Hypothermia: Symptoms, Prevention, and Treatment

 
HYPOTHERMIA
 
 
What is Hypothermia
 
Hypothermia is a lowering of the
body temperature in response to
cold
Mild Hypothermia
Core temperature of 95 F (35 C)
Moderate Hypothermia
Core Temperature of 86 F (32 C)
Severe Hypothermia
Core Temperature less than 82 F
(28 C)
 
 
Temperature is Difficult to Measure
in the Field
 
Core temperature is measured rectally
Do not expose patient unnecessarily to obtain a
temperature
Oral, ear, and skin thermometers are unsuitable for this
purpose – inaccurate.
Most conventional mercury thermometers do not register
abnormally low temperatures
For our purposes we will gauge severity by the
appearance of the patient
 
We Lose Heat By
 
Evaporation
Loss of heat by vaporizing liquid from the skin or clothing
Example:  sweating
Radiation
Transfer of heat in the form of electromagnetic energy between two objects
Example:  warming hands by a fire
Conduction
Direct transfer of heat from warmer to cooler object in direct contact
Sitting on a block of ice
Convection
Transfer of heat to or from a gas or liquid that is in motion
Example:  standing in front of a fan
 
To Prevent Heat Loss
 
Dress in Layers
 
Layering
 
Allows removal of a layer of clothing when body heats from exertion
Wicking layer next to skin
Avoid “Rotten Cotton” the fabric of death
Polypropylene doesn’t hold water vapor and keeps us drier
Insulating layer
Wool or fleece insulate when wet
Can wear multiple layers if needed
Wind and water resistant layer
Gortex or similar fabric breathes and allows passage of water
vapor
 
Wear a Hat and Gloves
 
Keep Your Feet Warm and Dry
 
Wear suitable footwear
for the conditions
Don’t let your feet get
wet
Wear dry socks, change
if they become wet
Have spare dry socks
 
People in Cold Climates
 
Have learned to thrive in
winter weather
Hypothermia more likely
After an accident
Stuck or stalled vehicle
If impaired by alcohol,
drugs or a medical
condition
 
 
In More Temperate Climates
 
Hypothermia is more likely the
result of misadventure
Becoming lost
Delayed by an injury
Poor planning
Inadequate preparation
Unexpected adverse
weather
Accidental immersion
Temperatures less than 50 F
 
 
Recognizing Hypothermia
 
Mental Status:
Normal mental status but “cold”:  
Not hypothermic
Able to care for themselves, but slow:  Mild hypothermia
Conscious but disoriented:  Moderate hypothermia
Not shivering and unconscious:  
Severe hypothermia
Shivering
Slowed vital signs
 
 
 
Vital Signs
 
Are difficult to obtain due clothing
Pulse is difficult to detect if the rescuer has cold
hands
Check pulse and respiration for one full minute
 
Treatment of Hypothermia
 
Protect the patient from further
exposure
Get them under shelter
Wind and water-resistant layer
Insulate them from the ground
Sleeping bag
Sleeping pad
 
 
Treatment of Moderate to Severe
Hypothermia
 
Keep them horizontal
Remove all wet clothing
Cut it off rather than
moving patient
 
Active External Rewarming
 
Use large heat packs on chest and
back
Smaller heat packs in armpits
DO NOT use chemical heat packs
due risk of burns
DO NOT put hypothermic patient in
shower or water bath
Cause cardiovascular collapse by
dilation of peripheral blood vessels
 
Active Rewarming
 
Only if patient able to
swallow
Warm food and liquids
High carbohydrate
content is preferred
 
 
Evacuation
 
Transport all hypothermic
patients on a litter
Handle VERY gently
Keep the patient
horizontal
Helps prevent
development of a lethal
heart rhythm:  ventricular
fibrillation
 
Hypothermia Prevention and
Management Kit
 
Developed by military
Commercially available
Compact and self-
contained
Generate heat by internal
heat packs
Integral wind and water
barrier
 
They Ain’t Dead ‘til They’re Warm
and Dead!
 
