrelated injuries. New YorkWeill Cornell Physician Offers Tips To Avoid heat Stroke. New
http://www.nycornell.org/news/press/1999/summer_heat.html
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RISING TEMPERATURES INCREASE RISK OF
HEAT-RELATED INJURIES
New York Weill Cornell Physician Offers Tips
To Avoid Heat Stroke New York, NY (March 1999) As the temperature rises, so does the incidence of heat-related injuries. Most often these problems occur on hazy, hot and humid days. According to Neal Flomenbaum, M.D., at New York Weill Cornell Center of New York Presbyterian Hospital, heat-related injuries can range from a relatively minor problem such as heat cramps, to a more serious condition such as heat stroke, which can be fatal. Common heat-related injuries include muscle cramps due to heavy loss of water and salt through perspiration; heat exhaustion in the form of headaches, nausea and weakness; and heat stroke. Heat stroke occurs when an individual can no longer sweat and their temperature control mechanism stops working, said Dr. Flomenbaum. At first, it will seem like heat exhaustion, but the patient may begin to experience confusion, seizures and eventually lapse into a coma. Dr. Flomenbaum suggests the following tips to prevent you and your family from heat stroke:

36. King Bay Periscope - Tips For Avoiding Heat-related Injuries - Tips For Avoiding
Tips for avoiding heatrelated injuries. By Cmdr. Excess heat retentionand dehydration can lead to a variety of heat-related injuries.
http://www.kingsbayperiscope.com/pub/080102/p4s1m.htm
Tips for avoiding heat-related injuries
By Cmdr. David Horn - U.S. Naval Hospital Yokosuka, Japan
It's hot. In most areas of the United States - and, for that matter, most of the Northern hemisphere - the temperature is up, the humidity is up and it's getting a lot of people down. The most common heat-related incident, and the one that gets the least attention, is sunburn. Sunburn not only damages your skin and leads to skin cancer, but it also promotes dehydration. The key to fun in the sun is frequent application of sunscreen and protection from the direct rays of the sun, especially during the peak hours of the day, from 10 a.m. to 4 p.m. Heat rash is skin irritation caused by reduced ability of sweat to evaporate. The rash usually appears as pimples on the neck, groin area or under the arms. Loose, absorbent clothing makes it easier for sweat to evaporate. Heat cramps are painful spasms that occur mostly in the arms and legs caused by an excessive loss of salt. The key to treatment is to provide cool water and a shady location for the person to cool down. Heat exhaustion is caused by fluid loss from profuse sweating without enough fluid replacement. The individual will often get a headache along with feeling weak, tired and nauseous. Victims will appear pale with cool moist skin.

37. King Bay Periscope - Tips For Avoiding Heat-related Injuries
FTUnion
http://www.kingsbayperiscope.com/pub/080102/p4.htm

38. CoreCool HeatStress Information
heatrelated injuries/illnesses (HRI), which account for approximately 240 deathsannually, occur when the body can no longer maintain a healthy core
http://www.corecool.com/whycorecool.html
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PROBLEM: Heat-related illness Heat-related injuries/illnesses (HRI), which account for approximately 240 deaths annually, occur when the body can no longer maintain a healthy core temperature. Although common in athletes, heat-related illnesses also affect the elderly, persons with predisposing medical conditions, those taking a variety of medications, and those exposed to extreme heat conditions. Symptoms range from mild weakness, dizziness, and fatigue in cases of heat edema; to syncope, exhaustion, coma, and death, in cases of heat stroke. Heat stroke, the most serious of the heat injuries, must be treated emergently, and requires prompt recognition since rapid cooling is vital to survival. For the past several years, there has been a dramatic increase in the number of heat-related injuries and casualties being reported in the United States and abroad. This increase has prompted a growing interest amongst health care officials in the area of heat stress monitoring and prevention. Extended periods of hot temperatures such as those that were experienced in 1993, 1995, 1996, and most recently in 1998, have given rise to the belief by said officials, that heat-related casualties will continue to escalate if protective methods are not put into practice now to eliminate future occurrences. As evidence of these phenomena, the click HERE for actual events which depict how sudden and indiscriminate HRIs can occur:

39. River Safety Information For Paddlers
heatrelated injuries. The core. Click HERE for information regardingheat-related injuries and their treatment. First Aid and CPR.
http://canoeman.com/SWPaddler/safety.html
River Safety Information for Paddlers Of paramount importance to all paddlers should be river safety. By the very nature of paddlesports and the environment in which they are enjoyed there is always an inherent risk of injury, or even death. While such occurrences are low, it is nonetheless important to be prepared for that eventuality so that swift, effective actions can be taken to prevent or reduce the extent of injuries and prevent death. The purpose of this section is the present some basic information and links to more detailed information that could be critical whenever things go wrong on a river. This is not meant to be an authoritative or complete dissertation on river safety. Rather, its purpose is to make paddlers aware of some basic elements of river safety, and to encourage further efforts to prepare for the possibilities of being the difference between minor and major injuries, or between life and death. Hypothermia By far, the worst problem that can happen to a paddler, other than being pinned underwater, is hypothermia. Whenever a body becomes hypothermic it loses the ability to rewarm itself, and the brain loses the ability to think clearly and send signals to the body telling it what to do to protect itself. Left untreated, or treated improperly, hypothermia can and will lead to death. Modern medical science and technology provide adequate means of preventing death and reducing after-effects for persons rescued in a hypothermic state. Death occurs from one of two causes; (1) a hypothermia victim is not treated for their condition, or (2) a hypothermia victim is improperly treat for their condition. There are effective field measures that can be taken to save a person from severe cold condition if others know the signs of hypothermia, know the actions to take, and take those actions quickly. Click

40. OSHA News Release
to their workers. It offers a quick reference about heatrelated injuries,including warning signs, symptoms and early treatment
http://www.osha.gov/media/oshnews/may02/trade-20020528.html
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