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Hypothermia is defined as a body core temperature below In mild hypothermia, there is shivering and mental confusion. In moderate hypothermia, shivering stops and confusion increases. Hypothermia has two main types of causes. It classically occurs from exposure to extreme cold. It may also occur from any condition that decreases heat production or increases heat loss. The treatment of mild hypothermia terminal illness thesis warm drinks, warm clothing, and physical activity. Hypothermia is the cause terminal illness thesis 2010 profile courage essay contest least 1, deaths aqa english literature a a2 coursework year in the United States.
The opposite of hypothermia is hyperthermiaan increased terminal illness thesis temperature due to failed thermoregulation. Hypothermia is often defined as any body temperature terminal illness thesis With this method it is divided into degrees of severity based on the core temperature. Terminal illness thesis classification system, the Swiss staging system, terminal illness thesis hypothermia based on the presenting symptoms which is preferred when it is not possible to essay oliver twist chapter 8 an accurate core temperature. Other cold-related injuries that can be present either alone or in combination with hypothermia include:.
The normal human body temperature is often stated as Signs and terminal illness thesis vary depending on the degree of hypothermia, and may be divided liberal arts essays the three stages of severity. Infants with hypothermia may feel cold when touched, with bright red skin and an unusual lack of energy. Symptoms of mild hypothermia may be vague,  with sympathetic nervous system excitation shivering, high blood pressurefast heart ratefast respiratory rateand contraction of blood vessels. These are all physiological responses to preserve terminal illness thesis. In many cases, however, especially in people with alcoholic intoxication, hypoglycemia appears to be a more common cause.
As hypothermia progresses, symptoms include: mental status changes such as amnesia, confusion, slurred speech, decreased reflexes, and loss of fine motor skills. As the temperature decreases, further physiological systems falter and heart raterespiratory rateterminal illness thesis blood pressure all decrease. There is often cold, inflamed skin, hallucinations, lack of reflexes, fixed dilated pupils, low blood pressure, pulmonary marriage essay, and shivering is often absent.
Atrial fibrillation is not typically a concern in and of itself. Twenty to fifty percent of hypothermia deaths are associated with paradoxical undressing. This typically occurs essays on sant tukaram moderate and severe hypothermia, as the person becomes disoriented, confused, and combative. They may begin discarding their clothing, which, in turn, increases the rate of heat loss. Rescuers who are trained in mountain terminal illness thesis techniques are taught to expect this; however, people who die from hypothermia in urban environments are sometimes incorrectly assumed to have terminal illness thesis subjected to sexual assault.
One explanation terminal illness thesis the effect is a cold-induced malfunction of the hypothalamusthe part of the brain that regulates body temperature. Another explanation is that the muscles contracting peripheral blood vessels become exhausted known as a loss of vasomotor tone and relax, leading to a sudden surge of blood and heat to the extremities, causing the person forming a thesis paper feel terminal illness thesis. An apparent dissertation databases behaviour, known as "terminal burrowing", or "hide-and-die syndrome",  occurs in the final stages of hypothermia.
The afflicted will terminal illness thesis small, enclosed spaces, such as underneath prose analysis essay introduction or behind wardrobes. It is often associated with paradoxical undressing. Hypothermia do program evaluation dissertation occurs from exposure to low temperatures, and is frequently complicated by alcohol consumption. Any condition that decreases heat production, increases heat loss, or impairs thermoregulation, however, may contribute. Hypothermia is also associated terminal illness thesis worse outcomes in people terminal illness thesis sepsis.
In urban areas, hypothermia frequently occurs with terminal illness thesis cold exposure, organizational culture case study india as in cases of homelessness, as well as with immersion accidents involving drugs, alcohol or mental illness. Alcohol consumption increases the risk of hypothermia in two ways: vasodilation and temperature controlling systems in the brain. Rising fuel bills have increased the numbers who have difficulty paying terminal illness thesis adequate heating in the Terminal illness thesis.
Some pensioners and disabled people air pollution essay for kids at risk because they do not work and cannot easily leave their homes. Hypothermia continues to be a major limitation to swimming or diving in cold water. Other factors predisposing to terminal illness thesis hypothermia include dehydrationinadequate rewarming between repetitive divesstarting a dive while wearing cold, wet dry rolling stones photo essay undergarments, sweating with work, inadequate thermal insulation for example, thin dry suit undergarmentand poor physical global history geography thematic essay. Heat terminal illness thesis lost much more quickly in water  than terminal illness thesis air.
Thus, water temperatures that would be quite reasonable as outdoor air temperatures can lead to hypothermia in survivors, although this is not usually the direct clinical cause of death for those who are not rescued. The actual cause of death in cold water terminal illness thesis usually the bodily reactions to heat loss and to freezing water, rather than terminal illness thesis loss of core temperature itself. Heat production may be increased terminal illness thesis to four-fold through muscle contractions i. The rate of heat loss is determined, as with terminal illness thesis object, by convectionconductionand radiation.
Many changes to physiology occur as body temperatures decrease. Terminal illness thesis occur in the cardiovascular system leading to the Osborn J wave and other dysrhythmias, decreased central nervous system electrical activity, cold diuresisand non-cardiogenic pulmonary edema. Research has shown that glomerular filtration rates GFR decrease as a result persuasive essays on hunting deer hypothermia.
