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Op STAYSAFE 15 – HEAT INJURY

SEA RIDE: HMAS Darwin entering Albany harbour after taking five cadets on a trip from Perth.
Environmental heat hazards pose a significant threat and the onset of heat injury can be sudden and, in extreme cases, can kill.

An environmental heat hazard is created by the net effect of air temperature, airflow, humidity and radiant heat load. Typically such hazards are present in hot humid climates, poorly ventilated buildings, in proximity to plant and machinery, or in temperate climates during the summer months.

Heat injury is relevant to Defence, given the nature of our activity in a variety of climates and all personnel need to be vigilant. In the Naval environment there is considerable potential for exposure to heat hazards and all personnel need to understand the risks. Heat injury is preventable and recognition of hazards and the application of effective control measures is essential if injury is to be avoided.
The term Heat Injury refers to all injuries that result from exposure to an environmental heat hazard. Such injuries can range from minor conditions that are easily treated to severe injuries and even death. Typical heat injuries include:

Heat exhaustion caused by cardiovascular insufficiency. This condition results from the effect of blood being diverted to the skin for cooling during physical activity in a hot environment.

Dehydration results from the excessive loss of water from the body. It also involves the loss of important blood salts like potassium and sodium. Dehydration can impair the function of vital organs like the kidneys, brain, and heart.

Heat stroke is the most serious form of heat injury. It manifests as the body core temperature exceeds 41°C. Typical symptoms are confusion or aggressive behaviour and may progress quickly to unconsciousness. Heat stroke is a medical emergency.

We all have responsibility for the prevention and management of heat injuries. As individuals, we must take reasonable precautions to safeguard our own wellbeing. We must think on behalf of our shipmates and advise our supervisor if we believe there are factors that could increase the risk of heat injury or if we believe someone is already suffering from the onset of heat injury.
To reduce the risk of heat injury, the following factors should be considered:

• Rest regularly in a cool or shady environment, particularly if your work is strenuous. If you are wearing restrictive clothing (possibly some form of PPE), loosen this while resting;

• Drink plenty of water to ensure adequate hydration. Be aware that dehydration may not be recognised in the early stages and approximately 1.5 litres of fluid may be lost without experiencing a sense of thirst. Also be aware that drinks containing caffeine and alcohol increase the risk of dehydration. As a guide you should drink until you are no longer thirsty and then a little more.

• Acclimatise to your work environment. Acclimatisation allows the body to cope better with heat stress. It increases sweating and this enhances the evaporative cooling capacity of the body. Beware that increased sweating can lead to dehydration;

• Physical fitness. Physically fit individuals acclimatize more rapidly than the less fit.

• Learn to recognise some of the symptoms.

• Lastly, report sick if you are not feeling well or suspect heat injury.

Defence is working to improve its management of environmental heat hazards and the web link below will take you too the Defence Heat Stress Awareness learning module. This module will provide you with a basic understanding of heat stress, the symptoms, risk factors and the Defence Heat Injury policy.

http://ohsc.defence.gov.au/DSMA/Programs/HeatInjury/HeatStressElearning/index.htm


To aid Navy in monitoring its performance in managing environmental heat hazards all cases of heat injury must be reported by OHSIR and AC563.
If any unit or individual has any examples of best practice or any other concerns regarding the management of environmental heat hazards, they are encouraged to raise them through the command chain to DGNCSA either via signal (to DGNAVCERTSAFE) or email to navy.safety@defence.gov.au.

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