YALE- TULANE ESF-8 SPECIAL REPORT
Winter Storm Juno ndash New England
CURRENT SITUATION
MASSACHUSETES ndash RHODE ISLAND
MAINE
NEW HAMPSHIRE - MAINE
VERMONT ndash NEW HAMPSHIRE
CONNECTICUT
Blizzard Warning ndash New England
26 January 2015
NOAA Connecticut State Information From IWIN Maine State Information From IWIN Massachusetts State Information From IWIN New Hampshire State Information From IWIN Rhode Island State Information From IWIN Vermont State Information From IWIN NATIONAL WEATHER SERVICE National Weather Service Winter Weather Safety and Awareness National Weather Service Boston Massachusetts National Weather Service Burlington Vermont National Weather Service Gray Maine National Weather Service Caribou Maine WINTER STORM PREPAREDNESS ARC ndash Winter Storms American Academy of Pediatrics Winter Storm Tips Federal Emergency Management Agency Winter Storms and Extreme Cold
HEALTH CDC ndash Winter Weather Occupational Safety and Health Administration Tips to Protect Workers in Cold Environments Extreme Cold A Prevention Guide to Promote Your Personal Health and Safety
CONNECTICUT CT EMERGENCY MANAGEMENT amp HOMELAND SECURITY
FACEBOOK TWITTER CT DEPT OF PUBLIC HEALTH CT VOAD CT STATE MITIGATION PLAN - 2013 CT EMERGENCY OPERATION PLAN MAINE EMERGENCY MANAAGEMENT
FACEBOOK TWITTER PUBLIC HEALTH ME VOAD ME STATE MITIGATION PLAN ndash 2013 ME EMERGENCY OPERATION PLAN
MASSACHUSETTS EMERGENCY MANAGEMENT
FACEBOOK TWITTER MASS HEALTH AND HUMAN SVC MA VOAD MA STATE MITIGATION PLAN ndash 2013 MA EMERGENCY OPERATION PLAN
NEW HAMPSHIRE HS amp EMERGENCY MANAGEMENT
FACEBOOK TWITTER HEALTH AND HUMAN SERVICES READY NEW HAMPSHIRE NH VOAD NH STATE MITIGATION PLAN ndash 2013 NH EMERGENCY OPERATION PLAN
RHODE ISLAND EMERGENCY MANAGEMENT
FACEBOOK TWITTER RI DEPT OF HEALTH CENTER FOR PREPAREDNESS RI VOAD SERVE RI RI STATE MITIGATION PLAN ndash 2014 RI EMERGENCY OPERATION PLAN
VERMONT EMERGENCY MANAGEMENT
FACEBOOK TWITTER VERMONT ALERT PUBLIC HEALTH VT VOAD VT STATE MITIGATION PLAN ndash 2013 VT EMERGENCY OPERATION PLAN
SAFETY PRECAUTIONS
HEALTH RISKS
Weather Projections
Winter Storm Juno
Winter Storm Juno will transform from a clipper-type system which brought a few inches of snow to the Midwest Sunday into a major coastal storm late Monday into Tuesday as it intensifies rapidly just off the Atlantic coast The heaviest snowfall amounts from Juno are expected from far eastern Pennsylvania and New Jersey to New England Parts of eastern and southern New England including Boston Providence Rhode Island and Portland Maine have the potential to see 2 feet of snow Locally more than 2 feet of snow may fall particularly in eastern Massachusetts The snow will be accompanied by blizzard or near-blizzard conditions Snowfall rates of 2 to 4 inches per hour are not out of the question during the peak of the storm Monday night into Tuesday Thunder and lightning could also accompany the heavy snow
httpwwwweathercomstormswinternewswinter-storm-juno-blizzard-boston-nyc-new-england
Wind
Sustained winds will likely be 20 to 40 mph in a large area with gusts up to 55 mph Even higher winds are expected in eastern Massachusetts including Cape Cod Nantucket and Marthas Vineyard where gusts of 70+ mph are possible Hurricane force wind warnings are in effect for portions of the near shore waters around Cape Cod and the nearby islands Seas could exceed 25 feet and winds could gust over 80 mph over water making this an extremely dangerous storm for mariners Vessels should remain in port
Tuesday 12 am Forecast Tuesday 12 am wind and snow forecast Darker shades of blue correspond to heavier snow
Tuesday 6 am Forecast Tuesday 6 am wind and snow forecast Darker shades of blue correspond to heavier snow
Tuesday 12 pm Forecast Tuesday 12 pm wind and snow forecast Darker shades of blue correspond to heavier snow
Weather Channel ndash 26 JAN 2015
Coastal Flooding Threats
Winds will pile up water from the Atlantic Ocean and result in coastal flooding Storm surge flooding will generally be 2 to 4 feet from the Mid-Atlantic to New England with the highest values the farther north you go along the coast The worst flooding will be in the early morning hours before sunrise on Tuesday Major coastal flooding is possible in Massachusetts Chatham Revere Winthrop Beach Hull Scituate and Sandwich will see the biggest flood impacts A coastal flood warning is in place Moderate coastal flooding is expected along the Connecticut Maine New Hampshire and Rhode Island coasts Huge waves will likely lead to beach erosion and freezing spray from the crashing waves could lead to significant ice accumulations on buildings and other objects along the immediate shoreline in parts of New England These waves will also combine with the storm surge to worsen structural damage along exposed east-facing coastlines especially in Massachusetts
