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Hypothermia

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Unlike warmblooded animals that have a layer of hair or blubber to keep them warm, you need an extra layer of clothing to keep you warm when it's cold outside. Without that extra layer of clothing, more heat escapes from your body than your body can produce. If too much heat escapes, the result is hypothermia. Exposure to cold water and certain medical conditions also can cause hypothermia.

Hypothermia occurs when your body's control mechanisms fail to maintain a normal body temperature. Your normal core body temperature is usually right around 36.8 C. An internal body temperature of 36 C or lower signals hypothermia.

  • 34 - 36 C (mild hypothermia)
  • 30 - 33.9 C (moderate hypothermia)
  • < 30 C (severe hypothermia)

Signs and symptoms that may develop include gradual loss of mental and physical abilities. Severe hypothermia can lead to death. Hypothermia isn't a serious risk. Those at greatest risk are older adults, children, people who are mentally ill or have Alzheimer's disease and lose their judgment about when to seek shelter, and people who are intoxicated, homeless or caught in cold weather because their vehicle has broken down.

Wearing protective clothing and taking other precautions can ensure that your body temperature doesn't drop to deadly levels. Paying attention to what may be early signs and symptoms of hypothermia also is important.

Treatment 

Seek immediate medical attention for anyone who appears to be suffering from hypothermia. Until medical help is available, follow these guidelines for caring for someone with hypothermia.

What to do

  • Protect against heat loss and wind chill Insulate the person's body from the cold ground. Lay the person face up on a blanket or other warm surface (use blankets and insulating equipments).

  • Move the person out of the cold. Preventing additional heat loss is crucial. If you're unable to move the person out of the cold, shield the person from the cold and wind as best as you can.

  • Remove wet garments. If the person is wearing wet garments, remove it and replace it with a dry covering. Cover the person's head. Try not to move the person too much. Cut away clothing if you need to.

  • Monitor breathing. A person with severe hypothermia may appear unconscious, with no apparent signs of a pulse or breathing. If the person's breathing has stopped or appears dangerously low or shallow, begin cardiopulmonary resuscitation (CPR) immediately if you're trained.

  • Share body heat. To warm the person's body, remove your clothing and lie next to the person skin-to-skin. Then cover both bodies with a blanket.

  • Provide warm beverages. If the affected person is alert and is able to swallow, have the person drink a warm, nonalcoholic beverage to help warm the body.

What not to do

  • Don't apply direct heat. Don't use hot water, a heating pad or a heating lamp to warm the victim. Instead, apply warm compresses to the neck, chest wall and groin. Don't attempt to warm the arms and legs. Heat applied to the arms and legs forces cold blood back toward the heart, lungs and brain causing the core body temperature to drop. This can be fatal.

  • Don't massage or rub the person. Handle people with hypothermia gently because they're at risk of cardiac arrest.

  • Don't provide alcohol beverages. Alcohol lowers the body's ability to retain heat.

What a doctor may do

A doctor will be able to take steps to warm the body from the inside out, if necessary. One method may involve giving the person warm fluids intravenously. In severe cases of hypothermia, hemodialysis may restore normal body temperatures quickly. Hemodialysis is a medical procedure that removes extra fluid, chemicals and wastes from the blood by filtering the blood through an artificial kidney. It's often used in people with kidney failure. In a hypothermia situation, the blood is removed purely to warm it rapidly outside the body and then have it returned to the body.

Hypothermia > 1 > 2 > 3 > 4

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This information is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition.
In no event will The DrEddyClinic.com be liable for any decision made or action taken in reliance upon the information provided through this web site.

 


 



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Last Modified : 03/15/08 01:07 AM