Heat Casualty

Do you do hard labor outdoors that you drink a gallon+ of water per day?
The often quoted 8 glasses of water (64oz or 1/2gallon) is even in question these days. Also, that recommendation was to include all fluids; including things like soup and coffee.

I'm no doctor but maybe that you drink so much water on a normal day; you might have depleted the electrolytes in you system prior to starting your hike.

http://www.scienceagogo.com/news/20020711213420data_trunc_sys.shtml

Another error might have been if you were wearing cotton clothes - did you?

When I worked in the middle east we drank up to 4-5 gallons a day so keep in mind he is in the Florida heat and his body was telling him to drink. The body does need electrolites when drinking large amounts.

8 glasses of water per day is a BS guidline for office workers on a diet, it means nothing.

Skam
 
Wow. Glad you made it. Lucky the cell phone worked. As others have said, a great reminder of how quickly things can do downhill in a wilderness setting.

My hikes are extremely tame in comparison. I also never travel alone.
 
I always try to watch my pee. I try to keep it Budweiser colored and consider myself overhydrated if it is clear.

3510628962884727.JPG
 
Do you do hard labor outdoors that you drink a gallon+ of water per day?
The often quoted 8 glasses of water (64oz or 1/2gallon) is even in question these days. Also, that recommendation was to include all fluids; including things like soup and coffee.

I'm no doctor but maybe that you drink so much water on a normal day; you might have depleted the electrolytes in you system prior to starting your hike.

http://www.scienceagogo.com/news/20020711213420data_trunc_sys.shtml

Another error might have been if you were wearing cotton clothes - did you?

I'm an IT guy, so no, I don't do much manual labor. I just drink a lot of water all day. I guess it's a habit I formed in the Army. I don't drink anything else, just water. Today, so far, I've refilled my 32oz water cup 7 times. I feel better when I drink a ton of water. I agree that it probably flushes electrolytes out, so I take an Emergen-C mix packet in the morning and possibly at the end of the day. It depends on how I feel.

Here's what I usually wear hiking:

Under Armor compression shorts
Dry-fit T-shirt
Under Armor long-sleeve loose fitting T-shirt
Rip-Stop BDU pants (I have a pair of expensive, magical North Face pants, and they suck)
SmartWool PHD socks
Vasque Switchback boots
Kravat, dampened, tied around my neck
Boonie Hat, or Real Deal Brazil Hat

Someone mentioned that the Real Deal Brazil hat looked hot. It's not, or at least, I don't think it is. I think my DCU Boonie feels hotter than the RDB. Plus, it makes a good bucket to puke in.:barf:

Skammer, I also drank about 5 gallons per day while in the desert, both CONUS and OCONUS.
 
Here's my revised and edited version that will, hopefully, become a sticky.

Background Info on me and the location:

Me:
•31 years old
•5’5”
•145lbs
•Decent physical condition (I'm no PT stud anymore, but I run and exercise regularly)
•Non-smoker
•Good BP (This morning's test(09Sep09) 118/68)
•Healthy diet
•Heavy water drinker (1-2 gallons/day)
•A week prior to the day of the event, I was supplementing Emergen-C, a single packet, 3 times per day.
•The day before the event, I ate balanced meals, and dinner also consisted of pasta.​
Wardrobe:
•Under Armor compression shorts
•Dry-Fit short-sleeve T-shirt
•Rip-stop BDU pants
•Under Armor loose fitting long-sleeve T-shirt, white
•Smart Wool PHD socks
•Vasque Switchback Goretex boots
•Damp cravat tied around neck
•Real Deal Brazil fedora hat​
Gear:
•Deuter Futura 32 pack (~3.5lbs)
•3L internal bladder
•2 32oz Nalgene bottles
•4 pair of socks
•Mountain Hardware Conduit parka (it’s just a rain shell, no insulation)
•3 knives (SAK carried on person)
•Navigation/Emergency equipment (Compass, GPS, Map, Sharpie, Signal mirror carried on person):
•Compass
•Garmin Etrex
•Map
•Notepad
•Sharpie
•Signal mirror
•First-Aid kit
•Cell phone/Wallet/ID/etc​
•Food:
•2 bananas
•1 apple
•4 Zone bars
•Sunflower seeds
•6 Emergen-C packets and 2 Propel packets​
Location:
•Ocala National Forest, Marion County, FL. The FL Trail, starting at Juniper Springs, heading north to FR 10, east to the Sink Hole, back to FR 10, and back to Juniper Springs.
•Total round trip was 21.45 miles.
•Trail conditions; most of the forest is burned out and 1-2 year growth, several water crossings.
•Weather:
•~92-95°, with lots o' humidity.​

Here is the detailed account of my first personal experience with Heat Related Injury and becoming a Heat Casualty

My planned the night before route was not the entire 21.45 miles. Instead, the original route consisted of starting at Juniper Springs, heading north to the second creek, heading east to Juniper Creek, returning to the trail, heading north to Hidden Pond, and returning to Juniper Springs. The total mileage would have been 13 miles. The intended pace was 3-3.5mph, with 60 minute interval breaks of 10-15 minutes, where I would drink some of the Emergen-C/Propel mix and eat something. I did not stick to the preplanned schedule, and pushed the envelope a bit too far.

