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Proposed 2018 Special Edition of Runner's World

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adio, some high-protein food, water, and a basic first aid<br />

kit. Remember, this list isn't all-inclusive. Plan ahead.<br />

• Do not apply direct heat to extremities, which<br />

causes a further drop in core temperature.<br />

The acronym COLD can help you remember how to<br />

avoid hypothermia:<br />

• Cover - yourself and all exposed areas, including<br />

hands, face and neck<br />

• Overexertion - avoid activities that cause you to<br />

sweat which can make you damp and lose more heat<br />

• Layers - wear loose layers that trap air and<br />

insulate. Your outer layer should be tight-weave<br />

and water repellant<br />

• Dry - stay as dry as possible. Make sure that no<br />

snow can enter into your clothing and get you<br />

damp and wet<br />

HYPOTHERMIA<br />

Hypothermia is another risk from being out too<br />

long or stuck in your car on the side of the road. That’s<br />

why your emergency kit is so important. If possible,<br />

it’s recommended to not leave your vehicle to look for<br />

help, especially in isolated areas. Staying in the car even<br />

without the engine running does provide some shelter<br />

from the elements. You can tie a colored scarf to the car<br />

to signal you need help.<br />

The definition of hypothermia is a core temperature<br />

less than 95°F. Those at a greater risk for developing<br />

hypothermia are the elderly who have problems<br />

regulating their body temperatures, anyone on<br />

medications, such a beta blockers, sedatives and<br />

the “umbles" – stumbles,<br />

fumbles, mumbles and grumbles<br />

antipsychotic drugs or anyone drinking too much<br />

alcohol, infants and very young kids who lose body heat<br />

faster than adults and can’t tell you they are cold. People<br />

with medical conditions that also impair the body’s<br />

ability to regulate heat, such as Parkinson's, diabetes,<br />

stroke and hypothyroidism, are at risk too. Getting wet<br />

causes you to lose body heat faster through evaporation<br />

and conduction.<br />

The symptoms of hypothermia are sometimes referred<br />

to as the “umbles" – stumbles, fumbles, mumbles and<br />

grumbles – which correspond to loss of coordination,<br />

slurred speech, and eventual loss of consciousness with<br />

cardiac arrest.<br />

First aid for hypothermia:<br />

• Move the victim to a warm area and remove any<br />

wet clothing.<br />

• If they are awake and conscious, give them warm<br />

non-alcoholic beverages.<br />

• Start CPR if they have no pulse or are not<br />

breathing.<br />

FROSTBITE<br />

Frostbite can occur in an exposed area of your body<br />

within 5 minutes when the temperature is between 0°<br />

and -19° Fahrenheit. This is when your tissue literally<br />

freezes with ice crystals forming within the tissue around<br />

the cells. Initially the top layer freezes, the skin becomes<br />

whitish-gray; if treated early, good recovery is expected.<br />

However if you continue to be exposed to the<br />

elements and the tissue freezes all the way through, it<br />

causes permanent damage to muscles, nerves and blood<br />

vessels. This is known as third-degree or deep frostbite.<br />

It behaves and is treated similar to a full thickness,<br />

third-degree burn. The skin is blotchy, bluish-black with<br />

blisters. Often, gangrene sets in and the area demarcates<br />

as well as auto-amputates, but if infection develops in<br />

the area that part has to be amputated also.<br />

First aid treatment:<br />

• Get the victim out of the elements.<br />

• Remove any constricting wet clothing, especially<br />

around affected frostbitten area.<br />

• Elevate that area to reduce swelling.<br />

• Never rub or massage the area; it damages the<br />

tissue further. Never rub with ice or snow.<br />

• Never re-warm an affected frostbitten area. If<br />

there is a chance of re-freezing, it is better to leave<br />

the part frozen, since more damage occurs to the<br />

tissue if it thaws and then freezes again.<br />

26 RUNNER’S WORLD

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