Quick Answer
ALCOHOL DOES NOT HELP IN HYPOTHERMIA SITUATIONS. IN FACT, IT CAN MAKE THEM WORSE BY CAUSING DEEPENING HYPOTHERMIA AND INCREASING THE RISK OF DEATH. THIS IS DUE TO ITS DEPRESSIVE EFFECT ON THE BODY'S HEAT-PRODUCING MECHANISMS.
What to Avoid in Severe Hypothermia
In cases of severe hypothermia, consuming alcohol should be strictly avoided. Alcohol consumption can lead to a condition known as afterdrop, where the body temperature drops even further after rewarming has begun, often resulting in cardiac arrest. A 5% to 10% drop in body temperature is not uncommon, and it can be deadly if not properly managed.
Field Treatment and Recognition
Hypothermia can be tricky to recognize, especially in the early stages. Look for signs such as shivering, confusion, drowsiness, and poor coordination. If the person is unable to respond or is unconscious, it is an emergency situation that requires immediate attention. In the field, use the following guidelines to assess the severity of hypothermia:
- Mild: 32°C to 35°C (90°F to 95°F)
- Moderate: 28°C to 32°C (82°F to 90°F)
- Severe: Below 28°C (82°F)
Rewarming Techniques
Rewarming a hypothermic person requires a combination of passive and active techniques. Passive rewarming involves removing wet clothing, providing insulation, and using warm blankets. Active rewarming involves the use of warm water immersion (WFI), warm air, or radiant heat. However, be cautious when using WFI, as it can cause a rapid increase in body temperature, leading to afterdrop. Always monitor the person’s temperature closely and use a thermometer to track progress.
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