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Irish Sea Kayaking Association

to protect their lungs in the following hours. There are two circumstances which may re-

violently, this time indicating that core body temperature is under threat. Shivering, ie rapid

duce ones chances of drowning; one is a

contractions of antagonistic muscles burns en-

primitive physiological reflex called the “Diving

ergy to create internal heat. (About 80% of all

response� and the second is an observed

energy we consume goes toward heat genera-

rapid cooling in very cold water which reduces brain metabolism and thus may improve sur-

tion rather than movement.) The intensity of shivering is diminished in people with a low

vivability. I wouldn't hang my hat on either of

blood sugar- such as those who have had a

those responses getting you out of trouble.

long day of paddling already completed. It may not even occur at all in such circumstances. A

Long Term Responses.

similar situation arises after alcohol consumption where the liver struggles to maintain sugar

Here we finally discuss hypothermia. Hope-

levels. Shivering may fail to occur and such

fully, the winter kayaker will have been suitably

persons may perceive less discomfort from the

attired- dry/ wet suited, head cover, pfd, hand

cold. When temperature of the body falls be-

and feet cover. In spite of the great capacity of cold water to extract heat from the warm body,

low 30 degrees, shivering will cease as muscles become spastic. The body withdraws into

hypothermia is unlikely to kill within thirty min-

a foetal like position. Skin colour is not a reli-

utes of immersion for a fit clothed head-out-of-

able indicator of hypothermia. While initially

water adult even in water as cold as 5 de-

pale, blood vessel muscles may paralyse then

grees. It is appropriate to acknowledge here that some of our knowledge of hypothermia

relax allowing highly oxygenated blood into the skin, causing a red-brick colour. As hypother-

derives from the notorious experiments carried

mia progresses cerebral activity diminishes.

out on Concentration Camp prisoners in Da-

Consciousness is lost around core tempera-

chau by the Nazis. Overtly, the hypothermia

ture of 30 degrees. Keeping the unconscious

victim is shivering and if conscious, speech is slurred. They tend to be uncoordinated, un-

victim's airway clear of water is obviously paramount. Below 28 degrees, the heart may

communicative and introverted and show a

spontaneously arrest. Arrest during thus stage

general slowing of physical and mental activity.

can result from rough handling so handle the

It can increase errors of judgement, reduced

victim with care. With respect to kayaking, the

perception, poor leadership and dropping vital equipment. In profound hypothermia, the pa-

presence or absence of shivering or discolouration of the skin should not be regarded as a

tient will be unconscious and unresponsive to

reliable indicator of hypothermia.

painful stimuli. Shivering is an unreliable sign. It can occur immediately on immersion due to

Body cooling during water immersion can oc-

various physiological responses and in that instance, does not indicate a lowered core

cur five times more quickly than it does in air of the same temperatures. In no circumstances

temperature. It will usually resolve as skin

are you better off in water than out of it so re-

temperature falls to match that of the water.

maining in or at least on the kayak even if up-

With continued immersion lasting around fif-

turned and draped across is better than re-

teen minutes, shivering resumes from intermittent initially to continuous, sometimes quite

maining in the water.

18!


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