Hyperthermia vs. Hypothermia
Hyperthermia = elevated body temperature
Hypothermia = drop in body temperature
Heat Stress
Variable based on the person and their body's ability to dissipate heat; variation in sweat rates
Metabolic heat production - normal metabolic function
Conductive heat exchange - physical contact with other objects
Convective heat exchange - dependant on temperature/presence of circulating medium
Radiant heat exchange - from sunshine
Evaporative heat loss - sweat glands --> evaporates
Exertional heat illness
Heat rash - red, raised rash with prickling and tingling feeling with sweating
Heat syncope - rapid physical fatigue during overexposure to heat
Heat cramps - muscle spasms due to excessive loss of water and electrolytes
Exertional heat exhaustion - environmental heat stress + strenuous physical exercise
Exertional heatstroke - CNS abnormalities + potential tissue damage; elevated body temperature
Malignant hyperthermia - genetically inherited muscular disorder --> hypersensitivity to anesthesia and extreme exercise in hot environments
Acute exertional rhabdomyolysis - sudden catabolic destruction and degeneration of skeletal muscle
Preventing heat illness
Dehydration - loss of <2% of body weight
Fluid and electrolyte replacement
Gradual acclimatization
See AlsoEar measurement of temperature is only useful for screening for fever in an adult emergency departmentFever in Adults - Infections - MSD Manual Consumer VersionFever in Infants and Children - Children's Health Issues - Merck Manual Consumer VersionBody Temperature Is 96, But I Feel Sick: Causes and MoreIdentify susceptible individuals
Appropriate uniform/clothing
Weight records (weigh-ins, weight-outs)
Monitor temperature and humidity
Cold injuries
Frostnip - high wind, severe cold --> ears, nose, cheeks, etc
Frostbite - length of exposure; ranges in severity and prognosis
Preventing cold injuries
Proper clothing
Monitor weather and conditions
Hydration
Heat index
Heat + humidity + bright sunshine
Universal Wet Bulb Globe Temperature (WBGT) index:
Dry bulb temperature (DBT) - standard mercury thermometer
Wet-bulb temperature (WBT) - wet wick wrapped around the end of thermometer that is swung around in the air
Globe temperature (GT) - measures the sun’s radiation with a black metal casing around the end of a thermometer
WBGT: (0.1 x DBT) +( 0.7 x WBT) + (GT x 0.2)
WBGT: (0.3 x DBT) + (0.7 x WBT)
Record temperatures for 90 seconds
Psychrometer = two thermometers – dry and wet – when the cloth is soaked and thermometers are properly ventilated, WBT < DBT (cooling due to evaporation) --> drier the air = lower the WBT
Easy Work Moderate Work Hard Work
Heat Category | WBGT (F) | Work/Rest | Water per hour | Work/Rest | Water per hour | Work/Rest | Water per hour
1 | 78-81.9 | No limit | 1/2 quart | No limit | 3/4 quart | 40/20 min | 3/4 quart
2 | 82-84.9 | No limit | 1/2 quart | 50/10 min | 3/4 quart | 30/30 min | 1 quart
3 | 85-87.9 | No limit | 3/4 quart | 40/20 min | 3/4 quart | 30/30 min | 1 quart
4 | 88-89.9 | No limit | 3/4 quart | 30/30 min | 3/4 quart | 20/40 min | 1 quart
5 | >90 | 50/10min | 1 quart | 20/40 min | 1 quart | 10/50 min | 1 quart
No flag = <78.0F - nonacclimatized: exterme extertion may lead to heat illness; fully acclimatized: normal activity
Green flag = 78.0F - 82.0F - nonacclimatized: discretion with intense exercise; fully acclimatized: normal activity
Yellow flag = 82.1 - 86.0F - unacclimatized: limit intense exercise to 1 hour with total outdoor exercise less than 2.5 hours; fully acclimatized: use discretion in planning
Red flag = 86.1 - 89.9F - nonacclimatized: no outdoor session; fully acclimatized: limit outdoor sessions to 1 hour (total outdoor time less than 4 hours)
Black flag = >90F - nonacclimatized: cancel all outdoor session; fully acclimatized: cancel all outdoor session
Other environmental factors
Altitude
Loss in maximum oxygen uptake = a 4-8% deterioration in performance
Hyperventilation
Fewer RBC to adequately capture available oxygen in the air
Altitude illness can occur: acute mountain sickness; pulmonary edema; Sickle cell trait
Sun exposure
Use sunscreen!
Can increase rates of skin cancer
Lightning
Take extreme caution; develop EAP
See/hear lightning = immediate danger; should seek shelter
Lightning always accompanied by thunder --> Flashbang method - count number of seconds from a sighting of lightning to hearing thunder, ÷ by 5 (ex: 30 = 6 miles away)
Lightning Detectors - hand-held or automated systems
Pollution
Photochemical haze - nitrogen dioxide + stagnant air react with sunlight to produce ozone
Smog - carbon monoxide + sulphur dioxide
Decrease activity during high pollution
Ozone levels rise during dawn, highest at midday, and reduce after late-afternoon
Avoid activity in high pollution areas
Jet lag
Physical and mental effects caused by traveling across time zones
Hydrate!
Younger individuals adapt quicker than older
Traveling west - light meals early, heavy meals late; consume caffeine; exercise/train later in the day
Faster adaptation
Traveling east - heavy meal earlier; avoid caffeine; exercise/train earlier in the day
Synthetic turf
Common injuries - ex: turf toe
No increased incidence of injury vs natural surfaces
More durable than natural grass and easier to maintain