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Hypothermia

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All,

Its getting to that time of year again in Kz and we are starting to think about

winter. I have 2 questions for those of you on the list that have worked in

extreme cold.

1. Does anybody have a supplier / details for the " little dragon " warmed o2

delivery system?

and

2. What measures / precautions did you have in place in your locations in terms

of treatment of severe immersion hypothermia?

Looking forward to some useful info...

Best Wishes

Ian

__________________________________________

Ian Sharpe

International SOS Paramedic

AGIP Kco Marine Supply Base

Bautino, Republic of Kazakhstan

Tel: +31 70 313 3655 / 3690 (Clinic/ Accommodation)

Mobile + 882 16711 02805 (24 Hour)

--------------------------------------------------------------------------

Personal Mail to Ian@...

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Pete,

Yes please, either email or website would be useful but failing that a phone

number....

cheers

Ian

PS Feel free to post to the list it may also be of use to other members....

Re: Hypothermia

Ian I would suggest contacting marine and medical offshore of Hessel near

Hull If you require their full detail s please contact me offline.

Regards Reynolds

Hypothermia

> All,

>

> Its getting to that time of year again in Kz and we are starting to think

about winter. I have 2 questions for those of you on the list that have

worked in extreme cold.

>

> 1. Does anybody have a supplier / details for the " little dragon " warmed

o2 delivery system?

>

> and

>

> 2. What measures / precautions did you have in place in your locations in

terms of treatment of severe immersion hypothermia?

>

> Looking forward to some useful info...

>

> Best Wishes

>

> Ian

>

> __________________________________________

> Ian Sharpe

> International SOS Paramedic

> AGIP Kco Marine Supply Base

> Bautino, Republic of Kazakhstan

> Tel: +31 70 313 3655 / 3690 (Clinic/ Accommodation)

> Mobile + 882 16711 02805 (24 Hour)

> --------------------------------------------------------------------------

> Personal Mail to Ian@...

>

>

>

> Member Information:

>

> List owner: Ian Sharpe Owner@...

> Editor: Ross Boardman Editor@...

>

> Post message: egroups

> Subscribe: -subscribeegroups

> Unsubscribe: -unsubscribeegroups

>

> Thank you for supporting Remote Medics Online.

>

>

>

>

>

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Ian,

Sorry but the only Dragon hot gas system I know of is my furure mother

in law but if you supply me with a postal address I'll have her shipped over

:). Good luck.

Matt England

_________________________________________________________________

MSN Photos is the easiest way to share and print your photos:

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Ian I would suggest contacting marine and medical offshore of Hessel near

Hull If you require their full detail s please contact me offline.

Regards Reynolds

Hypothermia

> All,

>

> Its getting to that time of year again in Kz and we are starting to think

about winter. I have 2 questions for those of you on the list that have

worked in extreme cold.

>

> 1. Does anybody have a supplier / details for the " little dragon " warmed

o2 delivery system?

>

> and

>

> 2. What measures / precautions did you have in place in your locations in

terms of treatment of severe immersion hypothermia?

>

> Looking forward to some useful info...

>

> Best Wishes

>

> Ian

>

> __________________________________________

> Ian Sharpe

> International SOS Paramedic

> AGIP Kco Marine Supply Base

> Bautino, Republic of Kazakhstan

> Tel: +31 70 313 3655 / 3690 (Clinic/ Accommodation)

> Mobile + 882 16711 02805 (24 Hour)

> --------------------------------------------------------------------------

> Personal Mail to Ian@...

>

>

>

> Member Information:

>

> List owner: Ian Sharpe Owner@...

> Editor: Ross Boardman Editor@...

>

> Post message: egroups

> Subscribe: -subscribeegroups

> Unsubscribe: -unsubscribeegroups

>

> Thank you for supporting Remote Medics Online.

>

>

>

>

>

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  • 2 years later...

Hi Siv,

Na snakker de Norsk!! I do not speak Norwegian but hopefully the following

information will help. If you have a copy of the Ships Captains Medical Guide

ISBN 0-11-550684-5

21st edition page 200 covers this subject. Yo could also try typing in the

subject into Google or and I am sure you will find information on the web.

