Cold injuries

MEDICAL ASPECTS

HYGIENE

Although washing yourself may be impractical and uncomfortable in a cold environment, you must do so. Washing helps prevent skin rashes that can develop into more serious problems.

In some situations, you may be able to take a snow bath. Take a handful of snow and wash your body where sweat and moisture accumulate, such as under the arms and between the legs, and then wipe yourself dry. If possible, wash your feet daily and put on clean, dry socks. Change your underwear at least twice a week. If you are unable to wash your underwear, take it off, shake it, and let it air out for an hour or two.

If you are using a previously used shelter, check your body and clothing for lice each night. If your clothing has become infested, use insecticide powder if you have any. Otherwise, hang your clothes in the cold, then beat and brush them. This will help get rid of the lice, but not the eggs.

If you shave, try to do so before going to bed. This will give your skin a chance to recover before exposing it to the elements.

When you are healthy, your inner core temperature (torso temperature) remains almost constant at 37 degrees C (98.6 degrees F). Since your limbs and head have less protective body tissue than your torso, their temperatures vary and may not reach core temperature.

Your body has a control system that lets it react to temperature extremes to maintain a temperature balance. There are three main factors that affect this temperature balance--heat production, heat loss, and evaporation. The difference between the body's core temperature and the environment's temperature governs the heat production rate. Your body can get rid of heat better than it can produce it. Sweating helps to control the heat balance. Maximum sweating will get rid of heat about as fast as maximum exertion produces it.

Shivering causes the body to produce heat. It also causes fatigue that, in turn, leads to a drop in body temperature. Air movement around your body affects heat loss. It has been calculated that a naked man exposed to still air at or about 0 degrees C can maintain a heat balance if he shivers as hard as he can. However, he can't shiver forever.

It has also been calculated that a man at rest wearing the maximum arctic clothing in a cold environment can keep his internal heat balance during temperatures well below freezing. To withstand really cold conditions for any length of time, however, he will have to become active or shiver.

The best way to deal with injuries and sicknesses is to take measures to prevent them from happening in the first place. Treat any injury or sickness that occurs as soon as possible to prevent it from worsening.

The knowledge of signs and symptoms and the use of the buddy system are critical in maintaining health. Following are cold injuries that can occur.

Дата добавления: 2014-12-23