httpwwwweathercomstormswinternewswinter-storm-juno-blizzard-boston-nyc-new-england
Vermont ndash New Hampshire
bull The Vermont Emergency Operations Center will open at Partial Activation starting at noon today to monitor the storm and assist towns that may need resources Staff from other pertinent state agencies will be activated if needed
bull The National Weather Service has issued a Winter Storm Warning for Rutland Orange and all counties to the south for this afternoon and tonight There is also a Winter Weather Advisory for Addison Washington Caledonia and Essex counties Cold temperatures will also continue
Southern New Hampshire and Maine
Maine
httpswwwfacebookcomNWSCaribou
bull Blizzard warnings are now in effect from 4 am Tuesday through 4 am Wednesday for the Down East region Winter storm warnings are in effect for the remainder of the area from late tonightearly Tuesday morning though 1 pm Wednesday
bull A coastal flood warning and storm warnings are now in effect from late tonight through early Wednesday morning along the coast
bull The highest snowfall totals will be across Down East Maine where totals of 15 to 20 inches are expected with local amounts as high as 2 feet There will be significant blowing and drifting snow so it will likely be nearly impossible in many areas to measure the exact amount of snow that falls This will be a very high impact storm especially across Down East Maine The snowfall amounts will drop off to 8 to 14 inches across northern Maine from around Houlton north
bull The storm will gradually wind down during the day Wednesday with dry and seasonably cold weather for Wed night and Thursday Another storm may affect the region Friday with more snow
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Weather Projections
Winter Storm Juno
Winter Storm Juno will transform from a clipper-type system which brought a few inches of snow to the Midwest Sunday into a major coastal storm late Monday into Tuesday as it intensifies rapidly just off the Atlantic coast The heaviest snowfall amounts from Juno are expected from far eastern Pennsylvania and New Jersey to New England Parts of eastern and southern New England including Boston Providence Rhode Island and Portland Maine have the potential to see 2 feet of snow Locally more than 2 feet of snow may fall particularly in eastern Massachusetts The snow will be accompanied by blizzard or near-blizzard conditions Snowfall rates of 2 to 4 inches per hour are not out of the question during the peak of the storm Monday night into Tuesday Thunder and lightning could also accompany the heavy snow
httpwwwweathercomstormswinternewswinter-storm-juno-blizzard-boston-nyc-new-england
Wind
Sustained winds will likely be 20 to 40 mph in a large area with gusts up to 55 mph Even higher winds are expected in eastern Massachusetts including Cape Cod Nantucket and Marthas Vineyard where gusts of 70+ mph are possible Hurricane force wind warnings are in effect for portions of the near shore waters around Cape Cod and the nearby islands Seas could exceed 25 feet and winds could gust over 80 mph over water making this an extremely dangerous storm for mariners Vessels should remain in port
Tuesday 12 am Forecast Tuesday 12 am wind and snow forecast Darker shades of blue correspond to heavier snow
Tuesday 6 am Forecast Tuesday 6 am wind and snow forecast Darker shades of blue correspond to heavier snow
Tuesday 12 pm Forecast Tuesday 12 pm wind and snow forecast Darker shades of blue correspond to heavier snow
Weather Channel ndash 26 JAN 2015
Coastal Flooding Threats
Winds will pile up water from the Atlantic Ocean and result in coastal flooding Storm surge flooding will generally be 2 to 4 feet from the Mid-Atlantic to New England with the highest values the farther north you go along the coast The worst flooding will be in the early morning hours before sunrise on Tuesday Major coastal flooding is possible in Massachusetts Chatham Revere Winthrop Beach Hull Scituate and Sandwich will see the biggest flood impacts A coastal flood warning is in place Moderate coastal flooding is expected along the Connecticut Maine New Hampshire and Rhode Island coasts Huge waves will likely lead to beach erosion and freezing spray from the crashing waves could lead to significant ice accumulations on buildings and other objects along the immediate shoreline in parts of New England These waves will also combine with the storm surge to worsen structural damage along exposed east-facing coastlines especially in Massachusetts