CPR and ventilation are
appropriate in cardiac arrest
It is safe to interrupt CPR for
transportation
One minute CPR
One minute of movement
Conventional ACLS
interventions; medications and
defibrillation are not indicated
until the patient is warmed
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Hypothermia is a condition where the body's temperature drops in response to cold. It can range from mild to severe, with potentially deadly consequences. Learn how to recognize and prevent hypothermia, including tips on measuring temperature in the field and preventing heat loss through proper clothing and gear.

  • Hypothermia
  • Cold weather
  • Prevention
  • Body temperature
  • Heat loss

Uploaded on Aug 03, 2024 | 0 Views


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  1. HYPOTHERMIA

  2. What is Hypothermia Hypothermia is a lowering of the body temperature in response to cold Mild Hypothermia Core temperature of 95 F (35 C) Moderate Hypothermia Core Temperature of 86 F (32 C) Severe Hypothermia Core Temperature less than 82 F (28 C)

  3. Temperature is Difficult to Measure in the Field Core temperature is measured rectally Do not expose patient unnecessarily to obtain a temperature Oral, ear, and skin thermometers are unsuitable for this purpose inaccurate. Most conventional mercury thermometers do not register abnormally low temperatures For our purposes we will gauge severity by the appearance of the patient

  4. We Lose Heat By Evaporation Loss of heat by vaporizing liquid from the skin or clothing Example: sweating Radiation Transfer of heat in the form of electromagnetic energy between two objects Example: warming hands by a fire Conduction Direct transfer of heat from warmer to cooler object in direct contact Sitting on a block of ice Convection Transfer of heat to or from a gas or liquid that is in motion Example: standing in front of a fan

  5. To Prevent Heat Loss

  6. Dress in Layers

  7. Layering Allows removal of a layer of clothing when body heats from exertion Wicking layer next to skin Avoid Rotten Cotton the fabric of death Polypropylene doesn t hold water vapor and keeps us drier Insulating layer Wool or fleece insulate when wet Can wear multiple layers if needed Wind and water resistant layer Gortex or similar fabric breathes and allows passage of water vapor

  8. Wear a Hat and Gloves

  9. Keep Your Feet Warm and Dry Wear suitable footwear for the conditions Don t let your feet get wet Wear dry socks, change if they become wet Have spare dry socks

  10. People in Cold Climates Have learned to thrive in winter weather Hypothermia more likely After an accident Stuck or stalled vehicle If impaired by alcohol, drugs or a medical condition

  11. In More Temperate Climates Hypothermia is more likely the result of misadventure Becoming lost Delayed by an injury Poor planning Inadequate preparation Unexpected adverse weather Accidental immersion Temperatures less than 50 F

  12. Recognizing Hypothermia Mental Status: Normal mental status but cold : Not hypothermic Able to care for themselves, but slow: Mild hypothermia Conscious but disoriented: Moderate hypothermia Not shivering and unconscious: Severe hypothermia Shivering Slowed vital signs

  13. Vital Signs Are difficult to obtain due clothing Pulse is difficult to detect if the rescuer has cold hands Check pulse and respiration for one full minute

  14. Treatment of Hypothermia Protect the patient from further exposure Get them under shelter Wind and water-resistant layer Insulate them from the ground Sleeping bag Sleeping pad

  15. Treatment of Moderate to Severe Hypothermia Keep them horizontal Remove all wet clothing Cut it off rather than moving patient

  16. Active External Rewarming Use large heat packs on chest and back Smaller heat packs in armpits DO NOT use chemical heat packs due risk of burns DO NOT put hypothermic patient in shower or water bath Cause cardiovascular collapse by dilation of peripheral blood vessels

  17. Active Rewarming Only if patient able to swallow Warm food and liquids High carbohydrate content is preferred

  18. Evacuation Transport all hypothermic patients on a litter Handle VERY gently Keep the patient horizontal Helps prevent development of a lethal heart rhythm: ventricular fibrillation

  19. Hypothermia Prevention and Management Kit Developed by military Commercially available Compact and self- contained Generate heat by internal heat packs Integral wind and water barrier

  20. They Aint Dead til Theyre Warm and Dead! CPR and ventilation are appropriate in cardiac arrest It is safe to interrupt CPR for transportation One minute CPR One minute of movement Conventional ACLS interventions; medications and defibrillation are not indicated until the patient is warmed

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