Also Ask the Cpatain if they have any training videos or books such as the first

one I mentioned. Good luck and hope you never need to use your skills in anger.

Best regards

Rod urwin

RGN., Offshore Medic, DMT.

Medic on the Maersk Giant MDU

sivstousland <Sivstousland@...> wrote:

Hypothermia!

I am a Norwegian nurse, working as a medic in a vessel in Norwegian

North Sea. Have a question about hypothermia. What kind of equipment

do you have for treating hypothermia? And what is necessary and

compulsory to have aboard??? Are there any regulations we have to

follow?

Siv

Norwegian:

Hei!

Jobber paa en baat i nordsjoen! Har et sporsmaal ang hypotermi. Hva

er reglementet om hvilke utstyr vi skal ha ombord? Tenker da

spesiellt paa Vaeskevarmere, kroppsvarmere og vet det finnes ogsa

inhalasjonsvarmere!

Noen som har formening ift dette?

Siv

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent to the

list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

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Siv,

It's a good question and an interesting one, because you would think that

medical science, after a hundred years of research, would have come up with

dead-on no-questions treatments and equipment for hypothermia, but the

reality is that it is still a bit controversial.

One good place to start is the article on eMedicine:

http://www.emedicine.com/emerg/topic279.htm

Interestingly, in Russia they swear by IV ethanol. It gives " energy " . I've

always wondered what the advantage was over IV Dextrose, but maybe it has

something to do with the medics cracking open the hypothermia box on a cold,

lonely Siberian night...

There are pieces of kit such as " bear huggers " (basically highly insulated

body bags) and Res-Q-Air (an air/oxygen warming device), but I am not up on

how much actual research has been done on these things. I'm inclined to

believe they are worth something, as the principals seems sound.

For severe hypothermia, core rewarming seems to be the standard, and there

are several blood/IV fluid warmers on the market (that heat the fluid to

specified temperature in the IV line, for centrally placed catheters), as

well as standard fluid warmers that keep your IV bags warm- always a good

idea, and usually quite cheap.

A low-reading rectal thermometer is a must.

A quick and dirty method of core rewarming/cooling is gastric lavage with a

NG tube. In severe cases chest drains (2) are used for core rewarming.

Drugs are a bit up in the air- previously bretylium was the drug of choice

for v-fib/v-tach, but it is no longer with us, and there is little evidence

on the effect of amiodarone or other antiarythmics (hopefully this will

change).

Don't forget- no ringers lactate. Cold livers don't like lactate.

Jim

hypothermia

Hypothermia!

I am a Norwegian nurse, working as a medic in a vessel in Norwegian

North Sea. Have a question about hypothermia. What kind of equipment

do you have for treating hypothermia? And what is necessary and

compulsory to have aboard??? Are there any regulations we have to

follow?

Siv

Norwegian:

Hei!

Jobber paa en baat i nordsjoen! Har et sporsmaal ang hypotermi. Hva

er reglementet om hvilke utstyr vi skal ha ombord? Tenker da

spesiellt paa Vaeskevarmere, kroppsvarmere og vet det finnes ogsa

inhalasjonsvarmere!

Noen som har formening ift dette?

Siv

Member Information:

List owner: Ian Sharpe Owner@...

Editor: Ross Boardman Editor@...

ALL list admin messages (subscriptions & unsubscriptions) should be sent to

the list owner.

Post message: egroups

Please visit our website http://www.remotemedics.co.uk

Regards

The Remote Medics Team

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  • 5 months later...
Guest guest

Hypothermia is not a subject I know much about, but following the recent

thread on the subject, I thought it might be worth postng a link to the

materials at

http://outside.away.com/outside/features/200212/200212_popsicle_splash.html

-- these pages feature a hypothermia researcher who experiments on himself.

The videos include what seems to be good advice on how to behave if you get

stuck in freezing water. I'd be interested if anyone with experience in

this area has any comments on the advice given.

Cheers,

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