First Aid

1. EEFFFFEECCTTSS OOFF
HHEEAATT AANNDD CCOOLLDD
Trg03~Mod7 EXTREMITY TRAUMA 1

2. LLeeaarrnniinngg OOuuttccoommeess
Describe how to recognise the effects
of:
extreme cold
extreme heat.
Explain how to manage the effects of:
extreme cold
extreme heat.
Trg03~Mod7 EXTREMITY TRAUMA 2

3. HHeeaatt aanndd CCoolldd
The body’s thermostat is located in the brain and
enables the body temperature to be monitored
and to some extent, controlled at a level
approximately 36.9 degrees Celsius.
The temperature control can be affected by
extremes of external heat or cold, dehydration of
the body’s fluid content by injury to the head or
spine that in turn affects the central nervous
system.
Trg03~Mod7 EXTREMITY TRAUMA 3

4. HHooww ddooeess tthhee bbooddyy mmaaiinnttaaiinn
iittss nnoorrmmaall tteemmppeerraattuurree ??
Conversion of food into energy (metabolism),
from external heat sources and by muscle activity
In hot conditions blood vessels dilate allowing
excess heat to be lost through the skin (sweating)
and by increasing our breathing rate.
In cold conditions the blood vessels contract
which reduces sweating.
Trg03~Mod7 EXTREMITY TRAUMA 4

5. TThhee eeffffeeccttss ooff ccoolldd
Shuts down the blood vessels in the skin – this
stops the internal or core heat from escaping
During prolonged exposure to cold, wet and
windy conditions the core body temperature may
fall below 35 degrees Celsius causing normal
bodily function to slow down and eventually stop.
This is known as hypothermia.
Apart from the environmental conditions the
casualty’s age and general condition play a large
part in the development of hypothermia
Trg03~Mod7 EXTREMITY TRAUMA 5

6. TThhee eeffffeeccttss ooff ccoolldd
Re-warming a casualty too quickly can be fatal
especially if they are in poor health, have been
injured or have suffered prolonged exposure. This
will result in cold blood being circulated through
cold body tissue and will cause the blood to
become even colder and lower blood pressure.
Shock will occur and possible cardiac arrest.
Conscious cold casualty’s can – change wet
clothing for dry, give warm drinks, extra blankets
Do not let them move around as this will circualte
cold blood.
Trg03~Mod7 EXTREMITY TRAUMA 6

7. HHyyppootthheerrmmiiaa
Recognition
Shivering (this will stop as the condition
progresses)
Cold, pale and dry skin
Slow shallow breathing
Slow weak pulse
Strange irrational behaviour
Lethargy (very tired)
Unconsciousness leading to coma and cardiac
arrest
Trg03~Mod7 EXTREMITY TRAUMA 7

8. HHyyppootthheerrmmiiaa
Treatment
Find out how they have been exposed to the cold
for the length of exposure and the lower the body
temperature determines the rate at which you
should re-warm the casualty
If a young person fall into cold water but is
recovered quickly they will be a cold casualty but
not hypothermic. These casualties can be
warmed rapidly.
Remember a drop in the body temperature
causes hypothermia
Trg03~Mod7 EXTREMITY TRAUMA 8

9. HHyyppootthheerrmmiiaa
Treatment
Move the casualty to a sheltered and warm place
Keep the casualty in a horizontal position
Insulate them from the ground and surroundings
Treat for shock
Cover with blankets but do not overheat
Prevent heat escaping from the extremities
Call 999 or 112 and monitor their airway and
breathing….
Trg03~Mod7 EXTREMITY TRAUMA 9

10. HHyyppootthheerrmmiiaa
Treatment..
Do not give any food or drink
Do not rub the skin or put the casualty next to a
heat source
Do not stand them up or walk them around to get
warm
Do not overheat them warm them slowly
Trg03~Mod7 EXTREMITY TRAUMA 10

11. TThhee eeffffeeccttss ooff HHeeaatt
HHeeaatt EExxhhaauussttiioonn
When the body temperature exceed the
atmospheric temperature particularly in humid
conditions heat will not evaporate from the body.
This often takes place with strenuous exercise
causing a loss of salt and water from the body
(dehydration). This is known as heat exhaustion
and because the fluid component of the blood is
reduced and the casualty will suffer from shock.
Trg03~Mod7 EXTREMITY TRAUMA 11

12. HHEEAATT EEXXHHAAUUSSTTIIOONN
Recognition
Headache
Confusion
Sweating with pale, clammy skin
Muscle cramps in the abdomen and limbs
Rapid weakening pulse and breathing
Temperatures around 39 degrees Celcius
Trg03~Mod7 EXTREMITY TRAUMA 12

13. TThhee eeffffeecctt ooff HHeeaatt
HHeeaattssttrrookkee
When there is a failure of the thermostat in the
brain the body’s temperature will rise above 40
degrees Celsius. This may have been brought on
by uncontrollable heat exhaustion, prolonged
exposure to high temperatures or as a result of an
illness or fever. If this is not treated immediately
brain damage can occur.
Trg03~Mod7 EXTREMITY TRAUMA 13

14. HHeeaattssttrrookkee
Recognition
Headache
Confusion and general discomfort
Hot, flushed and dry skin
Body temperature above 40 degrees celcius
Rapid deterioration
Full bounding pulse
Slow and noisy breathing
Levels of response deteriorate rapidly
Trg03~Mod7 EXTREMITY TRAUMA 14

15. HHeeaattssttrrookkee
Treatment
Place in a cool or shaded environment
Remove outer clothing and cool down (a cold wet
flannel or sheet) be careful not to overcool
Dial 999 or 112 if not already done so
Ensure a good source of fresh air
Be prepared to carry out CPR as required.
Trg03~Mod7 EXTREMITY TRAUMA 15

16. TTAASSKK
To make an information leaflet to give
to parents to inform them extreme
cold
extreme heat. 5.1
Explain how to manage the effects of:
extreme cold
extreme heat. 5.2
Trg03~Mod7 EXTREMITY TRAUMA 16

17. Trg03~Mod7 EXTREMITY TRAUMA 17