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Preventing hypothermia this winter and New Year’s Eve

Written by Dr. Daliah Wachs
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The holidays flew by us way too quickly and left the wind chill in its wake.

Unfortunately, with all the hustle and bustle this time of year, we tend to forget how dangerous the weather can be. It would make sense to stay indoors, and for the most part we do….except for New Years. All rules go out the door with this party. The most exciting night of the year can sometimes be the coldest night of the year. And the party ends up outside. And do we don a ski mask, goggles, gloves, galoshes, thermal underwear, winter coat and earmuffs? No. That would make the most unsexy New Year’s outfit.

Throw some alcohol into the mix and this can be a deadly combination. The CDC estimates that 1300 deaths occur each year due to hypothermia. So what is hypothermia?

What is hypothermia?

Hypothermia is a dangerous drop in body temperature and can occur in minutes. Human body temperature averages around 98.6 degrees F. But hypothermia starts setting in at 95 degrees F with shivering, increase respiratory and heart rate, and even confusion. We forget that glucose stores get used up quickly so hypoglycemia can ensue as well, making matters worse, especially in someone who is intoxicated. Frostbite can occur as blood flow decreases to the tips of the ears, fingers, nose and toes. As hypothermia progresses, the shivering and muscle contractions strengthen, skin and lips become pale, and confusion worsens. This can lead to severe hypothermia, eventually causing heart failure and/or respiratory failure, leading to a coma and if not reversed, death.

Hypothermia can mimic looking drunk

Someone who is hypothermic may slur their speech, stammer around and appear uncoordinated.  This sounds identical to your drunk buddy on New Year’s Eve. Unfortunately, this can be deadly as many hypothermic partiers get written off as being drunk.

So if you suspect hypothermia, call for medical assistance. Anyone you think is eliciting signs of hypothermia should be brought indoors, put in dry clothes, covered in warm blankets, and then wait for paramedics to arrive. It’s important to try to warm the central parts of the body such as head, neck, chest, and groin, but avoid direct electric blanket contact with the skin and active rubbing if the skin is showing signs of frostbite.

Why not use hot water to warm up a hypothermic individual?

Hot water will be too caustic and can cause burns. Remember, the body is shunting blood away from the ears, fingers, toes, hands and feet to warm the heart, brain and other vital organs. The skin will be in a vulnerable state during hypothermia and frostbite and will burn the under perfused skin.

Alcohol increases the risk of hypothermia

We’re outside in the cold, not bundling up, dancing, sweating, becoming dehydrated. Add alcohol to the mix, and its deadly. Here’s the scoop on alcohol toxicity.

Preventing hypothermia

When it comes to hypothermia, the best thing you can do is prevention. It’s the biggest party of the year so prepare yourself by doing the following:

  • Wear multiple layers of clothing.
  • Bring an extra pair of dry socks.
  • Avoid getting wet (i.e. falling off a boat, getting splashed with champagne)
  • Change your clothes if you worked up a sweat dancing.
  • Check with your medical provider if some of your medical conditions (i.e. hypothyroid) or medications (i.e. narcotics, and sedatives)  put you at risk for hypothermia.
  • Avoid alcohol intoxication.
  • Keep an eye on your more vulnerable buddies who include children, older individuals, and those with intellectual disabilities.

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, if expressed, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.