Recreational Boating Safety – Surviving Hypothermia

By Bob Currie, Vessel Examiner
U. S. Coast Guard Auxiliary Station Galveston Flotilla
Now that we have had our first cool spell, it is time to talk about exposure to cold water temperatures, which can lead to hypothermia. Hypothermia is a condition in which your core body temperature is lowered to a degree which becomes life-threatening if not correctedin short order.

The Station Galveston Flotilla of the US Coast Guard Auxiliary operates out of the USCG Station Galveston base on Galveston Island. They provide assistance to the Coast Guard by providing maritime observation patrols in Galveston Bay; by providing recreational boating vessel safety checks; and by working alongside Coast Guard members in maritime accident investigation, small boat training, watch standing, and procurement.

There are two basic ways in which you can be exposed to cold water when boating. The first is when you fall overboard. Don’t forget as the boat operator that you are required by Texas law to wear a kill switch lanyard. The second method is if your boat sinks. Just this past week we had a large boat with many people aboard sink. The persons on board were lucky, though, as the Coast Guard rescued them before the boat completely sank. They had a marine VHF/FM radio and knew how to use it. This was also the case last week when another boat was rescued when they began taking on water. The Coast Guard arrived with a pump. They pumped out the water and patched the leak enough to be able to safely tow the vessel back to the marina.

Hypothermia
Immersion into cold water can lead to hypothermia, the abnormal reduction of body temperature. Hypothermia can induce rapid, uncontrolled breathing, cardiac arrest, and other physical conditions, and can easily result in death from cold or drowning. Hypothermia is essentially a condition where bodily temperature drops too low to perform normal voluntary or involuntary functions. Cold water causes “immersion hypothermia”, which can cause damage to extremities or the body’s core, including unconsciousness or death. Prolonged exposure to what one may consider to be warm water can lead to hypothermia.

Hypothermia will occur even with water temperatures in the 80’s if the person is exposed to that temperature long enough. A quick check of the water temperatures in our area this Sunday morning showed 68.2F at Rollover Pass and 72.7F at the Galveston Bay Entrance (North Jetty), both of which are popular boating and fishing areas. Both of those water temperatures can quickly lead to hypothermia. Alcohol consumption can speed the onset and progression of hypothermia. Alcohol impairs motor skills, magnifies the torso reflex, and affects clear thinking. As the alcohol level in a person’s body increases, coordination abilities decrease. At high doses, alcohol damages thermoregulation, which lowers the body’s resistance to cold water.

Hypothermia Symptoms
When you first fall into cold water you gasp (torso reflex). Next, your skin begins to cool, and your body constricts surface blood vessels to conserve heat for your vital organs. Blood pressure and heart rate increase. Muscles tense and shiver; this produces more body heat, but results in a loss of dexterity and motor control. As your body’s core temperature drops further, blood pressure, pulse, and respiration rates all decrease.

As conditions worsen, your mental attitude and level of consciousness change. Resisting help and acting irrational or confused are common indicators of hypothermia. As your core temperature drops dangerously low, you become semiconscious, then unconscious. Stress, shock, and low core temperatures may cause cardiac and respiratory failure.

Hypothermia sneaks up on you, so you probably aren’t the best judge of whether or not you are hypothermic. Signs that a person is nearing a hypothermic state include shivering, poor coordination, and mental sluggishness. As hypothermia progresses, shivering ceases, coordination is severely impaired, and confusion is coupled with incoherence and irrationality. Severely hypothermic people have icy skin. Extreme lethargy merges with unconsciousness and they might appear dead.

The Torso Reflex
The torso reflex (also known as the gasp reflex or inhalation response) is a physiological reaction – an involuntarily gasp – that happens when a person suddenly enters cold water. The reflexive sucking in of air is a way for the body to rapidly increase oxygen intake into the lungs as a means of increasing survival. Some reported drowning victims don’t die as a result of poor swimming skills or the effects of hypothermia, but from the torso reflex. Occasionally the torso reflex causes victims to inhale water. A person can also die from cardiac arrest brought on by sudden entry into cold water.

Treating Hypothermia
First aid goals include:
• Preventing further heat loss,
• Re-warming the victim,
• Quickly getting professional medical help as needed.

Minimize the victim’s physical exertion when removing her or him from cold water. Rescuers may have to enter the water to get the victim. Once out of the water, gently remove wet clothing and cover the person with dry clothing or blankets. Protect the victim from wind, especially around the head and neck. Move them to a warm environment if possible and avoid re-exposure to the cold. Warm compresses and warm (not hot) liquids that are non-alcoholic and non-caffeinated also help to restore heat.

If you are helping a hypothermic person, be gentle; internal organs are sensitive to physical shocks. The victim should remain as inactive as possible so blood from their cold extremities won’t reach their core too quickly. A cold heart is particularly susceptible to ventricular fibrillation, an often fatal irregular heart beat. During all first aid efforts, watch for changes in the victim’s temperature and vital signs. “After drop” is a danger when re-warming hypothermia victims because cold blood in the extremities returns to the body core, lowering the core temperature further. Hypothermia victims with moderate to critical symptoms should see a medical professional as soon as possible.

Hypothermia Symptom and Treatment Chart
(Source: http://www.seagrant.umn.edu/coastal_communities/hypothermia#video)

The following general procedures assume a rescuer has no special medical training or equipment:

Cold Water Survival
A boater operating in cold water should always wear a life jacket. Anyone forced to enter the water should button up all clothing, and, if possible, cover his or her head; enter the water slowly; keep the head out of the water; and assume the heat escape lessening posture (HELP). The HELP position is an attempt to reduce heat loss enough to lessen the effect of hypothermia. It involves essentially positioning one’s knees together and hugging them close to the chest using one’s arms. Furthermore, groups of people can huddle together in this position to conserve body heat, offer moral support, and provide a larger target for rescuers. He or she should also attempt to climb aboard the overturned hull if it is still afloat. The HELP position is demonstrated below:

First Aid
Boaters are encouraged to take a first aid training course to prepare them to deal with medical emergencies that may arise while they are under way. First aid classes are available through the American Red Cross and other civic organizations. Some first aid courses include basic Cardiac Pulmonary Resuscitation (CPR) training. Many such courses are offered online, including CPR and First Aid courses.

Summary
Don’t go boating in water in which you are not prepared to be immersed in should you sink or capsize. Be prepared for such an occurrence by dressing accordingly, and carry emergency equipment in your dry locker such as blankets and towels. You can reduce exposure by climbing onto your hull if you capsize. Get out of the water if you can. Loss of body heat occurs much more rapidly in water than in the air, even if the air temperature is colder than the water temperature. Also, don’t forget to file a float plan. Someone ashore needs to know your itinerary in case you are late reporting so they can pass the information on to rescue agencies such as the Coast Guard and Sheriff Department.

For more information on boating safety, please visit the Official Website of the U.S. Coast Guard’s Boating Safety Division at www.uscgboating.org. Questions about the US Coast Guard Auxiliary or our free Vessel Safety Check program may be directed to me at [email protected] I am available to perform free Vessel Safety Checks, and I will come to your location to perform them. SAFE BOATING!

[10-14-2019]

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