Prevention is the key to avoiding frostbite. Here are some important reminders:
Hypothermia can kill in mere minutes. Cold temperature, but also strong wind causes the body to rapidly lose heat. You start to shiver in order to maintain body heat from the rapid muscular shaking. If your body temperature drops to 35C/95F, you may get dizzy and disoriented, then the shivering stops. The body now maintains temperature only around the important organs; heart, brain and lungs and shuts down blood circulation to the arms and legs. Your pulse becomes weak and slow. Your blood vessels widen. Now, you feel hot and want to remove your clothes, finally slipping into unconsciousness. Eventually, your heartbeat stops.
Full blown Hypothermia will not be improved by additional clothing since clothing doesn’t generate heat. In difficult climbing situations, you need to put hot water bottles in your armpits, to your crotch and/or stomach – or you can strip and get into a sleeping bag - together with another undressed person, to warm up by the others body heat (yeah, yeah - keep your dirty imagination to yourself!).
Otherwise - keep moving until at safety. In 1998, a climber died of hypothermia on the North Side. All that was found left of him was his clothing neatly folded below the summit. This is quite typical of the condition. Confused, the brain tries to bring some order in the situation, thus folding the clothes.
Again, prevention is key! Here are some tips:
Follow the C-O-L-D clothing principle
Some people take prophylactic (preventative) medication to prevent diarrhea, but this may be a very risky practice. The potential side effects from some of these medications range from slightly annoying to deadly, not to mention the alteration of your natural bacterial flora and potential development of antibiotic resistance. You should make the decision to take prophylactic medications with your personal physician. I don’t advise it in most situations.
FFor climbers with diarrhea on Everest, higher camps provide even more hostile situations; stripping in the icefall or while roped at the Lhotse wall is inevitable at times, and memorable always. In 1997, a climber fell and was killed while doing his thing at C3. Always be carefully roped when leaving tent at C3, even for very short distances!
Diarrhea causes dehydration and disturbance of the mineral balance in your body. Drink plenty and add electrolyte supplement (ORS packets are widely available in Nepal.)
Since diarrhea is such a pain on Everest, sometimes you will have to take aids like Imodium to halt it. You should be careful with these aids though. If you have a bacterial infection, diarrhea is your body’s way of getting rid of the bad bacteria. Use Imodium or the equivalent only when you really have to.