Elderly First Aid Handbook Book A

Page 76

Hypothermia Background

Hypothermia is defined as having a core body temperature below 35 °C (95 °F). It is most commonly caused by prolonged exposure to low temperature and inadequate clothing in cold weather. It can also be caused by impaired thermoregulation mechanism of the body.

Moderate Hypothermia (28-32°C /82.4-89.6°F) - Vigorous shivering - Cold, pale skin - Slurred speech Severe Hypothermia (<28°C /<82.4°F) - Shallow and slow breathing - Weak and slow pulse - Confusion - Shivering may stop - Unconsciousness

34 33 32 31 30 29 28 27 26

Severe

Symptoms and signs

Mild Hypothermia (33-35°C /91.4-95°F ) - Shivering - Hypertension - Fast pulse - Rapid breathing

35

Hypothermia

The risk factors for hypothermia in elderly include chronic illnesses (such as diabetes and hypothyroidism), reduced mobility (for example, due to stroke or Alzheimer’s disease), starvation, malnutrition, alcohol or drug abuse (such as sleeping pills, opioids).

36

Moderate

Every year there are 10-20 cases of severe hypothermia among the elderly in Hong Kong.

37

Mild

Elderly are vulnerable to hypothermia since they are more likely to suffer from chronic medical conditions and receiving medications that can change normal body responses to change of temperature. Hypothermia can develop in elderly after relatively short exposure to cold weather or even a small drop in temperature.

38 Normal

Extreme Temperature - Below Normal

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Elderly First Aid Handbook Book A by andrew tang - Issuu