HYPOTHERMIA
CAUTION
IS IT AN EMERGENCY?
RECOMMENDED MODULES FOR TREATMENT
INJURIES
WOUNDS
ESSENTIALS
WHAT TO DO FIRST
CHECK FOR THE FOLLOWING SIGNS
As hypothermia develops, there may be:
- Shivering, and cold, pale, dry skin
- Apathy, disorientation, or irrational behavior
- Lethargy or impaired consciousness
- Slow and shallow breathing
- Slow and weakening pulse. In extreme cases, the heart may stop
how to treat it
TREATMENT WHEN OUTDOORS
1. Take the casualty to a sheltered place as quickly as possible. Shield the casualty from the wind.
2. Remove and replace any wet clothing if possible; do not give him your clothes. Make sure his head is covered.
3. Protect the casualty from the ground. Lay him on a thick layer of dry insulating material, such as pine branches. Put him in a dry
sleeping bag and/or cover him with blankets or newspapers. Wrap him in a plastic or foil survival bag, if available. You can shelter and warm him with
your body.
4. Call 10111 or send for emergency help. Ideally, two people should go for help and stay together if you are in a remote area. It is important that you do not leave the casualty by himself; someone must remain with him
at all times. To help rewarm a casualty who is conscious, give him warm drinks and high-energy foods such as chocolate, if available. Monitor and record the casualty’s vitalsigns—level of response, breathing, pulse, and temperature while waiting for help to arrive.
TREATMENT WHEN INDOORS
1. The casualty must be rewarmed quickly. Cover him with layers of blankets and warm the room to about 77°F (25°C).
2. Give the casualty a warm drink such as soup and/or high-energy foods such as chocolate to help rewarm him.
3. Seek medical advice. Be aware that in the elderly, hypothermia may also be disguising the symptoms of a stroke, a heart attack, an underactive thyroid gland (hypothyroidism), or a severe infection.
4. Monitor and record the casualty’s vital signs—level of response, breathing, pulse, and temperature —as he is rewarmed.
HYPOTHERMIA IN INFANTS
A baby’s mechanisms for regulating body temperature are underdeveloped,
so she may develop hypothermia in a cold room.
The baby’s skin may look healthy but feel cold, and she may be limp and unusually quiet, and refuse to feed.
Rewarm a cold baby by wrapping her in blankets and warming the room.
You should always seek medical advice if you suspect a baby has hypothermia.
CAUTION
- Do not give the casualty alcohol because it dilates superficial blood vessels and allows heat to escape, making hypothermia worse.
- Do not place any direct heat sources, such as hot-water bottles or fires, next to the casualty because these may cause burns.
- If the casualty loses consciousness and is not breathing, begin CPR with chest compressions
- Persist with CPR until emergency help arrives to assess the casualty’s condition.
- It is important that you stay warm yourself.