- Joined
- Aug 15, 2003
- Messages
- 494
Hi !
I am not surprised, as there is little relevant data about that. I, too, have been looking for such evidence, and found none, and that is precisely why I do not focus too much when teaching (as I'm a survival instructor) on hypothermia alone.
All the medical advices I did get concerning hypothermia were that a healthy person is able to maintain his/her core temperature quite stable (> 35°C) even in quite strong exposure (temperature/time) provided they :
- have enough calories / glycogen left to burn for shivering (which is limited in time)
- are generally healthy
- are not injured / hypovolemic / etc.
The problem is that this becomes an endurance race against the cold that can leave you exhausted and helpless. So conserving energy is important for the rest of the journey.
Besides, some injuries can play a great role in one's ability to keep his/her core temp stable. For example, a spinal injury can destroy one's ability to constrict small blood vessels, thus dissipating a lot of heat. In such a case, what could be the cause of death, the spinal injury (fall, rock fall) or the hypothermia ? As a rule of thumb, mountain medics here always suspect an hypothermic person of some serious trauma, because trauma is a HUGE incitator of hypothermia.
But back to the point : I think such classification of risks in a survival scenario is a lot too complex to be anything serious given the very restricted data sets we have access to, and the wide variety of contexts : activities, temperatures, etc etc.
The main reason why I keep up with the "rule of threes" in my teaching is that it is a great way for students to remember the main risks and be able to have an APPROXIMATE evaluation of their respective importance.
True.
I agree wholeheartedly.
I see survival as a global thingy. To me, self protection/RBSD and fighting techniques are a part of survival. First aid techniques are a part of survival. Prevention is a part of survival. Knowing how to tie a strap correctly to make a loop and knowing how big a tree you need for belaying are also a part of survival. Learning to swim and wearing a life jacket is a part of survival. Keeping your chloesterol low and being in good cardiovascular shape as well. And knowing how to start a fire under a pouring rain as well, etc. And being able to catch a fish, gut it and cook it with nothing but a knife and a lighter is a plus.
I cannot honestly stand in front of a group and tell them "this is not important". All I can ask is "we won't have time to cover everything you might need, so what do you need from me the most ?". Most of the time, knowing what kind of activities they do and where they play is much more useful in defining their real needs than some absolute credo about hypothermia as the #1 killer, or anything else for that matter. Two years ago I tought to a girl who went out around the polar circle with a pulka. I didn't tell her about cactus juice
That being said, hypothermia will rob you of your fine motor skills and, if you do get even just slightly hypothermic, you will lose precious IQ points that can push you to do something stupid like not self-belaying correctly or getting lost, wandering off trail and falling down something. I did some hypothermia tests last year. I managed to get my core temp as low as 34,9°C (which is just SLIGHTLY hypothermic) and trust me lighting a bic was out of the question, and problem solving had to be kept to a vegatal minimum. I could hardly figure out which way to put my stocking cap back on.
So things are not just as clear cut. Hypothermia will have an impact on prevention, and injuries will get you hypothermic faster, and so long. This is complex stuff and general rules are actually more mnemotechnics than anything else.
So... all in all, you're absolutely right to ask those questions. I hope my lengthy answer could justify "our" pedagogic choices a little.
Cheers,
David
I have challenged the believers in the traditional view (hypotherima uber alles) on this and other forums to product evidence supporting that view, and have received none.
I am not surprised, as there is little relevant data about that. I, too, have been looking for such evidence, and found none, and that is precisely why I do not focus too much when teaching (as I'm a survival instructor) on hypothermia alone.
All the medical advices I did get concerning hypothermia were that a healthy person is able to maintain his/her core temperature quite stable (> 35°C) even in quite strong exposure (temperature/time) provided they :
- have enough calories / glycogen left to burn for shivering (which is limited in time)
- are generally healthy
- are not injured / hypovolemic / etc.
The problem is that this becomes an endurance race against the cold that can leave you exhausted and helpless. So conserving energy is important for the rest of the journey.
Besides, some injuries can play a great role in one's ability to keep his/her core temp stable. For example, a spinal injury can destroy one's ability to constrict small blood vessels, thus dissipating a lot of heat. In such a case, what could be the cause of death, the spinal injury (fall, rock fall) or the hypothermia ? As a rule of thumb, mountain medics here always suspect an hypothermic person of some serious trauma, because trauma is a HUGE incitator of hypothermia.
But back to the point : I think such classification of risks in a survival scenario is a lot too complex to be anything serious given the very restricted data sets we have access to, and the wide variety of contexts : activities, temperatures, etc etc.
The main reason why I keep up with the "rule of threes" in my teaching is that it is a great way for students to remember the main risks and be able to have an APPROXIMATE evaluation of their respective importance.
I think your reformulation of the traditional view has to be true as regards the heart attack component of the three main causes of wilderness death; however, there seems little connection between health and the desire to "boulder" or "climb" or folks getting into trouble in the water when swimming/diving/hunting/rafting/etc.
True.
I am not arguing that we forget hypothermia or that it is an unimportant risk. I just argue that virtually ignoring what are statistically - far and away -the biggest causes of wilderness death makes stunningly little sense.
I agree wholeheartedly.
I see survival as a global thingy. To me, self protection/RBSD and fighting techniques are a part of survival. First aid techniques are a part of survival. Prevention is a part of survival. Knowing how to tie a strap correctly to make a loop and knowing how big a tree you need for belaying are also a part of survival. Learning to swim and wearing a life jacket is a part of survival. Keeping your chloesterol low and being in good cardiovascular shape as well. And knowing how to start a fire under a pouring rain as well, etc. And being able to catch a fish, gut it and cook it with nothing but a knife and a lighter is a plus.
I cannot honestly stand in front of a group and tell them "this is not important". All I can ask is "we won't have time to cover everything you might need, so what do you need from me the most ?". Most of the time, knowing what kind of activities they do and where they play is much more useful in defining their real needs than some absolute credo about hypothermia as the #1 killer, or anything else for that matter. Two years ago I tought to a girl who went out around the polar circle with a pulka. I didn't tell her about cactus juice
That being said, hypothermia will rob you of your fine motor skills and, if you do get even just slightly hypothermic, you will lose precious IQ points that can push you to do something stupid like not self-belaying correctly or getting lost, wandering off trail and falling down something. I did some hypothermia tests last year. I managed to get my core temp as low as 34,9°C (which is just SLIGHTLY hypothermic) and trust me lighting a bic was out of the question, and problem solving had to be kept to a vegatal minimum. I could hardly figure out which way to put my stocking cap back on.
So things are not just as clear cut. Hypothermia will have an impact on prevention, and injuries will get you hypothermic faster, and so long. This is complex stuff and general rules are actually more mnemotechnics than anything else.
So... all in all, you're absolutely right to ask those questions. I hope my lengthy answer could justify "our" pedagogic choices a little.
Cheers,
David