COLD STRESS: WHY YOU NEED TO RECOGNIZE IT
What is cold stress and why should farmers and ranchers be aware of its symptoms?
Cold stress occurs when skin temperature, and eventually internal body temperature, decreases during exposure to cold temperatures. Near freezing temperatures, especially when combined with increased wind speed, cause heat to leave the body. Wetness, dampness – even from body sweat – also expedites loss of body heat. When the body is unable to warm itself, serious cold-related illnesses and injuries may occur.
Anyone working outside in cold and windy conditions is at risk for cold stress. When working outside, it’s important to be aware of air temperature and wind chill factors to gauge the level of cold stress risk.
Factors that increase the risk of cold stress include:
· Improper dress
· Predisposing health conditions such as hypertension, hypothyroidism, and diabetes
· Poor physical conditioning
The risks of cold stress include permanent tissue damage and death. Types of cold stress include trench foot, frostbite and hypothermia.
Trench foot is a non-freezing injury of the feet caused by prolonged exposure to wet and cold conditions. This injury may occur in temperatures as high as 60 degrees (Fahrenheit) if feet are constantly wet since wet feet lose heat 25 times faster than dry feet.
Trench foot symptoms include reddening skin, tingling, pain, swelling, leg cramps, numbness, and blisters.
If trench foot injury is suspected, call 911 or seek medical assistance as soon as possible. Remove wet shoes/boots and socks. Dry the feet and avoid standing or walking. Keep affected feet elevated until medical help is available.
Normal body temperature is 98.6 degrees (Fahrenheit). Prolonged exposure eventually uses up the body’s stored energy and the body may begin losing heat faster than it can warm itself. When body temperature drops to less than 95 degrees (Fahrenheit), hypothermia occurs. This condition is most likely to occur at very cold temperatures, but it may happen even at temperatures above 40 degrees (Fahrenheit) if a person becomes chilled from rain, sweat, or immersion in cold water.
Symptoms of hypothermia include:
· Uncontrolled shivering
· Loss of physical coordination
· Slurred speech
· Slowing of heart rate/breathing
Shivering indicates that the body is losing heat. While it helps the body rewarm itself, uncontrolled shivering should not be ignored. The affected person may not realize what’s happening to them since low body temperature adversely affects the brain, causing a victim to lose the ability to think clearly or move well, making hypothermia a particularly dangerous result of cold stress.
If hypothermia is suspected, follow these first aid guidelines:
· Call 911 immediately in an emergency.
· Move the affected person to a warm, dry area.
· Remove any wet clothing and replace it with dry clothing.
· Wrap the entire body (including head and neck) in layers of blankets and with a vapor barrier (i.e. tarp, garbage bag). Do not cover the victim’s face.
To help prevent cold stress, recognize the weather and environmental conditions that may lead to cold stress. Learn about and know how to recognize symptoms of cold stress and the appropriate first aid responses.
Additional cold stress prevention steps:
· Know how to select proper clothing for cold, wet, and windy conditions.
· Regularly monitor your and/or coworker’s physical conditions.
· Schedule frequent short breaks in warm, dry areas to allow the body to warm up.
· As much as possible, schedule work activities during the warmest part of the day.
· Use the buddy system and work in pairs.
· Provide warm, sweet beverages to assist the body in generating heat. Avoid alcoholic beverages, which expedite loss of body heat.
· When appropriate, use radiant heaters in the work area.
Anytime you work outside, stay aware of temperature changes and wind chill advisories and warnings. Always monitor your physical condition while working in a cold environment and dress appropriately. Stay dry in cold conditions because moisture or dampness causes increased loss of body heat. Keep extra clothing handy in case of the need to shed wet clothes. Learn as much as you can about the best safety practices and implement them.
Source: Occupational Safety and Health Administration (OSHA)
Funding for this educational article comes from the Central States Center for Agricultural Safety and Health and the University of Nebraska Medical Center