httpwwwweathercomstormswinternewswinter-storm-juno-blizzard-boston-nyc-new-england
Vermont ndash New Hampshire
bull The Vermont Emergency Operations Center will open at Partial Activation starting at noon today to monitor the storm and assist towns that may need resources Staff from other pertinent state agencies will be activated if needed
bull The National Weather Service has issued a Winter Storm Warning for Rutland Orange and all counties to the south for this afternoon and tonight There is also a Winter Weather Advisory for Addison Washington Caledonia and Essex counties Cold temperatures will also continue
Southern New Hampshire and Maine
Maine
httpswwwfacebookcomNWSCaribou
bull Blizzard warnings are now in effect from 4 am Tuesday through 4 am Wednesday for the Down East region Winter storm warnings are in effect for the remainder of the area from late tonightearly Tuesday morning though 1 pm Wednesday
bull A coastal flood warning and storm warnings are now in effect from late tonight through early Wednesday morning along the coast
bull The highest snowfall totals will be across Down East Maine where totals of 15 to 20 inches are expected with local amounts as high as 2 feet There will be significant blowing and drifting snow so it will likely be nearly impossible in many areas to measure the exact amount of snow that falls This will be a very high impact storm especially across Down East Maine The snowfall amounts will drop off to 8 to 14 inches across northern Maine from around Houlton north
bull The storm will gradually wind down during the day Wednesday with dry and seasonably cold weather for Wed night and Thursday Another storm may affect the region Friday with more snow
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Winter Storm Juno
Winter Storm Juno will transform from a clipper-type system which brought a few inches of snow to the Midwest Sunday into a major coastal storm late Monday into Tuesday as it intensifies rapidly just off the Atlantic coast The heaviest snowfall amounts from Juno are expected from far eastern Pennsylvania and New Jersey to New England Parts of eastern and southern New England including Boston Providence Rhode Island and Portland Maine have the potential to see 2 feet of snow Locally more than 2 feet of snow may fall particularly in eastern Massachusetts The snow will be accompanied by blizzard or near-blizzard conditions Snowfall rates of 2 to 4 inches per hour are not out of the question during the peak of the storm Monday night into Tuesday Thunder and lightning could also accompany the heavy snow
httpwwwweathercomstormswinternewswinter-storm-juno-blizzard-boston-nyc-new-england
Wind
Sustained winds will likely be 20 to 40 mph in a large area with gusts up to 55 mph Even higher winds are expected in eastern Massachusetts including Cape Cod Nantucket and Marthas Vineyard where gusts of 70+ mph are possible Hurricane force wind warnings are in effect for portions of the near shore waters around Cape Cod and the nearby islands Seas could exceed 25 feet and winds could gust over 80 mph over water making this an extremely dangerous storm for mariners Vessels should remain in port
Tuesday 12 am Forecast Tuesday 12 am wind and snow forecast Darker shades of blue correspond to heavier snow
Tuesday 6 am Forecast Tuesday 6 am wind and snow forecast Darker shades of blue correspond to heavier snow
Tuesday 12 pm Forecast Tuesday 12 pm wind and snow forecast Darker shades of blue correspond to heavier snow
Weather Channel ndash 26 JAN 2015
Coastal Flooding Threats
Winds will pile up water from the Atlantic Ocean and result in coastal flooding Storm surge flooding will generally be 2 to 4 feet from the Mid-Atlantic to New England with the highest values the farther north you go along the coast The worst flooding will be in the early morning hours before sunrise on Tuesday Major coastal flooding is possible in Massachusetts Chatham Revere Winthrop Beach Hull Scituate and Sandwich will see the biggest flood impacts A coastal flood warning is in place Moderate coastal flooding is expected along the Connecticut Maine New Hampshire and Rhode Island coasts Huge waves will likely lead to beach erosion and freezing spray from the crashing waves could lead to significant ice accumulations on buildings and other objects along the immediate shoreline in parts of New England These waves will also combine with the storm surge to worsen structural damage along exposed east-facing coastlines especially in Massachusetts
httpwwwweathercomstormswinternewswinter-storm-juno-blizzard-boston-nyc-new-england
