Burr It's getting cold out there

Burr.....It’s getting cold out there An overview of cold emergencies and the treatment of them David B. Aber, NREMT-P

Myths about cold emergencies ,[object Object],[object Object],[object Object],[object Object]

What we will cover ,[object Object],[object Object],[object Object],[object Object]

Hypothermia ,[object Object],[object Object]

Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

US Geography / US Weather / Delaware Weather / New Castle Jan Feb MarApr MayJun Jul Aug Sep Oct NovDec Avg. High 38° 41° 52° 62° 72° 81° 85° 84° 77° 66° 55° 44° Avg. Low 22° 24° 34° 41° 52° 61° 67° 65° 58° 45° 37° 27°

US Geography / US Weather / Delaware Weather / New Castle Jan Feb Mar Apr Nov Dec Avg. High 38° 41° 52° 62° 55° 44° Avg. Low 22° 24° 34° 41° 37° 27°

Stage 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Stage 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Stage 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Frostbite ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Frostbite ,[object Object],[object Object],[object Object]

Cold water submersion ,[object Object],[object Object],[object Object],[object Object],[object Object]

Lewes DE 32.5 (01/31/2010 23:48 UTC) JAN 37 FEB 36 MAR 41 APR 49 MAY 58 JUN 66 JULY 71 AUG 76 SEPT 73 OCT 65 NOV 58 DEC 44

In 1980, 16 shipwrecked Danish fishermen were hauled to safety after an hour and a half in the frigid North Sea. They then walked across the deck of the rescue ship, stepped below for a hot drink, and dropped dead, all 16 of them. - Peter Stark, Outside Magazine, 1997

Terminal Burrowing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Paradoxical Undressing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Trench Foot ,[object Object],[object Object],[object Object],[object Object],[object Object]

http://www.myfootshop.com/images/medical/derm/immersion_foot_marked.jpg http://www.myfootshop.com/images/medical/derm/immersion_foot_marked.jpg

Therapeutic Hypothermia ,[object Object],[object Object],[object Object],[object Object],[object Object]

EMS Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EMS Treatments ,[object Object],[object Object],[object Object],[object Object]

EMS Treatments Blanket Warmers

EMS Treatments Warmed Oxygen ,[object Object]

EMS Treatments Warmed Oxygen ,[object Object],Activation Time Temperature Oxygen Flow (liters) 0 minutes 20° F 0 liters 1 minute 74.6° F 8 liters 5 minutes 82.3° F 8 liters 10 minutes 88.1° F 8 liters

EMS Treatments Warmed IV Fluid

Secondary Illnesses ,[object Object],[object Object],[object Object],[object Object],[object Object]

Burr It's getting cold out there

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Burr It's getting cold out there