Older adults, infants, young children and people who are very lean are at particular risk. Other people at higher risk of hypothermia include those whose judgment may be impaired by mental illness or Alzheimer’s disease and people who are intoxicated, homeless or caught in cold weather because their vehicles have broken down. Other conditions that may predispose people to hypothermia are malnutrition, cardiovascular disease and an underactive thyroid (hypothyroidism).
To care for someone with hypothermia:
· Call for emergency medical assistance. While waiting for help to arrive, monitor the person’s breathing. If breathing stops or seems dangerously slow or shallow, begin cardiopulmonary resuscitation (CPR) immediately.
· Move the person out of the cold. If going indoors isn’t possible, protect the person from the wind, cover the head, and insulate the individual from the cold ground.
· Remove wet clothing. Replace wet things with a warm, dry covering.
· Don’t apply direct heat . Don’t use hot water, a heating pad or a heating lamp to warm the person. Instead, apply warm compresses to the center of the body — head, neck, chest and groin. Don’t attempt to warm the arms and legs. Heat applied to the arms and legs forces cold blood back toward the heart, lungs and brain, causing the core body temperature to drop. This can be fatal.
· Don’t give the person alcohol. Offer warm nonalcoholic drinks, unless the person is vomiting.
· Don’t massage or rub the person. Handle people with hypothermia gently because their skin may be frostbitten, and rubbing frostbitten tissue can cause severe damage.