Vermont ndash New Hampshire
bull The Vermont Emergency Operations Center will open at Partial Activation starting at noon today to monitor the storm and assist towns that may need resources Staff from other pertinent state agencies will be activated if needed
bull The National Weather Service has issued a Winter Storm Warning for Rutland Orange and all counties to the south for this afternoon and tonight There is also a Winter Weather Advisory for Addison Washington Caledonia and Essex counties Cold temperatures will also continue
Southern New Hampshire and Maine
Maine
httpswwwfacebookcomNWSCaribou
bull Blizzard warnings are now in effect from 4 am Tuesday through 4 am Wednesday for the Down East region Winter storm warnings are in effect for the remainder of the area from late tonightearly Tuesday morning though 1 pm Wednesday
bull A coastal flood warning and storm warnings are now in effect from late tonight through early Wednesday morning along the coast
bull The highest snowfall totals will be across Down East Maine where totals of 15 to 20 inches are expected with local amounts as high as 2 feet There will be significant blowing and drifting snow so it will likely be nearly impossible in many areas to measure the exact amount of snow that falls This will be a very high impact storm especially across Down East Maine The snowfall amounts will drop off to 8 to 14 inches across northern Maine from around Houlton north
bull The storm will gradually wind down during the day Wednesday with dry and seasonably cold weather for Wed night and Thursday Another storm may affect the region Friday with more snow
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Wind
Sustained winds will likely be 20 to 40 mph in a large area with gusts up to 55 mph Even higher winds are expected in eastern Massachusetts including Cape Cod Nantucket and Marthas Vineyard where gusts of 70+ mph are possible Hurricane force wind warnings are in effect for portions of the near shore waters around Cape Cod and the nearby islands Seas could exceed 25 feet and winds could gust over 80 mph over water making this an extremely dangerous storm for mariners Vessels should remain in port
Tuesday 12 am Forecast Tuesday 12 am wind and snow forecast Darker shades of blue correspond to heavier snow
Tuesday 6 am Forecast Tuesday 6 am wind and snow forecast Darker shades of blue correspond to heavier snow
Tuesday 12 pm Forecast Tuesday 12 pm wind and snow forecast Darker shades of blue correspond to heavier snow
Weather Channel ndash 26 JAN 2015
Coastal Flooding Threats
Winds will pile up water from the Atlantic Ocean and result in coastal flooding Storm surge flooding will generally be 2 to 4 feet from the Mid-Atlantic to New England with the highest values the farther north you go along the coast The worst flooding will be in the early morning hours before sunrise on Tuesday Major coastal flooding is possible in Massachusetts Chatham Revere Winthrop Beach Hull Scituate and Sandwich will see the biggest flood impacts A coastal flood warning is in place Moderate coastal flooding is expected along the Connecticut Maine New Hampshire and Rhode Island coasts Huge waves will likely lead to beach erosion and freezing spray from the crashing waves could lead to significant ice accumulations on buildings and other objects along the immediate shoreline in parts of New England These waves will also combine with the storm surge to worsen structural damage along exposed east-facing coastlines especially in Massachusetts
httpwwwweathercomstormswinternewswinter-storm-juno-blizzard-boston-nyc-new-england
Vermont ndash New Hampshire
bull The Vermont Emergency Operations Center will open at Partial Activation starting at noon today to monitor the storm and assist towns that may need resources Staff from other pertinent state agencies will be activated if needed
bull The National Weather Service has issued a Winter Storm Warning for Rutland Orange and all counties to the south for this afternoon and tonight There is also a Winter Weather Advisory for Addison Washington Caledonia and Essex counties Cold temperatures will also continue
Southern New Hampshire and Maine
Maine
httpswwwfacebookcomNWSCaribou
bull Blizzard warnings are now in effect from 4 am Tuesday through 4 am Wednesday for the Down East region Winter storm warnings are in effect for the remainder of the area from late tonightearly Tuesday morning though 1 pm Wednesday
bull A coastal flood warning and storm warnings are now in effect from late tonight through early Wednesday morning along the coast
