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URLhttps://www.borderlandsfirstaid.co.uk/dont-get-left-out-in-the-cold-hypothermia-essentials/
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Meta TitleDon't Get Left Out in the Cold: Hypothermia Essentials - Borderlands First Aid
Meta DescriptionHypothermia: know the score. What is it, how to avoid and what to do this winter. Essential first aid skills for the outdoors.
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Grumble, Fumble, Mumble, Stumble, Tumble. If you or any of your party start showing any signs of the ‘umbles’ when hillwalking, hiking or just out and about in the cold, you need to act quickly to prevent hypothermia taking hold and becoming a life-threatening condition. The onset of hypothermia may start with the sufferer shivering and complaining of the cold (grumbles). They can still walk and talk and can get the shivering under control. Hypothermia restricts blood flow to the extremities such as fingers and feet and may show itself with numb hands and restriction of fine motor skills (fumbles). Hypothermic sufferers will look and feel cold. At mild stages of hypothermia you’ll probably see a pale, shivering casualty with reduced energy. If hypothermia progresses to the moderate stage, speech may become slurred and incoherent (mumbles). Sufferers will be unable to move normally or walk in a straight line and they may become confused and disorientated (stumbles and tumbles). Violent, uncontrollable shivering may also be a feature of this stage. Severe hypothermia ultimately results in the casualty becoming unresponsive with seriously reduced breathing and pulse rates, which can be mistaken for death if not assessed with great care. What to do for mild hypothermia Control the environment and insulate the sufferer from the ground using a roll mat, rucksack or other insulated foam equipment, and shelter them from wind and wet. Useful options for sheltering in the field include Blizzard blankets and survival bags. An essential in the outdoors is a group shelter , which enables you to get out of the worst of the elements and begin to rewarm.  Warm sweet drinks and high energy foods will help to rewarm from the casualty’s own metabolism.  Cover the head and replace any wet clothing with dry gear. Don’t forget to look after yourself and other group members too; if one person is developing hypothermia, they’re probably not the only one. If you’ve managed to stabilise a mildly hypothermic casualty in the field and you are not a great distance from a vehicle or building with better shelter, it may be possible to walk them out rather than remaining in the cold environment. Consider their vital signs (level of consciousness, breathing rate, pulse, skin colour), the ongoing weather conditions, distance to travel and how much food you have to maintain their energy levels. How to treat moderate hypothermia: The initial treatment is the same as for mild hypothermia; seeking shelter and providing food and warm drinks. If the casualty has deteriorated to the point where they appear far less alert however, there are risks associated with changing wet clothing for dry. In this instance, insulate them from the outside and call for help. Handwarmers or heat packs can be used, placed over a layer of clothing in the armpits or chest area, in order to help warm the core of the body whilst  awaiting help. Limit limb movement. Recognition and treatment of severe hypothermia Severe hypothermia becomes a life-compromising condition. Sufferers will be unable to walk, shivering stops and extreme confusion takes over. The casualty will become unresponsive as the condition develops and respiratory and pulse rates plummet. Pupils may be fixed and dilated, breathing and pulses are difficult to locate and sufferers will look and feel cold with a pale or blue tinge. Insulate and shelter the individual from the elements with gentle handling so as not to fibrillate the heart, keep airway open, monitor vital signs and get immediate medical help. If the casualty does not appear to be breathing, a thorough assessment is needed in order to confirm cardiac arrest. The guidelines to rescue services are to assess vital signs for up to 60 seconds before confirming cardiac arrest, due to the possibility of very faint, infrequent breathing and heartbeat. If this is not detectable, CPR must be maintained with only minimal interruptions, if necessary, in order to have a hope of success. CPR in severely hypothermic casualties has been successful in extreme cases, with survival recorded in people with core temperatures below 14 degrees. The old Mountain Rescue adage of “they’re not dead until they’re warm and dead” (rewarmed in hospital) is well worth remembering here. As ever, prevention is better than cure, so ensure you take the necessary kit to cope with a cold weather eventuality. The environment can take even the most seasoned adventurers and hill walkers by surprise, so make sure you know what to do and why in a crisis. Find out more and learn the skills to manage an emergency in the outdoors on a Borderlands First Aid course. https://www.borderlandsfirstaid.co.uk/ Select the right clothing for the conditions: Poorer quality waterproof and windproof shells increase the chances of a problem out on the hill.
