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When the air temperature gets
warm we all head to the lake :) BUT ... the water is COLD. Without
proper equipment and knowledge your happy and sunny spring day could be
your last :(
PLEASE take precautions so we can enjoy paddleing with you again :) |
What exactly is hypothermia? It is the lowering of the core body
temperature to an unsafe or fatal level. When immersed in water- a
highly heat-conductive medium- our warm bodies automatically begin
making efforts to combat heat loss. Blood from our extremities is
routed to our torsos and head in order to keep major organs and the
brain functioning. As time passes, our bodies use up progressively more
of the available energy stores to keep things working. Useful
extremities, like hands, become numb and useless. Shivering, an
involuntary reaction of the body to generate heat, begins in the
mid-stages of hypothermia. In the final stages, our brains begin to
shut down, the heart slows, reasoning ability deteriorates and lethargy
sets in, followed by unconsciousness. The human body can survive in a
semi-dormant state of hypothermia for longer than imaginable, with full
resuscitation often possible in a clinical setting; but once
unconsciousness sets in, drowning or heart failure may result. It goes
without saying that a PFD increases your survival rate by conserving
energy you would use staying afloat, and providing a fair amount of
insulation to your torso.
Gloom and doom, you say? We may well agree, but these incidents happen
all the
time in a sport that exposes our warm bodies to the elements and water.
Think
immersion won’t happen to you? Ask other people about the first time
they went over accidentally,
and most say it occurred when they weren’t paying attention, had no
expectation whatsoever of capsizing, or can’t even recall what caused
it to happen.
Most people think they can get back in their boat very quickly. Have
you ever
actually timed yourself in realistic, cold-water conditions? You are as
close
to actually being "in the water" in a kayak as you can possibly be.
Realizing this, it is important to recognize
the risks and necessary precautions of keeping you and the water in a
reasonable
state of separation when conditions dictate.
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As mentioned previously, the warning signs of hypothermia are distinct
in nature, but can be subtle in terms of onset, depending on the
individual. Realize that as your body struggles to stay warm, your
brain is fighting a battle to maintain cognitive reasoning that enables
you to remedy your situation. Once shivering sets in and the
extremities are numb, it may become physically impossible to help
yourself, or someone else. Once your brain begins to fail, your
reasoning and judgement become clouded, and an overwhelming sense of
fatalism may set in due to brain impairment. Victims of hypothermia
often describe the last few moments before rescue and/or
unconsciousness as that of complete apathy towards their situation:
less a feeling of consciously giving up, more one of not understanding
what their survival outcome is and no longer taking any action to help
themselves. You cannot help yourself if your brain has ceased to
acknowledge your survival options.
An interesting and well-researched physiological occurrence is known as
the "gasp reflex". Some people, when their head/neck/torso is immersed
in cold water, experience an involuntary gasp that can result in lungs
full of water. [I can speak from personal experience here- I’m one of
them. In a controlled situation, I can sort of maintain my breathing.
In an uncontrolled situation, forget it!] Something about really cold
water hitting your head triggers a response that is less than helpful
when you suddenly are upside down in your boat. With a buddy close at
hand to spot you, check it out for yourself. Hopefully, you might be
one of the people it doesn’t affect!
Conversely, some people can experience an involuntary "mammalian dive
reflex." When their heads become submerged in cold water, their airways
involuntarily close to keep the water out of their lungs. This could be
a useful response, except often the airway doesn’t open up again soon
enough for one to get a breath, and a sensation of choking can ensue,
followed by hyperventilation after it finally does release. Again, with
a buddy close at hand to spot you, check that one out for yourself,
too.
Lastly, there’s a significant response to cold water entering our inner
ear during a dunking that can quickly induce vertigo, the inability of
the brain to determine how the body is oriented, while producing
extreme dizziness and nausea. Imagine going over, and then trying to
get out of your boat or roll up when you can’t tell which way is up and
where the air you’re craving actually is!
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First and foremost to be cited is knowledge. How can you find out when
the water temperature is below or above the safety threshold? Using an
inexpensive weather radio (very cheap insurance), you can get
information on the water temps in Lake Champlain in hourly updated
cycles, 24 hours a day. This info is also available on the local NOAA
website.
In a pinch, you can call the Burlington Coast Guard station. For other
bodies of water, bring a thermometer and immerse it at least 2 feet
down to get a reasonable reading, where your body would float.
Let’s say you’ve determined the water is below 65 degrees-
what is needed for protection? You need thermal clothing to insulate
you from the water and/or the wind blowing over you. There are two
basic concepts here: using clothing that completely separates you from
the water, keeping you dry and thermally insulated; or clothing that
may let you become wet, but is of an insulating material that helps
maintain your core body temperature while immersed.