bull The highest snowfall totals will be across Down East Maine where totals of 15 to 20 inches are expected with local amounts as high as 2 feet There will be significant blowing and drifting snow so it will likely be nearly impossible in many areas to measure the exact amount of snow that falls This will be a very high impact storm especially across Down East Maine The snowfall amounts will drop off to 8 to 14 inches across northern Maine from around Houlton north
bull The storm will gradually wind down during the day Wednesday with dry and seasonably cold weather for Wed night and Thursday Another storm may affect the region Friday with more snow
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Coastal Flooding Threats
Winds will pile up water from the Atlantic Ocean and result in coastal flooding Storm surge flooding will generally be 2 to 4 feet from the Mid-Atlantic to New England with the highest values the farther north you go along the coast The worst flooding will be in the early morning hours before sunrise on Tuesday Major coastal flooding is possible in Massachusetts Chatham Revere Winthrop Beach Hull Scituate and Sandwich will see the biggest flood impacts A coastal flood warning is in place Moderate coastal flooding is expected along the Connecticut Maine New Hampshire and Rhode Island coasts Huge waves will likely lead to beach erosion and freezing spray from the crashing waves could lead to significant ice accumulations on buildings and other objects along the immediate shoreline in parts of New England These waves will also combine with the storm surge to worsen structural damage along exposed east-facing coastlines especially in Massachusetts
httpwwwweathercomstormswinternewswinter-storm-juno-blizzard-boston-nyc-new-england
Vermont ndash New Hampshire
bull The Vermont Emergency Operations Center will open at Partial Activation starting at noon today to monitor the storm and assist towns that may need resources Staff from other pertinent state agencies will be activated if needed
bull The National Weather Service has issued a Winter Storm Warning for Rutland Orange and all counties to the south for this afternoon and tonight There is also a Winter Weather Advisory for Addison Washington Caledonia and Essex counties Cold temperatures will also continue
Southern New Hampshire and Maine
Maine
httpswwwfacebookcomNWSCaribou
bull Blizzard warnings are now in effect from 4 am Tuesday through 4 am Wednesday for the Down East region Winter storm warnings are in effect for the remainder of the area from late tonightearly Tuesday morning though 1 pm Wednesday
bull A coastal flood warning and storm warnings are now in effect from late tonight through early Wednesday morning along the coast
bull The highest snowfall totals will be across Down East Maine where totals of 15 to 20 inches are expected with local amounts as high as 2 feet There will be significant blowing and drifting snow so it will likely be nearly impossible in many areas to measure the exact amount of snow that falls This will be a very high impact storm especially across Down East Maine The snowfall amounts will drop off to 8 to 14 inches across northern Maine from around Houlton north
bull The storm will gradually wind down during the day Wednesday with dry and seasonably cold weather for Wed night and Thursday Another storm may affect the region Friday with more snow
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Vermont ndash New Hampshire
bull The Vermont Emergency Operations Center will open at Partial Activation starting at noon today to monitor the storm and assist towns that may need resources Staff from other pertinent state agencies will be activated if needed
bull The National Weather Service has issued a Winter Storm Warning for Rutland Orange and all counties to the south for this afternoon and tonight There is also a Winter Weather Advisory for Addison Washington Caledonia and Essex counties Cold temperatures will also continue
Southern New Hampshire and Maine
Maine
httpswwwfacebookcomNWSCaribou
bull Blizzard warnings are now in effect from 4 am Tuesday through 4 am Wednesday for the Down East region Winter storm warnings are in effect for the remainder of the area from late tonightearly Tuesday morning though 1 pm Wednesday
bull A coastal flood warning and storm warnings are now in effect from late tonight through early Wednesday morning along the coast
bull The highest snowfall totals will be across Down East Maine where totals of 15 to 20 inches are expected with local amounts as high as 2 feet There will be significant blowing and drifting snow so it will likely be nearly impossible in many areas to measure the exact amount of snow that falls This will be a very high impact storm especially across Down East Maine The snowfall amounts will drop off to 8 to 14 inches across northern Maine from around Houlton north
