Romantic Evening Sex All Themes. Articles Features Interviews Lists. Streams Videos All Posts. My Profile. Advanced Search. Genre Classical. Styles Opera. Track Listing. One fine day. Explore music. Paying supporters also get unlimited streaming via the free Bandcamp app. Purchasable with gift card. Hellbound I'm So Alternative Pick At My Scabs Low salt in the blood serum can cause the brain to swell, causing seizures and possible brain herniation.
Remove the patient from the heat and strip him down. Pour tepid to cool water on him and get him in front of moving air.
Get a rectal thermometer in him and monitor his temperature with serial measurements. If he cools way too fast, he may start shivering, which will spike his metabolism and raise his core temperature again, so keep that in mind.
Protect the airway. If he is altered and vomiting, he needs to be suctioned and intubated if you have that ability. Caution on succinylcholine though because of possible hyperkalemia. Get two large bore IVs established and start aggressive fluid resuscitation. We want to dilute his blood so that the rhabdo is less likely to damage his kidneys. Keep on eye on the color of his urine.
The reality is, without rapid transport and advanced care, a heat stroke patient in the field has a very poor prognosis. As mentioned earlier, acclimatization to hotter environments is critical. Start easy and add activity and duration over a two-week period. Get used to being outside. No, this is not Wimminz, Bisexual, Gay, and Trans or some other tiresome derivative of identity politics.
A colormetric system was added to indicate what levels of activity people that are acclimatized and non-acclimatized can undertake based on the index. See below. Keep that in mind as you look at these, and make sure you compensate for your own age, health, and other situations. Flammability issues aside, anything that wicks moisture also speeds evaporative cooling. Pure nylon clothing is very light and great at keeping you cool.
Outdoor and camping stores like REI and Campmor have loads of it. Cotton gets really heavy when wet because it is hydrophyllic. In a desert environment, it dries pretty fast and helps with cooling, but in humid environments, it just stores hot sweat on your skin.
Keep an eye on it. Add salt as needed. Try not to guzzle all at once, but take good sips over time. Take them. The WGBT table above is a good starting point for times. Keep yourself and your people healthy. Check your gear and make sure you have some salt in your mess kit in quantities that can be used for replenishing electrolytes if you are going to be in the field a while.
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Donna non vidi. Minnie, dalla mia casa. Scuoti quella fronda Flower Duet. Senza mamma. Tra voi, belle. In questa reggia. E lucevan le stelle. Chi il bel sogno di Doretta.
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