The dictionary
definition of hypothermia is a condition of abnormally low body temperature.
Most men will say this explains why ladies have such cold feet. Women
will say that hypothermia could be the condition that makes all men's
hearts so cold.
But after last
weekend, I have found another definition for the word. Hypothermia is
going with a fourteen-year-old to the north Georgia mountains, and camping
in a tent during the first week of December.
On the car
trip up, my son and I talked about the normal stuff: hiking, camping,
mountain bears, and fishing. At the base of the mountain road we were
surprised to see one of the people that I work with and his girlfriend.
They were both equipped with over $2,000 worth of mountain bikes, helmets,
special bike shoes and backpacks. He said that he had a 25-mile course
already picked out and they would see us on the other side of the mountain.
We put the
truck in four-wheel drive and started for the camp site. There was still
an hour before sundown when we reached the site at the top of the mountain.
My job at this point was simple: set up the new tent. The boy's job was
to make and start the campfire. He said, "At aviation camp we learned
six ways to make a campfire."
One hour later
I was still trying to set up the tent, but at least we had a nice fire
to keep us warm. It was about this time that my friend came peddling by.
He said he was having a great time and only had ten more miles to go.
His girlfriend did not say anything as she peddled behind him. The look
on her face said she was going to find a new boyfriend that was not so
into mountain bikes.
With an exposure
to cold, the body tries to compensate by shivering, increasing the cardiac
output and increasing breathing. This will produce additional heat tying
to make up for the heat lost from the body surface due to the cold and
wind. Normal core temperature is about 98.6 degrees Fahrenheit so when
core temperature drops below 95 degrees, you will be in a hypothermic
state. Between 95 and 97 degrees is considered mild hypothermia.
During the
winter many outdoor activities will find us in this mild state. Shivering
is one way your body combats this heat loss and producing heat; vasoconstriction
is another. Vasoconstriction occurs throughout the entire body at the
same time. It's the body's way of shrinking the diameter of the blood
vessels in the fingers, toes, and on the surface of the skin to retain
heat. This keeps more of the blood near the major organs of the body,
which keeps them functioning correctly.
But by doing
so, fingers, toes, and the surface of the skin do not have enough blood
to keep them warm. This is a major drawback that many a snowball fighter
has had to contend with (cold fingers are but a small price to pay for
hitting your big brother in the back of the head with a giant slush ball).
With the sun
down, the tent up, and a blazing campfire going, the next thing was to
cook dinner. (A personal note: baked beans, sleeping bags, and a small
tent don't go together.) Before we turned in, the boy wanted to knowwhere
the bathroom was. I took him outside the tent and said, "Way over
there someplace." He said with a surprised look on his face, "Yeah,
right, Dad. There's nothing out there but a bunch of trees and woods.
Where is the real bathroom?"
On his way
back from the "bathroom" he stopped of at a tree near the camp.
"Dad, this sign says that we are in the middle of a wildlife area
and the rangers have been having trouble with the bears coming into camps.
We need to hang up our food at night and burn any paper wrappings. If
a bear comes into our camp we need to wave our arms, yell, scream, jump
up and down, and throw things to scare it away." I told him that
if a bear comes into camp tonight that he can be assured I will be doing
all of the above.
The next morning
we set off to fish the streams for mountain trout, and I was telling the
boy all along the way to be extremely careful while fishing off of the
banks. I said, "The water's very cold this time of year and you don't
want to slip and fall in." For two hours I asked him to be careful,
but he did not listen, and you guessed it: Dad fell in.
People with
hypothermia will generally exhibit shivering, "goose bumps",
stiffening muscles, un-coordination, disorientation and confusion (I have
felt this way before, during, and after many a test in college). Re-warming
of a person with severe hypothermia should not be tried unless travel
time to a medical facility is more than 20 minutes. Most patients who
die due to re-warming do so from ventricular fibrillation and need to
be in a hospital prior to this type of treatment.
What can be
done safely? Remove all wet clothing carefully and cover the patient keeping
them warm and protected from the cold. When uncontrolled shivering stops
and the patient shows signs of re-warming, only then give warm fluids
That night
there come up a bad cloud. The wind howled, the rain poured, but we were
warm and dry in our little tent. The boy woke up a couple of times to
sounds, he thought, of bears coming into the camp. Assuring him that it
was only the wind he went






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