bull The storm will gradually wind down during the day Wednesday with dry and seasonably cold weather for Wed night and Thursday Another storm may affect the region Friday with more snow
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Southern New Hampshire and Maine
Maine
httpswwwfacebookcomNWSCaribou
bull Blizzard warnings are now in effect from 4 am Tuesday through 4 am Wednesday for the Down East region Winter storm warnings are in effect for the remainder of the area from late tonightearly Tuesday morning though 1 pm Wednesday
bull A coastal flood warning and storm warnings are now in effect from late tonight through early Wednesday morning along the coast
bull The highest snowfall totals will be across Down East Maine where totals of 15 to 20 inches are expected with local amounts as high as 2 feet There will be significant blowing and drifting snow so it will likely be nearly impossible in many areas to measure the exact amount of snow that falls This will be a very high impact storm especially across Down East Maine The snowfall amounts will drop off to 8 to 14 inches across northern Maine from around Houlton north
bull The storm will gradually wind down during the day Wednesday with dry and seasonably cold weather for Wed night and Thursday Another storm may affect the region Friday with more snow
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Maine
httpswwwfacebookcomNWSCaribou
bull Blizzard warnings are now in effect from 4 am Tuesday through 4 am Wednesday for the Down East region Winter storm warnings are in effect for the remainder of the area from late tonightearly Tuesday morning though 1 pm Wednesday
bull A coastal flood warning and storm warnings are now in effect from late tonight through early Wednesday morning along the coast
bull The highest snowfall totals will be across Down East Maine where totals of 15 to 20 inches are expected with local amounts as high as 2 feet There will be significant blowing and drifting snow so it will likely be nearly impossible in many areas to measure the exact amount of snow that falls This will be a very high impact storm especially across Down East Maine The snowfall amounts will drop off to 8 to 14 inches across northern Maine from around Houlton north
bull The storm will gradually wind down during the day Wednesday with dry and seasonably cold weather for Wed night and Thursday Another storm may affect the region Friday with more snow
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Massachusetts and Rhode Island
httpswwwfacebookcomNWSBostonphotosa17831923892912242608122106561217057751632308264476type=1amptheater
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Connecticut
The storm has the potential to bring about 15 to 30 inches to areas of the state by Tuesday night into Wednesday morning
Blizzard warnings in effect for
bull Fairfield CT
bull Hartford CT
bull Litchfield CT
bull Middlesex CT
bull New Haven CT
bull New London CT
bull Tolland CT
bull Windham CT
Coastal Flood Watch
raquo Fairfield CT
raquo Middlesex CT
raquo New Haven CT
raquo New London CT
Gov Dannel Malloy will activate the State Emergency Operations Center in Hartford beginning at 4 pm on Monday
httpwwwnbcconnecticutcomnewslocalPossible-Coastal-Storm-Could-Bring-Noreaster-289682371html
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Safety Precautions
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Safety Preparations
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Hypothermia Exposure Frostbite Exertion Wind Shill Orthopedic injuries Heart Attack
Delays Inability to Evacuate Access to care prohibitive CO2 Poisoning Burns Chronic Disease Exasperation Sanitation Dehydration
Acute Respiratory Infections Dehydration Chronic Disease Exasperation Communicable Diseases
Winter Storm
Environmental
Infrastructure
Socio-Economic
Extreme Cold Temperatures
Ice
Structural damage
Loss of Transportation
Networks
Fire
Displacement
Loss of Shelter
Loss Utilities
Loss of Access To FoodWater
Government
Emergency Services Overwhelmed
Health Impacts From Winter Storm
Snow
Freezing Rain
High Winds
Services
Command and Control
Info - Communication
Coordination
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
SAFETY ndash COLD EXPOSURES INJURY CAUSE SYMPTOM PREVENTION
HYPOTHERMIA bull Hypothermia occurs when heat loss is greater than heat production This can occur suddenly such as during partial or total immersion in cold water or over hours or days such as during extended operations or survival situations
