Occupational Heat-Related Illnesses: Overview

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Picture of Bill Martin

Bill Martin

MD, MBA, MPH
Medical Director

Picture of Doug Patron

Doug Patron

MD, MSPH
Medical Director

Quick Summaries

Background

Occupational heat-related illnesses (HRIs) are a range of medical conditions that can occur in workers exposed to a combination of high temperatures, high humidity, or physically demanding work environments. HRIs result from the body’s inability to properly dissipate heat, leading to an increase in core body temperature. HRIs can vary in severity and encompass a wide range of symptoms and health effects. Some common occupational heat-related illnesses include:

Spectrum of Disorders

  • Heat stroke: The most severe form of HRI and is considered a medical emergency. It occurs when the body’s core temperature rises above 104°F (40°C), leading to central nervous system dysfunction. Symptoms may include confusion, disorientation, seizures, rapid heartbeat, and unconsciousness. If not treated promptly, heat stroke can lead to organ failure, permanent brain damage, or even death.
  • Heat exhaustion: A milder form of HRI compared to heat stroke, but it can progress to heat stroke if not properly addressed. Symptoms include excessive sweating, weakness, dizziness, nausea, headache, and fainting. Treatment usually involves rest, hydration, and moving to a cooler environment.
  • Heat cramps: Painful muscle contractions, often occurring in the legs, arms, or abdomen. They typically result from dehydration and electrolyte imbalances caused by excessive sweating during physical exertion in hot environments. Treatment usually involves rest, hydration, and electrolyte replacement.
  • Heat syncope: Also known as heat-induced fainting, is caused by a temporary reduction in blood flow to the brain due to dehydration and the body’s efforts to cool itself down. Symptoms include dizziness, lightheadedness, and fainting. Treatment involves rest, hydration, and moving to a cooler environment.
  • Heat rash: Also known as prickly heat or miliaria, heat rash is a skin irritation caused by excessive sweating and clogged sweat glands. It appears as small red bumps or blisters on the skin and can cause itching and discomfort. Treatment usually involves keeping the affected area clean, dry, and cool.

Summary

Preventing occupational HRIs involves proper planning, acclimatization, hydration, and regular breaks in cooler environments. Employers should provide adequate training on recognizing the symptoms of HRIs and the appropriate steps to take if they are suspected. By taking these preventive measures, the risk of HRIs can be minimized, ensuring a safer and healthier work environment.

References:

https://www.osha.gov/heat