Notes:
•I am from the old and ridiculous school of Nietzsche…you know the one:
•“What doesn’t kill us makes us stronger.”
•“I assess the power of will by how much resistance, pain, and torture I can endure and know how to turn it to my advantage.”​
•My pace for the going trip, with the exception of the side excursions (x2) to search for Juniper Creek, was 3-3.5mph, as intended.
•I took the 10-15 minute breaks every 60 minutes as planned, ate some food, drank some Emergen-C/Propel mix, and drank some regular water.
•I am also sipping from the water bladder every couple of minutes.​

I make two attempts to find Juniper Creek. These little excursions are about an hour long each, and the terrain is tiring, climbing over logs, through dense brush, mud, etc.

I arrive at Hidden Pond, which is 6 miles into the hike. I am feeling good, and the sky is clear, so I decided to continue north for another hour, and then start the return trip. I hike for one more hour, and take a break. I look at the map, and see that FR 10 is a few miles ahead, so I decide to hike to FR 10, then turn around and start the return trip. So, I hike to FR 10 and take a small break. I see a sign for a Sinkhole, so I hike to the sinkhole. The Sinkhole excursion is a 1.75-hour trip. I also climb into the sinkhole and of course, have to climb out. I mention this because these little details lead up to my body quitting on me. At the Sink Hole, I pee for the second time today; it’s dark yellow. I know that I am dehydrated; but, I still have to get back. I return to the FR 10 sign, and begin my return trip, which is 10 miles. It’s 2:00pm, and I have to be back at Juniper Springs by 5:00pm. I quicken my pace to 5-6mph. This is fast for me; but, I can maintain it. Why? Because I will myself to. I have now run out of electrolyte mix and regular water. I also notice a blister has started to irritate my right foot. Now, typically, I would cut the blister and tape it up; but, I have to cross water several times and I don’t want to infect it, so I leave it alone. The 60-minute break interval has gone out the window. I need to get back. It is now 3:30pm and the fun begins.

Almost simultaneously, both calves lock in the foot pointed down position and continued to tighten beyond the point that my feet can no longer tilt downward. I fall over, and it hurts severely. I have a pretty high pain tolerance, and this hurts pretty bad. My pulse gets faster and faster, and I start to fade out; I feel fuzzy. I'm out of the 1.5 gallons of water and electrolyte mix and food I brought and still have 6 miles to get back to my vehicle. I roll over on my back, bend my legs slightly and try to massage my claves. I also try to control my breathing to relax my pulse for about 30 minutes; it doesn't work. My arms start tingling badly and start to curl up; my hands and fingers, also. By now, I’ve rolled slightly onto my side, and notice that my body is in the fetal position. That’s strange, I think to myself. I can move my hands about 6". I jerk and kick my body as hard as I can and knock my pack over. I shimmy up to it and miracle my cell out, turn it on, and I have signal! Nowhere on the trail is there cell signal. Why of all the times and places on the trail do I have signal? I'm almost totally incoherent, and can barely speak at this point. I’m thinking about the park personnel having to stay late and wondering why I’m not there. I call my Mom and ask her to call Juniper Springs and tell them that I'm not going to make the 5:00 closing deadline. At least, that's what I was trying to say. She calls 911. I call her back to tell here my coordinates, and they come out messed up because I can’t speak. I mean, really, I can’t put three words together that make any sense. I am now lying on my back again and throw up everything I've eaten all day all over myself, in my Real Deal Brazil hat (I'm not washing it either, which just adds to its character:))...everywhere. I continue to dry heave for about three more hours. It's the only thing that keeps me conscious, even though I can't form sentences or move.
911 calls me and has me call them back so they can get a fix on my cell, and I stay on the phone with 911 for 4 more hours or so. During this time, after about 2 hours, my legs and arms start to work again. I know that where I’m at on the trail can't be seen from the air or reached by vehicle. In coordination with the 911 dispatcher, I move on down the trail, cross the final creek, walk some more and collapse. Still, the Sheriff’s helicopter cannot find me. I move down the trail about a mile to a burned out clearing where I figure they could see me from the air, and this is where I remain until the Sheriff's helicopter finds me, which takes a long time. It took even longer for the Medics to walk to me, once they realized they couldn't land the helicopter or drive anything to me. By the time the Medics find me, I’ve been basically resting for 4-5 hours. My pulse has calmed down, my legs hurt badly, but I can move them. My arms and hands are working again. I’m still a little incoherent, and can't speak 100%, or think very well. The Medics check my blood pressure, while I take sips of water from a water bottle they provided. After about 30 minutes my blood pressure, although high, has moved into a safe zone, and we all walk out, at night, blazing our own trail through the woods like bulls in a china shop. The blazing the trail part I thought was stupid; I told the deputy I would stick to the trail because I know it, if it were me.