bull Hypothermia may occur at temperatures above freezing especially when a personrsquos skin or clothing is wet
bull Vigorous shivering is typically present Shivering may decrease or cease as core temperature continues to fall
bull Onset of hypothermia is typically associated with the so-called ldquoumblesrdquo the grumbles mumbles stumbles and fumbles that increase as cold affects muscle and nerve function
bull Symptoms of hypothermia consist of confusion sleepiness slurred speech shallow breathing weak pulse low blood pressure change in behavior andor poor control over body movementsslow reactions
The keys to preventing hypothermia are layering clothing and staying dry Remember the acronym COLD bull Keep It Clean bull Avoid Overheating bull Wear it Loose and in Layers bull Keep it Dry Layers can be removed as ambient tem
FROSTBITE bull Exposure to below freezing temperatures (lt32degF) causing freezing of skin fingers toes ears and facial parts
bull Exposure of skin to metal super cold fuel and POL (petroleum oil lubricants) wind chill and tight clothing particularly boots
bull Riding in open vehicles exposure to propellerrotor-generated wind running or skiing and altitude exposure where there is little tree cover can all contribute to greater windchill
bull Numbness in affected area bull Tingling blistered swollen or tender areas bull Pale yellowish waxy-looking skin (grayish in
dark-skinned soldiers) bull Frozen tissue that feels wooden to the touch bull Significant pain after rewarming
bull Monitoring air temperature and wind speed and using the windchill index is the only way to determine the relative risk of frostbite
bull Use contact gloves to handle all equipment never use bare hands
bull Use approved gloves to handle all fuel and POL (petroleum oil lubricants) products
bull Avoid cotton clothing which holds perspiration in cold-weather environments
bull Keep face and ears covered and dry bull Keep socks clean and dry bull Avoid tight socks and boots
CHILBLAIN
bull Continuous or repeated exposure of skin to coldwet weather conditions at temperatures below 50 degF for more than 1-5 hours
Chilblain lesions are swollen tender itchy and painful With re-warming the skin becomes swollen red (or darkening of the skin in dark-skinned soldiers) and hot to the touch An itching or burning sensation may continue for several hours after exposure Early diagnosis of chilblains becomes evident when symptoms do not resolve with re-warming
bull Use contact gloves to handle all equipment never use bare
hands bull Use approved gloves to handle all fuel and POL (petroleum
oil lubricants) products In extreme cold environments do not remove clothing immediately after heavy exertion (PT) wait until you are in a warmer location
bull Avoid cotton clothing which holds perspiration in cold-weather environments
IMMERSION FOOT (TRENCH FOOT)
bull Prolonged (gt12 hrs) exposure of tissue especially the feet to wet cold and conditions at 32degF to 60degF Inactivity and damp socks and boots (or tightly laced boots that impair circulation) speed onset and sever
bull Cold numb feet that may progress to hot with shooting pains
bull Swelling redness and bleeding may become pale and blue
bull Accompanied by aches increased pain sensitivity and infection
bull Keep feet clean and dry change wet or damp socks as soon as possible
bull Wipe dry the inside of Vapor Barrier boots dry at least once per day or more often as feet sweat
bull Dry leather boots by stuffing with paper towel
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms
Carbon Monoxide Poisoning After an Emergency
CARBON MONOXIDE (CO) IS AN ODORLESS COLORLESS GAS THAT CAN CAUSE SUDDEN ILLNESS AND DEATH IF INHALED When power outages occur during emergencies such as hurricanes or winter storms the use of alternative sources of fuel or electricity for heating cooling or cooking can cause CO to build up in a home garage or camper and to poison the people and animals inside
EVERY YEAR MORE THAN 400 PEOPLE DIE IN THE U S FROM ACCIDENTAL CO POISONING CO is found in combustion fumes such as those produced by small gasoline engines stoves generators lanterns and gas ranges or by burning charcoal and wood CO from these sources can build up in enclosed or partially enclosed spaces People and animals in these spaces can be poisoned and can die from breathing CO
HOW TO RECOGNIZE CO POISONING Exposure to CO can cause loss of consciousness and death The most common symptoms of CO poisoning are headache dizziness weakness nausea vomiting chest pain and confusion People who are sleeping or who have been drinking alcohol can die from CO poisoning before ever having symptoms