Hypothermia

by Richard Munn|Published 00-00-0000

 

Very simply, hypothermia is the condition where the body is losing heat faster than its "internal furnace" can regenerate it. This loss of body heat causes impaired motor skills and judgment, and if untreated can be fatal.

People tend to think of hypothermia as a winter problem.  We think of the unfortunate souls who get lost in the winter and "die of exposure."  Hypothermia is not, however only related to sub-zero temperatures. A cool, rainy day with a bit of wind during the warmer seasons can also bring about hypothermia.  It's important for all outdoor travellers to be able to recognize the condition and treat it appropriately.

We class hypothermia in two separate categories; mild and severe.

 

Mild Hypothermia

Caused by lack of sleep, lack of food (calories generate internal heat), wet clothing, cool temperatures, rain or mist

What Is It? A body core temperature between 90° F and 95° F

Symptoms are shivering and cold, tiredness, personality changes, irritability, sluggishness, poor coordination. lethargy

Treatment - Stop any further heat loss. Get the person out of the wind and rain and get the person into dry clothes. Get the "internal furnace" working again . Feed the person hot drinks and high-calorie foods. Try to get the person to move around to generate heat. Add external sources of heat. Do not just place the person in a sleeping bag, since that person is not generating enough heat to re-warm himself. Add warmth in the form of warm water in Nalgene bottles; or by putting the person between two warm bodies.

Severe Hypothermia

Causes - Severe heat loss from very cool temperatures or immersion in cold water

What Is It? - A body core temperature below 90° F

Symptoms - Shivering ends, pulse and respiration slow, coordination becomes very poor, speech becomes slurred and unconsciousness can result. Immediate treatment required to prevent fatality

Treatment - Stop any further heat loss - get the person out of the wind and rain.  Wrap the person in sleeping bags to help prevent any further loss.  No food or drink - vomiting can occur.  Add warmth in the form of warm water in Nalgene® bottles in the groin and armpits.  Handle the person very gently - when a person is in this condition, rough or aggressive movements can cause their heart to go into ventricular fibrillation.  Think about a plan to get the person to medical facilities as soon as possible

Important Things to Know

Mild Hypothermia can turn into Severe Hypothermia. Unless you add external sources of heat to replenish the missing internal heat source of a mildly hypothermic person, they will eventually slide into a state of severe hypothermia. Even mild hypothermia is a serious conditions thatrequires immediate treatment

The Best strategy for handling hypothermia is avoidance. If conditions are conducive to hypothermia (cool, windy, damp) it is a good idea to watch all group members carefully. A mildly hypothermic person may seem quiet or sullen when in fact they are losing dangerous levels of body heat. If weather conditions are bad, talk to people to check on their condition. Be sure everyone is dressed appropriately (wear layers of fleece or polypro, good rain suits - no cotton). Stop often to rest or to have a hot drink