I've tried to recollect and write down an accurate description of my experience becoming a heat casualty. I've included some of my thinking throughout this adventure so that you can better understand why I did certain things. I've also described myself and my gear because those questions were asked earlier.

Hopefully, this will help others in the future.

 
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....I know the ag chemicals are nasty, but if it's heat stroking or drink, I drink.

I've used these iodine tablets and neutralizers many times, and though the water is discolored, the taste is fine. These pills are cheap, easy to carry, and are always in my bag for insurance.

To the poster who said water isn't enough -- I totally agree. A few years ago I was on a mission trip to Costa Rica, where we spent a week building a church. It was June, and temperatures were in the 90°+ range. Humidity was around 90%, and I sweated profusely. Despite drinking water every half hour (so much I started feeling sick), I only pee'd once during the day, and my urine was bright orange.

Next time I'm in those conditions I'll definitely have some Gatorade powder along, or maybe some High-C as was mentioned.:thumbup:
 
We do not have the heat like that in the Colorado mountains so thirst is not reminding you to hydrate and regulating yourself to take a drink is important- also the high altitude compounds the whole scenario. Glad to hear that it all ended well--what did strike me was that your cell saved the day, the wilderness area that we hunt for a week has no cell reception...we do have a minimum of the two of us and the way we communicate is by 2-way radio....this of course still presents a problem when the terrain blocks our radio frequency....Steve

Sounds like you could definitely benefit from a personal locator beacon.
 
Wow, great detail and thank you for filling in the questions. The gear list helps a lot as we all carry about the same things. I use my camelbak mule and stuff it with the goodies for day hikes and such. Being from Texas, we have almost identical weather and humidity (I live along the coast), and can see how easy it is for good things to go bad fast.
 
Glad you're okay! And your story is very well-written.

I agree with the posters who recommend a light-weight filter. Even if you're going to carry your own supply of water, a filter gives you somewhere to go when that runs out. Iodine is good, too, I guess if you want to go lightweight, but I'd go filter myself.

"Water, water everywhere, and all the boards did shrink. Water, water everywhere, and not a drop to drink."
 
I'm an IT guy, so no, I don't do much manual labor. I just drink a lot of water all day. I guess it's a habit I formed in the Army. I don't drink anything else, just water. Today, so far, I've refilled my 32oz water cup 7 times. I feel better when I drink a ton of water. I agree that it probably flushes electrolytes out, so I take an Emergen-C mix packet in the morning and possibly at the end of the day. It depends on how I feel.

Here's what I usually wear hiking:

Under Armor compression shorts
Dry-fit T-shirt
Under Armor long-sleeve loose fitting T-shirt
Rip-Stop BDU pants (I have a pair of expensive, magical North Face pants, and they suck)
SmartWool PHD socks
Vasque Switchback boots
Kravat, dampened, tied around my neck
Boonie Hat, or Real Deal Brazil Hat

Someone mentioned that the Real Deal Brazil hat looked hot. It's not, or at least, I don't think it is. I think my DCU Boonie feels hotter than the RDB. Plus, it makes a good bucket to puke in.:barf:

Skammer, I also drank about 5 gallons per day while in the desert, both CONUS and OCONUS.

Thanks for the reply. I think we all can learn from your experience. From reading your new summary I would say:

I think your drinking 1-2gallons of water when not hiking in an office environment might be a factor. (Again, I'm not a doctor but, I think one sign of diabetes is excessive thirst.)

The other thing might be your clothing - look into synthetics

Hat - hot
pants - 100% cotton
Two shirts

http://www.wendmag.com/greenery/200...hats-and-bags-made-from-recycled-cargo-tarps/

I think you hit on that you have to lighten up you pack.

I did some hiking yesterday in north Georgia yesterday and I was sweating heavily with a fanny pack, and synthetic clothing.
 
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Great write up!

MODERATORS? Would you discuss a "CONSEQUENCES" sticky...only accessible by you...as a set of precautionary tales for WSS readers?


Wulf? the line that struck me was "I know that I am dehydrated; but, I still have to get back." and then later "I quicken my pace to 5-6 mph."

jayzuz, Dude! Nietzsche notwithstanding, the body is a precise and unforgiving calculator.

