Wilderness Medicine Podcast #35: Walking Cold Patients
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Sep 24, 2024 In this insightful discussion, Dr. Mike Green, an expert in emergency medicine and mountain rescue, delves into the complexities of managing mildly hypothermic patients in wilderness settings. He highlights the surprising benefits of ambulating such patients during rescues, redefining traditional protocols. The conversation also covers the innovative use of CPAP masks for improving oxygenation at high altitudes and the vital role of medical directors in search and rescue operations, emphasizing effective communication and continuous education in wilderness practices.
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Ice Bath Immersion and Collapse
- During a hypothermia lab, a subject immersed in an ice bath for 15 minutes collapsed after walking to the rewarming hut.
- The subject's recovery was uneventful with proper rewarming.
Post-Cold Exposure Mobilization
- Current guidelines advise against walking or standing for 30 minutes after cold exposure, thermal protection, and calorie intake.
- This guideline aims to prevent after drop.
Snow Burial and Exercise
- Daryl participated in a hypothermia lab, including snow burial and exercise.
- He experienced redness, prickling skin, and slight uncoordination but did not collapse.