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Hypothermia also known as exposure is a serious loss of body heat.
It is defined as the state in which an individual has or is at risk of
having a sustained reduction of body temperature below 96°F. Though
we often associate hypothermia with severe colder temperatures this
condition can also occur in temperatures that are somewhat milder. Wet
or cooler conditions with temperatures in the low thirties or forties
can also cause hypothermia. Often times the most effective course of
treatment that we can initiate is simply to recognize the early
warning signs and to retreat into a warmer and dryer climate.
If allowed to run it's course, the heat loss can be so great that a
person may no longer be able to produce their own body heat in order
to stay warm. Behavioral changes can take place where the person is
incoherent and confused. When these behaviors are present the person
is at serious risk of life threatening conditions. One should seek
medical treatment as soon as possible.
Frostbite on the other hand is defined as local tissue (skin)
destruction resulting from exposure to extreme cold or contact with
extremely cold objects. In mild cases, it results in erythema
(inflammation) and slight pain: in severe cases it can be painless or
paresthetic (numbness or tingling) and result in blistering or
deep-seated destruction of the exposed tissue.
High winds creating a "wind chill" factor usually
increase the potential of frostbite but so can wet or damp clothing.
More often then not frostbite effects those areas of the body, usually
the extremities, including one's fingers, toes, ears, cheeks and nose.
As a general rule of thumb you will want to keep those areas covered
and warm on cold winter days.
Some of the early warning signs of frostbite include redness to the
exposed area. If allowed to run its course the condition will
progressively get worse including a tingling sensation or numbness to
the area. Removing yourself from these cold conditions is the first
thing you should do. Be careful as to not rub these areas very hard as
you may cause further damage to the exposed areas. Instead gently rub
these areas while warming up inside. Sometimes, immersion of these
areas in warm, not hot water can have a soothing effect. If the
pain continues for any lengthy period of time you should seek medical
attention.
The easiest way to avoid these conditions all together is to stay
indoors and become a hermit. Unfortunately life doesn't work that way
and there are still too many activities that require us to go out in
these dreaded conditions. If you must go out there are some simple
rules to follow that will prevent unnecessary mishaps from occurring
The first general rule of thumb is to dress appropriately for any
outdoor activities. As simple as this sounds you'd be amazed of how
many people become injured by not following this simple rule. Using
good common sense on how to dress when going out will make all of the
difference in the world. Remember, you should not only dress for what
you intend to be doing but also you should be prepared for the
unexpected. I often have to remind my teenage kids during the winter
not to go outside in only a lightweight jacket even if they think
they're just going for a car ride. Will that lightweight jacket be
sufficient in subfreezing temperatures should the car break down?
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