Sounds like thought processes were fuzzy at that point.


Very glad you survived.

wacherass
 
I been dehydrated a few times. Learned to know how it feels before it gets bad.. I over heat easy as im always hot. Wet bandana around the neck goes a long way. Never had to do it but if it comes down to my life i would go Bear and pee on it then wrap it around my neck. If you are hiking and you see some shade stop for 10 -20 min let your body cool... take your hat off when you are stoping in the shade let your head cool off. Its not just the drinking but trying to stay cool. You would need less water if you can cool off your body before SHTF. Slow down dont walk faster. My worst case was when i lost over 9lb at the end of the day. Thats after drinking one gallon of water that i carried and another half gallon when i got to the car. At home i checked my weight and i were
9lb under what i started. Wulf you are ahead of the game as you know how it feels before you get there.

Sasha
 
Thanks for the reply. I think we all can learn from your experience. From reading your new summary I would say:

I think your drinking 1-2gallons of water when not hiking in an office environment might be a factor. (Again, I'm not a doctor but, I think one sign of diabetes is excessive thirst.)

The other thing might be your clothing - look into synthetics

Hat - hot
pants - 100% cotton
Two shirts

http://www.wendmag.com/greenery/200...hats-and-bags-made-from-recycled-cargo-tarps/

I think you hit on that you have to lighten up you pack.

I did some hiking yesterday in north Georgia yesterday and I was sweating heavily with a fanny pack, and synthetic clothing.

I agree that getting away from cotton is generally a good thing; but, I think you have to take into consideration what feels better to the individual. I'm a 2-shirt person, always. I feel better and cooler wearing 2 shirts. Also, all synthetic pants bother me. For me, I have not found a better pair of hiking pants than good old poly-rip-stop BDU's. Another person may find thin, tent-like nylon pants to be better for them, and yet another may find wool dress pants to be better for them. It's a personal preference, with some regard to choosing smart gear.

Drinking lots of water doesn't necessarily mean I am thirsty all the time. I'm never thirsty just sitting in front of a PC all day. I drink water because I like it, and feel better when I drink all day long. I have lab work done by the VA 3-4 times a year, and so far, I don't have diabetes. Like I said before, though, I do agree that I probably flush everything out of my system and probably need an electrolyte supplement.
 
I find nothing wrong with cotton when its realy hot in the desert. Long sleeve loose fitting shirt and pants go along way.
 
Wulf? the line that struck me was "I know that I am dehydrated; but, I still have to get back." and then later "I quicken my pace to 5-6 mph."

jayzuz, Dude! Nietzsche notwithstanding, the body is a precise and unforgiving calculator.

Sounds like thought processes were fuzzy at that point.

I wish I could blame that on thought processes being fuzzy. I can't. It's just me. I do or do not, can or cannot, will or will not. I made the decision to pick up the pace, and while everything hurt like hell, I would have continued all the way back if my weakling body would have held up.:D

Actually, the charlie-horses that immobilized me probably kept me from doing further damage. I sure my body was saying something like, "I'm in trouble, and he's not going to stop, so I'll fix that right now."
 
interesting thread....great info. thanks for starting it up wulf!

ive only had the first stages of dehydration....hand and forearm cramps....luckily the only times i got dehydrated were while working. i also keep 2 packets of emergen-c with me as kit....great stuff! also that GU! stuff that runners use.
 
Sounds like you could definitely benefit from a personal locator beacon.
Point well taken, I glad that this close tragedy was shared--a portion of our hunting license dollars goes to search and rescue and I have always marveled at how stupid and ill prepared some people are when hiking into the mountains-their lack of respect for nature gets them into all kinds of trouble--this has given me a sobering reminder that all of us need to think and be prepared for worse case scenarios . I will be researching your suggestion---Steve
 
I always try to watch my pee. I try to keep it Budweiser colored and consider myself overhydrated if it is clear.

3510628962884727.JPG

my pee hit #8:eek: on your chart this summer when I had heat exhaustion... not good, make sure you are peeing, if you're not going you need to drink more.
 
Actually, the charlie-horses that immobilized me probably kept me from doing further damage. I sure my body was saying something like, "I'm in trouble, and he's not going to stop, so I'll fix that right now."

Muscle cramping is not always due to dehydration. About half the time (people) it is muscle and personal fitness. Seen it many times when I get called out for a search. Well meaning weekend warriors go out and push themselves well beyond their fitness and by the time they cramp up its too late and have to hunker down.

Even myself I am no adventure racer but reasonably fit, on long drawn out searches in rough country I get cramping but am hydrated. Many of us carry SAR vitamins;) Advil and Robaxicet (muscle relaxant) has gotten me out of a jam more than once.

Hydration and energy calories is another issue one must keep on top of.

Skam
 
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