Occupational heat exposure.
Occupational heat exposure.
复制标题
DOI：
10.1080/104732299303070
复制
发表时间：
1999-03-01
期刊：
影响因子：
--
通讯作者：
Blais, L
中科院分区：
文献类型：
--
作者：
Adelakun, A;Schwartz, E;Blais, L
在一个炎热潮湿的下午，一名19岁的园林设计师被同事发现躺在割草机旁失去知觉。这是这个年轻人工作的第一天。急诊室和医院记录显示，该员工表现出中暑的典型体征和症状，包括体温极高（直肠108±华氏度）、少量出汗、无尿和无反应。尽管使用了冷却毯和冰静脉输液，他还是出现了癫痫发作，开始自发性出血，并需要呼吸支持。事件发生后36小时多一点，他经历了心室颤动并死亡。该案件由职业安全与健康管理局（OSHA）调查。事故发生当天的气象数据表明，该工人处于临界暴露状态（各种指数温度、湿度），但更重要的是，该工人没有适应环境，也没有水（至少该工人不知道去哪里取水）。检查的结果是向雇主发出了传票；雇主在一次非正式会议上解决了这个案子。
On a very hot and humid afternoon, a 19-year-old male, who was employed as a landscaper, was found unconscious, by a co-worker, lying next to his lawnmower. This had been the® rst day on the job for this young man. Emergency room and hospital records revealed that the employee displayed classic signs and symptoms of heat stroke including an extremely elevated body temperature (108±F rectal), minimal perspiration, anuria, and unresponsiveness. Despite the use of a cooling blanket and iced intravenous uids, he experienced seizures, began spontaneously bleeding, and required respiratory support. Little more than 36 hours after the incident, he experienced ventricular® brillation and died.The case was investigated by the Occupational Safety and Health Administration (OSHA). Meteorological data from the day of the incident indicated borderline exposure (various indexestemperature, humidity), but more importantly, the worker was not acclimatized nor was water available (at least the worker was not aware of where to get it). The inspection resulted in the issuance of citations to the employer; the employer settled the case at an informal conference.