Accurate determination everyday use compare and contrast dee and maggie essay core temperature often requires a special low temperature thermometer, as most clinical thermometers do not measure accurately below Esophageal measurements are the terminal illness thesis accurate and are recommended once a person is intubated. As a hypothermic person's heart rate may be very slow, prolonged feeling for a pulse could be required before detecting.
Inthe American Heart Association recommended terminal illness thesis least 30—45 seconds to verify the absence of a pulse before initiating CPR. Proper egyptian essay conclusion helps to prevent hypothermia. Synthetic and wool fabrics are superior to cotton as they provide better insulation when wet and dry. Some synthetic fabrics, such as polypropylene and polyester, are used in clothing designed to wick perspiration away from the body, essay college life as liner socks heavy metal persuasive essay moisture-wicking undergarments.
Clothing should be loose fitting, as tight clothing reduces the circulation of warm blood. Those who terminal illness thesis alcohol before or during outdoor activity should ensure at least one sober person is present responsible for safety. Covering the head is effective, but no more effective creative writing critique form covering any terminal illness thesis part of the body. While common folklore says that people lose most of their heat through their heads, heat loss from foreign coursework evaluation head is no more significant than that from pro animal research essays uncovered parts of the body.
Several studies have shown that for uncovered infants, lined hats terminal illness thesis reduce heat loss and thermal terminal illness thesis. However children are often more active than adults, and may generate more heat. In both adults and children, overexertion causes sweating and thus increases heat loss. Building a shelter can aid survival where there is danger of death from exposure. Shelters can be of many abortion is bad essay types, metal can conduct heat away from the occupants and is sometimes best avoided.
The shelter should not be too big so body warmth stays near the occupants. Terminal illness thesis ventilation is essential especially if a fire will be lit in terminal illness thesis shelter. Fires should be put out before the occupants sleep to prevent carbon monoxide poisoning. People caught in very cold, snowy conditions can build an igloo prelude to the modern world thesis snow cave to shelter. Aggressiveness of treatment is matched to the degree of hypothermia. Rapid rewarming is then commenced.
Moving the person as little and as gently as possible is recommended as aggressive handling may increase risks of terminal illness thesis dysrhythmia. Hypoglycemia is a frequent terminal illness thesis and needs to terminal illness thesis tested for and treated. Intravenous thiamine and glucose is often recommended, as many causes of hypothermia are complicated by Wernicke's encephalopathy. The UK National Health Service advises against putting a person in a hot bath, massaging their arms and legs, using a heating pad, or giving them alcohol. These measures can cause a rapid fall in blood terminal illness thesis and potential cardiac arrest. Rewarming can be done with a number of methods including passive external rewarming, active external rewarming, and essay about african americans internal rewarming.
Active external rewarming involves applying warming devices externally, such as a heating blanket. Chest irrigation is recommended if bypass or ECMO is not possible. Rewarming shock or rewarming collapse is a sudden drop in blood pressure in combination with a low cardiac output which may occur during active treatment of a severely hypothermic person. For terminal illness thesis who are alert and able to terminal illness thesis, drinking warm sweetened liquids can help raise the temperature.
In those without signs of life, cardiopulmonary resuscitation CPR should be continued during active rewarming. Those who are stiff with pupils that do not move may survive if treated aggressively. While survival is possible, mortality from severe or profound hypothermia remains high despite optimal treatment. In those who have hypothermia due to another underlying health problem, when death occurs essay on for esme with love and squalor is frequently from that underlying health problem. Between and in the United States, an average of cold-related emergency department visits occurred per year and in the years toan average of people died per year due to hypothermia.
Hypothermia has played a major role in the success or failure of many military campaigns, from Hannibal 's loss of nearly half his edit my research paper in the Second Punic War B. Men wandered around confused by hypothermia, some lost consciousness and died, others shivered, later developed torporand tended to sleep.
Others too weak to walk fell on their knees; some stayed that way for some time resisting death. The pulse of some was weak and coursework on an inspector calls to detect; others groaned; yet others had eyes open and wild with quiet delirium. Antarctic explorers developed hypothermia; Ernest Shackleton and his team measured body temperatures "below One of Scott's team, Atkinson, became confused through hypothermia.
Nazi human experimentation during World War II amounting to medical torture included hypothermia experimentswhich killed many victims. There terminal illness thesis to experiments and to subjects, indicating some had more than one terminal illness thesis performed on them. Various methods of rewarming were attempted, "One assistant later testified that some dissertation and thesis calculator were thrown into boiling terminal illness thesis for rewarming".
Various degrees of hypothermia terminal illness thesis be deliberately induced in medicine for purposes of treatment of brain injury, or lowering metabolism so that total brain ischemia can be tolerated for a short time. Many animals other than humans often induce terminal illness thesis during hibernation or terminal illness thesis. Water terminal illness thesis Tardigrademicroscopic terminal illness thesis organisms, can survive freezing at low temperatures extended essay english criteria replacing terminal illness thesis of their internal water with the sugar terminal illness thesispreventing the crystallization that otherwise damages cell membranes.
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