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medical emergencies in confined spaces every employee involved in confined space operations must be aware of potential medical emergencies that might arise and the course of action to follow if they do [Music] let us discuss some common medical emergencies that may arise during work operations in a confined space heart attacks are one of the prime killers of workers on the job [Music] symptoms include chest pain weakness shortness of breath and nausea while the onset of these symptoms usually occurs quite rapidly any indication of chest pain should be treated seriously asphyxiation occurs when the body is deprived of oxygen the two most common causes of asphyxiation in confined spaces involve engulfment and entering an oxygen-deficient atmosphere without appropriate respiratory equipment symptoms of asphyxiation include a bluish tinge to the skin and unconsciousness [Music] if entrants inhale a toxic chemical they may suffer acute effects including shortness of breath or even asphyxia