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The onset of hypothermia may start with the sufferer shivering and complaining of the cold (grumbles). They can still walk and talk and can get the shivering under control. Hypothermia restricts blood flow to the extremities such as fingers and feet and may show itself with numb hands and restriction of fine motor skills (fumbles). Hypothermic sufferers will look and feel cold. At mild stages of hypothermia you’ll probably see a pale, shivering casualty with reduced energy. If hypothermia progresses to the moderate stage, speech may become slurred and incoherent (mumbles). Sufferers will be unable to move normally or walk in a straight line and they may become confused and disorientated (stumbles and tumbles). Violent, uncontrollable shivering may also be a feature of this stage. Severe hypothermia ultimately results in the casualty becoming unresponsive with seriously reduced breathing and pulse rates, which can be mistaken for death if not assessed with great care. **What to do for mild hypothermia** Control the environment and insulate the sufferer from the ground using a roll mat, rucksack or other insulated foam equipment, and shelter them from wind and wet. Useful options for sheltering in the field include [Blizzard blankets](https://www.borderlandsfirstaid.co.uk/product/blizzard-blanket/) and survival bags. An essential in the outdoors is a [group shelter](https://www.summitgear.co.uk/product-category/bothy-bags/), which enables you to get out of the worst of the elements and begin to rewarm. Warm sweet drinks and high energy foods will help to rewarm from the casualty’s own metabolism. Cover the head and replace any wet clothing with dry gear. Don’t forget to look after yourself and other group members too; if one person is developing hypothermia, they’re probably not the only one. If you’ve managed to stabilise a mildly hypothermic casualty in the field and you are not a great distance from a vehicle or building with better shelter, it may be possible to walk them out rather than remaining in the cold environment. Consider their vital signs (level of consciousness, breathing rate, pulse, skin colour), the ongoing weather conditions, distance to travel and how much food you have to maintain their energy levels. **How to treat moderate hypothermia:** The initial treatment is the same as for mild hypothermia; seeking shelter and providing food and warm drinks. If the casualty has deteriorated to the point where they appear far less alert however, there are risks associated with changing wet clothing for dry. In this instance, insulate them from the outside and call for help. Handwarmers or heat packs can be used, placed over a layer of clothing in the armpits or chest area, in order to help warm the core of the body whilst awaiting help. Limit limb movement. **Recognition and treatment of severe hypothermia** Severe hypothermia becomes a life-compromising condition. Sufferers will be unable to walk, shivering stops and extreme confusion takes over. The casualty will become unresponsive as the condition develops and respiratory and pulse rates plummet. Pupils may be fixed and dilated, breathing and pulses are difficult to locate and sufferers will look and feel cold with a pale or blue tinge. Insulate and shelter the individual from the elements with gentle handling so as not to fibrillate the heart, keep airway open, monitor vital signs and get immediate medical help. If the casualty does not appear to be breathing, a thorough assessment is needed in order to confirm cardiac arrest. The [guidelines to rescue services](https://www.mountain.rescue.org.uk/wp-content/uploads/2020/04/Issue66Autumn2018.pdf) are to assess vital signs for up to 60 seconds before confirming cardiac arrest, due to the possibility of very faint, infrequent breathing and heartbeat. If this is not detectable, CPR must be maintained with only minimal interruptions, if necessary, in order to have a hope of success. CPR in severely hypothermic casualties has been successful in extreme cases, with survival recorded in people with core temperatures below 14 degrees. The old Mountain Rescue adage of “they’re not dead until they’re warm and dead” (rewarmed in hospital) is well worth remembering here. As ever, prevention is better than cure, so ensure you take the necessary kit to cope with a cold weather eventuality. The environment can take even the most seasoned adventurers and hill walkers by surprise, so make sure you know what to do and why in a crisis. Find out more and learn the skills to manage an emergency in the outdoors on a Borderlands First Aid course. [https://www.borderlandsfirstaid.co.uk/](https://www.borderlandsfirstaid.co.uk/) ![](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAASwAAADhAQAAAABaB7UGAAAAAnRSTlMAAHaTzTgAAAAdSURBVGje7cEBAQAAAICQ/q/uCAoAAAAAAAAAABoiRwABa9w6IwAAAABJRU5ErkJggg==) ![](https://www.borderlandsfirstaid.co.uk/wp-content/uploads/2022/11/Picture1-1-300x225.jpg.pagespeed.ce.uXr7ddQTtg.jpg) Select the right clothing for the conditions: Poorer quality waterproof and windproof shells increase the chances of a problem out on the hill. ![](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAUAQAAAACl8iCgAAAAAnRSTlMAAHaTzTgAAAAMSURBVAjXY2CgLgAAAFAAASIT6HUAAAAASUVORK5CYII=) ![](https://www.borderlandsfirstaid.co.uk/wp-content/themes/borderlands-outdoor/assets/images/cats.svg) [Uncategorised](https://www.borderlandsfirstaid.co.uk/category/uncategorised/) [Call Us](tel:07580-135869) ### Get in Touch\! 