Total cooling

August 12, 2017 17:51 | First Aid

The resulting effects on the low ambient temperature general cooling may occur when the body temperature is reduced to 34 ° C and below.Cooling the body depends not only on the temperature level, but also on the duration of its effect, in connection with which there are several degrees of gravity of the overall cooling.

For mild or adynamic, is characterized by a decrease in body temperature from 30 to 32 ° C.In this case the victim consciousness is stored or blurred, skin pale or cyanotic, pulse rate drops to 60 beats per minute.Some of the affected blood pressure remains within their rules or moderately improved, breathing rhythm is preserved.The victims become drowsy, tired quickly, have a feeling of weakness, dizziness, headache.Their movement and speech is slow, they are inhibited and inactive.

Emergency assistance to the victims with a total cooling should be focused on the speedy recovery of the body warm and at normal temperature.For this purpose, the patient is placed in a water bath temperatu

re of 36 ° C and for 15-20 minutes the water temperature was raised to 38-40 "C, is maintained at a level of about 1.5 hours with constant control of the temperature of the body affected. Warms procedure should continueas long as rectal temperature rises to 35 "C.To enhance the effect of water treatments, the victim can hold a body massage using the soaped washcloth or sponge.Thereafter, it should be hot drinking water, to administer intravenously 40- 60 ml 40% glucose solution, warmed to 35-40 "C. Next posimptomnaya therapy performed: to accelerate warming and desensitization intravenously - 10% calcium chloride solution, forelimination of acidosis - a 5% solution of sodium bicarbonate, with hypotension intravenously - polyglucin solution; cardiovascular drugs, analgesics and antihistamines case of violation of the respiratory function should be performed artificial respiration with the development of cerebral edema and pulmonary shows corticosteroid hormones, osmotic diuretics...

after removing the patient from a state of hypothermia treatment should be aimed at the prevention of possible complications, which may include bronchitis, pneumonia, nephritis and so on.

Affected with a total cooling after warming is admitted to the hospital. The transportation is carried out on a stretcher in the prone position.