Hypothermia: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate hypothermia (hypothermia):

Rectal temperature 35-32.2 °C

Leading symptoms

  • Amnesia (form of memory impairment for temporal or content memories).
  • Apathy (apathy)
  • Disturbances of consciousness
  • Brady/tachycardia – too slow (< 60 heartbeats/minute)/too fast heart rate (> 100 heartbeats/minute).
  • Brady-/tachypnea – decreased (breathing at less than ten breaths per minute)/increased respiratory rate.
  • Bronchorrhea (bronchitis)
  • Bronchospasm – cramping of the muscles of the bronchi.
  • Dysarthria (speech disorder)
  • Hypertension (high blood pressure) and increase in cardiac output (CV).
  • Muscle tremor, later muscle fatigue.
  • Increased diuresis (urine output).

Rectal temperature 32.1-28 °C

  • Failure of protective reflexes
  • Bradycardia – heartbeat too slow: < 60 beats per minute.
  • Hallucinations
  • Hyporeflexia – decreased reflexes.
  • Bradypnea – decreased respiratory rate.
  • Cardiac arrhythmias
  • Mydriasis – wide pupils
  • Paradoxical undressing
  • Rigidity – stiffening of the muscles
  • Increasing the blood flow to the kidneys
  • Increasing disorders of consciousness

Rectal temperature < 28 °C

  • Apnea (respiratory arrest)
  • Areflexia – no reflexes can be triggered
  • Bradycardia – heartbeat too slow: < 60 beats per minute.
  • Bradypnea – decreased respiratory rate.
  • Cardiac arrhythmias – often ventricular fibrillation, asystole.
  • Hypotension – low blood pressure
  • Coma
  • Lung congestion
  • Oliguria – urine output < 500 ml/24h
  • Loss of reflexes involving the eye
  • Decrease in cardiac output (HZV).
  • Decrease in nerve conduction velocity