IBAN: IT36M0708677020000000008016 - BIC/SWIFT:
ICRAITRRU60 - VALERIO DI STEFANO or
Where There Is No Doctor 2011 409
Dangerously Low Body Temperature in Babies and
Sick Persons
Sometimes, especially in cool weather, a baby, sick child, or person who is very
old, ill, malnourished, or weak may lose so much body heat that their temperature
drops below normal. The signs mentioned on the previous page may develop, and
the person may die. Try to raise the body temperature by keeping the person warm
as described on page 408.
Frozen Skin (Frostbite)
In freezing weather, if a person is not dressed warmly enough, her hands, feet,
ears, and sometimes face may begin to freeze. Frostbite is very dangerous. If
completely frozen, the skin will die and later turn black (p. 213). The part may have
to be cut off (amputated).
Signs of frostbite:
• At first, numbness and often sharp pain in one part of the body.
• Then all feeling goes away as the part gets more frozen.
• The part gets pale in color and feels hard when touched.
Treatment of mild frostbite:
If the skin still feels soft
when touched, the person
Try to cover
ears and face.
probably has ‘mild frostbite’.
Wrap the part with dry cloth
and warm it against another
part of the person’s own
body or someone else’s.
Try to keep moving and get
out of the cold as fast as
possible.
Warm hands and feet against body.
Treatment of severe frostbite: CAUTION: Do not start treatment for severe frostbite
until you are in a place where the person’s whole body can be kept warm during and
after treatment. It is better to let a hand or foot stay frozen for several hours than to
let it get warm and then freeze again. When you get to a warm, protected place:
♦ Fill a large container with warm water (not hot) that feels comfortable when
you hold your hand in it.
♦ Soak the person’s frozen part in the water until it gets warm.
♦ If the water cools, add more warm water. But take out the person’s hand or
foot while you do this. Remember, she cannot feel how hot the water is and
you can easily burn her.
♦ As it gets warm, the frozen part will become very painful. Give aspirin or
codeine (p. 379 and 384).
♦ When it is no longer frozen, the person must stay warm and rest.
♦ Be very gentle with the part that was frozen. Treat as you would a severe
wound or burn (p. 96). Seek medical help. Sometimes dead parts of the body
must be removed through surgery.
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