MEDICAL HEALTH AND COLD WEATHER

Working in cold weather can have a greater impact on people with underlying health issues. Those people who take certain medications, are in poor physical condition or suffer from illnesses such as diabetes, hypertension (high blood pressure) or cardiovascular disease may be at increased risk during cold weather exposure.

INCREASED BLOOD PRESSURE

For people with hypertension, colder weather can increase their blood pressure to levels higher than normal. Cold weather narrows blood vessels, leaving less room for blood flow which, in turn, raises blood pressure. The heart must pump harder to circulate blood through constricted blood vessels. As a result, your blood pressure and heart rate increase. Higher-than-normal blood pressure and increased heart rate can potentially lead to a heart attack.

CAFFEINE USE AND COLD TEMPERATURES

Blood pressure can go up significantly after caffeine use because it can block a hormone that keeps our arteries open wide. The blood vessels supplying blood to the brain can narrow as much as 27% after caffeine intake. Together, caffeine and cold temperatures can put those with underlying heart issues at greater risk.

MEDICAL CONDITIONS AFFECTED BY PROLONGED EXPOSURE TO COLD TEMPERATURES

Excessive cold stresses the body, causing it to release hormones such as adrenalin and cortisol. Cortisol, the hormone released into the bloodstream during stressful situations, helps regulate the body’s sugar, salt and fluid levels. Elevated cortisol over the long term produces glucose, leading to increased blood sugar levels. For those with diabetes, this can be dangerous.

GENERAL GUIDELINES

  • Reduce caffeine intake if you are being treated for hypertension or other cardiovascular issues.
  • Be aware of possible medical complications with your medications while you’re working in cold weather.
  • Dress in layers and keep your head and hands covered.
  • Keep extra gloves, hats and jackets available.
  • Take frequent breaks in a warm, dry area.
  • If someone shows signs of cold-related stress or injuries, get them to warmth immediately.

Download a printable PDF and recording form here.

Members can download the audio version of this toolbox talk here.

COLD STRESS

Just as there is the potential for heat stress in spring and summer, there is the potential for cold stress in the fall and winter months. Cold stress happens when the skin temperature drops and eventually reduces the internal body temperature. When the body is unable to warm itself, serious cold-related illnesses and injuries may occur, and permanent tissue damage or death may result. The body loses heat through:

  • Convection – We can lose up to 10-15% of our body heat as air moves across the skin’s surface.
  • Radiation – The body radiates and loses heat. Your body loses 40-45% of its heat through the head and neck. Combine that with wrists and ankles, and heat loss approaches 60%.
  • Conduction – Holding cold tools or kneeling or sitting on the cold ground will cause your body to lose heat.
  • Respiration – When we breathe, we warm the air in our lungs. Then we exhale that warm air, resulting in significant heat loss. Breathing through your nose helps warm the air as it enters your body slightly more than breathing through your mouth.

KEEP YOUR CORE AND BODY EXTREMITIES COVERED

It is important to dress in light layers that you can add/remove as you become colder or warmer. Excessive layers can cause you to sweat, leading to wet clothing that can affect your body’s ability to maintain its temperature. Wear synthetic or cotton/synthetic blends as a base layer next to your skin to wick away sweat.

MEDICAL CONDITIONS RESULTING FROM PROLONGED EXPOSURE TO COLD TEMPERATURES

People who take certain medications, are in poor physical condition or suffer from illnesses such as diabetes, hypertension or cardiovascular disease may be at increased risk during cold weather exposure.

Cold stress often causes the body to release survival hormones such as adrenalin and cortisol. These cause the liver to release more glucose for energy, which can result in higher-than-normal blood sugar levels. Cold weather can also increase blood pressure, resulting in the increased potential for heart attacks.

GENERAL GUIDELINES

  • Dress in layers and cover your head and hands.
  • Keep extra gloves, hats and jackets available. This enables you to add layers or replace wet clothing.
  • Take frequent breaks in a warm, dry area to limit the effects of exposure to the cold.
  • Include a thermometer and chemical hot packs in your first aid kit.
  • If someone shows signs of cold-related stress or injuries, get them to warmth immediately.

Download a printable PDF and recording form here.

Members can download the audio version of this toolbox talk here.

WORKING IN COLD WEATHER

Working in the cold winter weather can be like working in the extreme heat:

  • You must be prepared for it.
  • You must be equipped for it.
  • You must get acclimated to it.

Employees who work in the cold weather during the winter months can be at risk of cold stress and injuries. It’s important to recognize cold weather hazards and potential for injury.

CONSIDER THE FOLLOWING WHEN WORKING OUTSIDE DURING THE WINTER MONTHS:

  • Workers taking certain medications, who are in poor physical condition or suffer from illnesses such as diabetes, hypertension or cardiovascular disease may be at increased risk during cold weather exposure.
  • Dress in layers that can be added and removed as you get warmer or colder. Sweating from too many layers can cause clothing to become wet. Overdressing can also restrict your movement and increase the potential of an accident.
  • Wear synthetic or cotton clothing next to the skin to wick away sweat.
  • Hands and head should always be covered to minimize heat loss.
  • Take frequent breaks in a warm, dry area to limit the effects of exposure to cold temperatures.