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## **Grumble, Fumble, Mumble, Stumble, Tumble.** If you or any of your party start showing any signs of the ‘umbles’ when hillwalking, hiking or just out and about in the cold, you need to act quickly to prevent hypothermia taking hold and becoming a life-threatening condition. The onset of hypothermia may start with the sufferer shivering and complaining of the cold (grumbles). They can still walk and talk and can get the shivering under control. Hypothermia restricts blood flow to the extremities such as fingers and feet and may show itself with numb hands and restriction of fine motor skills (fumbles). Hypothermic sufferers will look and feel cold. At mild stages of hypothermia you’ll probably see a pale, shivering casualty with reduced energy. If hypothermia progresses to the moderate stage, speech may become slurred and incoherent (mumbles). Sufferers will be unable to move normally or walk in a straight line and they may become confused and disorientated (stumbles and tumbles). Violent, uncontrollable shivering may also be a feature of this stage. Severe hypothermia ultimately results in the casualty becoming unresponsive with seriously reduced breathing and pulse rates, which can be mistaken for death if not assessed with great care. **What to do for mild hypothermia** Control the environment and insulate the sufferer from the ground using a roll mat, rucksack or other insulated foam equipment, and shelter them from wind and wet. Useful options for sheltering in the field include [Blizzard blankets](https://www.borderlandsfirstaid.co.uk/product/blizzard-blanket/) and survival bags. An essential in the outdoors is a [group shelter](https://www.summitgear.co.uk/product-category/bothy-bags/), which enables you to get out of the worst of the elements and begin to rewarm. Warm sweet drinks and high energy foods will help to rewarm from the casualty’s own metabolism. Cover the head and replace any wet clothing with dry gear. Don’t forget to look after yourself and other group members too; if one person is developing hypothermia, they’re probably not the only one. If you’ve managed to stabilise a mildly hypothermic casualty in the field and you are not a great distance from a vehicle or building with better shelter, it may be possible to walk them out rather than remaining in the cold environment. Consider their vital signs (level of consciousness, breathing rate, pulse, skin colour), the ongoing weather conditions, distance to travel and how much food you have to maintain their energy levels. **How to treat moderate hypothermia:** The initial treatment is the same as for mild hypothermia; seeking shelter and providing food and warm drinks. If the casualty has deteriorated to the point where they appear far less alert however, there are risks associated with changing wet clothing for dry. In this instance, insulate them from the outside and call for help. Handwarmers or heat packs can be used, placed over a layer of clothing in the armpits or chest area, in order to help warm the core of the body whilst awaiting help. Limit limb movement. **Recognition and treatment of severe hypothermia** Severe hypothermia becomes a life-compromising condition. Sufferers will be unable to walk, shivering stops and extreme confusion takes over. The casualty will become unresponsive as the condition develops and respiratory and pulse rates plummet. Pupils may be fixed and dilated, breathing and pulses are difficult to locate and sufferers will look and feel cold with a pale or blue tinge. Insulate and shelter the individual from the elements with gentle handling so as not to fibrillate the heart, keep airway open, monitor vital signs and get immediate medical help. If the casualty does not appear to be breathing, a thorough assessment is needed in order to confirm cardiac arrest. The [guidelines to rescue services](https://www.mountain.rescue.org.uk/wp-content/uploads/2020/04/Issue66Autumn2018.pdf) are to assess vital signs for up to 60 seconds before confirming cardiac arrest, due to the possibility of very faint, infrequent breathing and heartbeat. If this is not detectable, CPR must be maintained with only minimal interruptions, if necessary, in order to have a hope of success. CPR in severely hypothermic casualties has been successful in extreme cases, with survival recorded in people with core temperatures below 14 degrees. The old Mountain Rescue adage of “they’re not dead until they’re warm and dead” (rewarmed in hospital) is well worth remembering here. As ever, prevention is better than cure, so ensure you take the necessary kit to cope with a cold weather eventuality. The environment can take even the most seasoned adventurers and hill walkers by surprise, so make sure you know what to do and why in a crisis. Find out more and learn the skills to manage an emergency in the outdoors on a Borderlands First Aid course. <https://www.borderlandsfirstaid.co.uk/> ![](https://www.borderlandsfirstaid.co.uk/wp-content/uploads/2022/11/Picture1-1-300x225.jpg.pagespeed.ce.uXr7ddQTtg.jpg) Select the right clothing for the conditions: Poorer quality waterproof and windproof shells increase the chances of a problem out on the hill.
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