If the signs and symptoms are as follows, go to step 2f. Body heat is lost by reducing the thin layer of warm air next to the skin, which causes cold weather injuries. Perform first aid for the cold injury. Cold Weather Injuries. Publish tasking orders annually reinforcing the requirement to conduct heat illness and cold injury prevention and treatment training (see paras 1-3b(2), 1-3d(7), and 1-3e(1) and (2) below. (1) Mouth, tongue, and throat are parched and dry. •TB MED 508 Prevention and Management of Cold Weather Injuries •TC 21-3 Soldier’s Handbook for Individual Operations and Survival in Cold-Weather Areas •FM 21-10 Field Hygiene and Sanitation •FM 4-25.11 First Aid •US Army Public Health Command Cold Weather Injury Prevention webpage – Army Injury Prevention Factsheets and Training Products. Results of Cold Weather Injuries –Napoleon and Hitler both lost Russia to Cold Weather Injuries. These guidelines are generalized for worldwide use. (6) Muscle cramps especially in the legs. The loss of body heat increases as wind speed increases. –8,000 cold weather casualties the first winter. camouflage obscures detection of cold injuries. trained in recognition and treatment of heat illness and cold injury. Hypothermia, the most serious cold weather injury, occurs when body temperature drops below 95 degrees F. It can occur suddenly, including during partial or total immersion in cold water, or over hours or days, such as during extended operations or survival situations. Dehydration (cold weather). See all APHC cold weather related information, slide deck, and other training tools at: ... General information on Army Injuries, Injury Causes and Risk Factors, and Prevention. and Injuries Chart Cold-Weather Casualties Chilblain Cause • Continuous or repeated exposure of skin to cold/wet weather conditions at temperatures below 50 °F for more than 1-5 hours Symptoms • Swollen, red skin (or darkening of the skin in dark-skinned soldiers) with rash-like appearance • Tender, painful skin. –US Army lost 91,000 troops in World War II. (3) Nausea and dizziness. Deputy Chief of Staff, G-3/5/7. Continued exposure in a cold environment degrades physical performance capabilities, significantly impacts morale, and eventually causes cold weather injuries. 2. (7) Focusing eyes may be difficult. The Department of Veterans Affairs (VA) has expanded and clarified its internal guidance for evaluations of veteran cold injury, and most of all, these changes include an update to the chronic effects of exposure to 20 conditions. cold injuries Soldiers participating in military training or deployments will often encounter cold stress that can impact successful mission accomplishment. Sick or injured individuals will have lowered defense mechanisms and might also be slower to recognize cold injury symptoms due to existing injuries The typical cold weather injury casualty is a male approximately 20 years old at the rank of E-4 or below. 3 DEVELOP CONTROLS and MAKE RISK DECISION (5) Tired and weak. Cold weather injuries result from prolonged exposure to cold weather. • Previous cold injuries or other significant injuries • Use of tobacco/nicotine or alcohol • Skipping meals/poor nutrition • Low activity • Fatigue/sleep deprivation • Little experience/training in cold weather • Cold casualties in the previous 2-3 days • Overly Motivated Soldiers – Cold (temperature 40º F and below) a. Cold injury prevention is a command responsibility. (4) Fainting. The wind is a big factor in cold weather injuries. (2) Swallowing is difficult. –Decreased to 1,000 the second winter with preventative measures. Commanders of units with extensive extreme cold-weather training and specialized equipment may opt to use less conservative guidelines. 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