MEDICAL CONDITIONS RESULTING FROM PROLONGED EXPOSURE TO COLD TEMPERATURES:

  • Trench foot is caused from prolonged exposure to wet and cold conditions. Wet feet lose heat 25 times faster than dry feet. To prevent heat loss, the body constricts blood vessels to shut down circulation in the feet. Skin tissue begins to die due to lack of oxygen and nutrients.
  • Hypothermia is a severe condition when the body is unable to produce enough heat to counter the heat that it is losing. If your body loses heat more quickly than it can make it, your core temperature will fall. As it falls, the body shifts blood away from the skin to reduce the amount of heat that escapes.
  • Frostbite is characterized by reddened skin with gray and white patches, skin and limb numbness, firm skin and limbs and, in severe cases, blisters.

If employees show signs of cold-related stress or injuries, it’s important to get them warm and dry immediately.

Download a printable PDF and recording form here.

Members can download the audio version of this toolbox talk here.

Cold Weather Hazards

First published on 01/13/2016

Several potential hazards exist when winter temperatures fall below zero. This Toolbox Talk addresses three of them.

Frostbite is damage to skin and tissue caused by exposure to freezing temperatures. It can cause loss of feeling and color in affected areas. It can affect any part of the body; however, the nose, ears, cheeks, chin, fingers and toes are most likely to be affected. Frostbite can permanently damage body tissue and, in severe cases, can lead to amputation. The risk of frostbite is increased when individuals do not dress appropriately for the weather conditions.

Symptoms of frostbite include numbness; tingling or stinging; aching; and bluish, pail or waxy skin. If you think you are suffering from frostbite, get into a warm location as soon as possible. Unless absolutely necessary, do not walk on frostbitten feet. This increases the damage. Warm the affected area using body heat. For example, place a frostbitten hand under your arm. Do not rub or massage the affected area, because doing so can cause more damage to the skin. Do not use a heating pad, heat lamp, stove, fireplace or radiator for warming. Affected areas are numb and can easily burn.

Trench foot, also known as immersion foot, is caused from prolonged exposure to wet and cold conditions. It can occur at temperatures as high as 60 degrees Fahrenheit if the feet are constantly wet. Wet feet lose heat 25 times faster than dry feet. Therefore, to prevent heat loss, the body constricts blood vessels to shut down circulation in the feet. Skin tissue begins to die due to lack of oxygen and nutrients.

Symptoms of trench foot include reddening of the skin, numbness, leg cramps, swelling, tingling pain and bleeding under the skin. If you are suffering from trench foot, you should remove shoes/boots and wet socks, dry your feet and avoid walking, as this may cause tissue damage.

Chilblains are caused when the skin is repeatedly exposed to temperatures ranging from just above freezing to as high as 60 degrees Fahrenheit. The cold causes damage to the capillary beds (groups of small blood vessels) in the skin. This damage is permanent, and the redness and itching (typically on cheeks, ears, fingers and toes) will return with additional exposure.

Symptoms of chilblains include redness, itching, possible blistering, inflammation and possible ulceration in severe cases. If you have chilblains you should avoid scratching, slowly warm the skin, use corticosteroid creams to relieve itching and swelling and keep blisters and ulcers clean and covered.

Download the recording form here.

Be Prepared for Cold Weather

It’s getting colder, and winter is just around the corner. Now is the time to think about the extra safety precautions you need to take during the winter months, whether driving or working on the jobsite.

Check out these tips for driving in winter weather:

  • Give yourself extra time to drive to work.
  • Use extra caution on bridges and overpasses. Remember that they will freeze first.
  • Drive defensively. Watch out for drivers who may be driving too fast for road conditions, or who may have lost control of their vehicle.
  • Measure the low-temperature protection provided by the antifreeze in your vehicle to avoid frozen radiator and hoses.
  • Keep an ice scraper, shovel, jumper cables, a blanket and some sand, kitty litter or traction mats in your vehicle.
  • Check the tread on your tires. If it’s less than one-eighth of an inch, consider replacing the tires.
  • Check the air tanks on your truck, and make sure liquid isn’t building up. During winter months, air brake lines could freeze because the air tanks weren’t drained. Driving a truck under these conditions is very dangerous.

Dress for working in cold weather:

  • Wear layers of clothing. Many layers of thin garments trap heat better than a few thick ones. You can always remove a layer if you get warmer.
  • Wear a liner in your hard hat.
  • Wear headbands or hooded jackets to protect your ears.
  • Keep clothes clean and dry.
  • Wear water-resistant boots.
  • Wear windproof outer layers.
  • Wear cotton close to the body.
  • Wear gloves with liners, if possible.
  • Wear an extra pair of socks for added warmth.
  • Make sure your safety vest is clean and in good repair. As the days get shorter, early low-light conditions make it very difficult for passing drivers, equipment operators and other co-workers to see you.

When possible, consider taking additional precautions against cold weather:

  • Take breaks in warm areas.
  • Use approved warming devices. Be cautious of carbon monoxide buildup when you are indoors.
  • Use the buddy system, and check on each other regularly.
  • Be cautious of ice buildup on the jobsite. Slip and fall injuries can occur suddenly.
  • Schedule work to avoid being exposed to high-wind conditions.
  • Work with your back to the wind.

The best time to prepare for the cold is before you are exposed. Think ahead, and be prepared for changing conditions. Following these steps can lessen your chances of an accident or injury.

Download the recording form here.