The first option is achieved by the use of a drysuit. This
is a waterproof, one-piece suit with latex gaskets at the neck and
wrists, and gaskets or attached booties at the feet, which prevents the
cold water from contacting your body. Employing a thermal inner layer,
which provides insulation - usually fleece and/or polypropylene
underwear- conserves your body heat. Your extremities are covered by a
wind-proof helmet or hat, gloves, and booties made of an insulating
material like neoprene. Drysuits can buy you a lot of time in difficult
situations when things just seem to be taking forever. They are the
only real option for paddling in water temperatures below 40 degrees F.
The second option is accomplished by the use of a neoprene
wetsuit covered by a wind-proof layer for exposed areas. The wetsuit
employs a different concept. Upon immersion, a tight, properly-fitted
wetsuit allows a small amount of water to come into contact with your
skin. The thin layer of water is trapped by the insulating material of
the neoprene and warmed by your body, and the close fit of the suit
minimizes the further exchange of warm water for cold. Once again,
head, hands and feet must be covered as described above. Realize that
in all cases, heat loss from the head is the fastest, and you really
need your brain to work in these situations, so head coverings are
essential. A general rule of thumb is that wetsuits are most effective
when the water temp is above 50 degrees F.
Paddlers typically use the "farmer john/jane" suit, a
sleeveless suit that still covers the upper torso and chest- very
important for preventing the involuntary gasping reflex when you hit
cold water. "Shorties" with cut-off legs are also available for those
swing days when danger is relatively low. Wetsuits made of lycra with
fleece inside make a compromise: they are very comfortable in warm air
temps, but do not provide enough insulation in lower water temps. In
general, wetsuits are prone to evaporative cooling as the wind blows
across their surface, so a windproof layer over your exposed upper body
is necessary.
Your personal cold resistance is also a major factor in the
equation. There are some paddlers with little "natural" insulation or
poor circulation who wear protective clothing on all but the most
scorching summer days.
One way you can avoid all the aforementioned is to simply
limit your exposure by not paddling during the early or late season. If
you want to extend your paddling season, making the investment in the
proper clothing is much the same as buying health insurance- it greatly
increases your chances of living a long, healthy life instead of ending
up a human ice cube! Above all, don’t be lulled into a false sense of
complacency when the sun is shining, it’s 75 degrees and you just have
to get out there even though the water is still really cold. Wear your
PFD, bring another paddler (remember: safety in numbers!), borrow the
appropriate clothing- protect yourself!
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Well, now that we’ve determined we as humans are at a significant
disadvantage if immersed in cold water, what can we do for ourselves or
for others post-event? First, as unpleasant as it sounds, try and find
out in advance what your personal tolerance to cold water is. Dress in
what you think is adequate clothing and intentionally capsize your
kayak with someone standing nearby to watch out for you. Afterwards,
note your physical response- at least now you know what you’re dealing
with.
If you end up in the drink and manage to successfully cope
with the situation, it’s now time to get yourself into dry- or at least
wind-proof clothing to encourage your core temp to rise back up. Make
sure you always bring a change of dry, warm clothing packed in a drybag
no matter what the air and water temperatures are like that day. For
someone who is mildly hypothermic, this is usually adequate. For a more
severe case, it may be necessary to provide internal heat like a hot
drink, or an external source like a fire, sunlight, warmed rocks, body
heat from others, etc. to alleviate violent shivering and loss of
coordination. An emergency exposure bag, made from heat-reflective
material, might be employed here as well. If possible, it is usually a
good idea to let the victim rest and regain his wits before continuing
on.
It is very important to keep a close eye on the capsize
victim for at least an hour after the incident is resolved. Very often
there is a loss of ability to judge one’s own fitness after a really
cold dunking. The victim may say he is OK one minute, and go into
delayed hypothermic shock the next, causing another capsize.
In the most severe cases, where a too-rapid rise in body
temperature can result in a heart attack in an extremely hypothermic
victim, medical evacuation is imperative, followed by a controlled
re-warming of the victim in a clinical setting. In these cases,
vigorous rubbing of the extremities can send cooled blood back to the
heart too quickly, triggering heart failure, and should be avoided.
Above all, don’t give up on the severely hypothermic victim. There have
been many documented cases of those who were past the "point of no
return" being successfully resuscitated. Get the victim to medical
attention as soon as possible, and hope for the best- your efforts may
ultimately pay off, so don’t give up hope prematurely.
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