1/Hey #Maine-frostbite and hypothermia are no joke.

You could lose a finger, a limb, or even die. Here's what you need to know.

First, cold-related ER visits are real. With the upcoming Arctic blast, we expect to see Mainers needing emergency care. Don't be one of them. Cold related ER visits
2/Let's start with hypothermia.

You can get it from being outside in cold temps. Hypothermia happens when your body loses heat faster than it’s produced.

When your body temp gets too low, it affects your brain.

You can't think clearly or move well, which is my baseline. It is cold outside.
3/This is why hypothermia is dangerous: you might not even know that it’s happening .

So know the warning signs of hypothermia: shivering, exhaustion, confusion, slurred speech, etc.
4/Look, hypothermia is a medical emergency. If you see someone with those signs, get them inside and take their temperature.

If their temp is <95F, get them medical attention right away. Seriously.
5/You can also help warm them up.

Once they're in a warm room, get rid of any wet clothing and focus on warming their chest/neck/head with blankets.

Warm drinks can help, but no alcohol.
6/Frostbite is caused by freezing. It leads to numbness and a loss of color and can hit any exposed skin.

It's serious.

In severe cases, you might lose a finger or toe.
7/If you notice that your skin is red or hurting, get inside. That might be the beginning of frostbite.

If you skin starts getting white, numb, or firm, frostbite is setting in.

Here's the thing: you might not know about it because of the numbness, which is also my baseline.
8/What to do? First, get indoors.

Unless absolutely necessary, don't walk on feet/toes that are frostbitten--that can increase the damage.

Don't rub or massage the area.
9/Best thing is to put the affected body parts in warm--not hot--water.

Do not use a heating source (stove, heating pad, fireplace) to warm them up--you can burn yourself.
10/The best thing is to stay inside if at all possible. If you must venture out Fri/Sat, layer up and limit your time outside.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Nirav D. Shah

Nirav D. Shah Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @nirav_mainecdc

Feb 1
1/Hey y'all - it's gonna be #cold in #Maine this Fri/Sat.

Dangerously cold. Some might even say wicked cold.

So like if you normally snow blow your driveway in shorts and flip flops while sipping a @dunkindonuts iced coffee, take note.
2/How #cold is it going to be?

Well, @Todd_Gutner (aka Hot Toddy) forecasts wind chills of -60F in the interior of #Maine, and a balmy -40F along the coast.

He bases his predictions on #science. So you know they must be right. I'm told he even uses a computer.
3/I mean, honestly, maybe -60F isn't *that* cold.

Here is a list of places that will still be colder: Mars.

For reference, it will be around -45F at the South Pole.

They've got it good down there.
Read 9 tweets
Jul 22, 2022
1/@MEPublicHealth has identified #Maine's first case of #monkeypox in a York County male.

Maine CDC has been preparing for monkeypox for several weeks, given the international outbreak. So what is monkeypox? How does it spread? Who is a risk? What can we do to prevent it?
2/Monkeypox is a rare disease caused by infection with the monkeypox virus.

The #monkeypox virus is part of the same family of viruses that causes smallpox, though the diseases are different. The symptoms are milder, and monkeypox is rarely fatal.
cdc.gov/poxvirus/monke…
3/Monkeypox often causes a rash that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body. Individuals also report symptoms like fever, fatigue, and muscle aches.
Read 11 tweets
Jul 6, 2022
1/The logical implications of common arguments against #COVID19 #vaccines are worth considering. I focus on some of them here.
2/Argument #1: The approval process is corrupt!

What part of the process, specifically, is corrupt and how is that different from the pathway that other COVID therapeutics followed? For example, was the process that authorized monoclonal antibodies like bebtelovimab corrupt?
3/What about the process oral medicines like Paxlovid followed? What that corrupt, too? Remdesivir?

Would you be willing to take those other products if you got a serious case of #COVID? If so, why not vaccines?

What was uniquely corrupt about the vaccine pathway?
Read 19 tweets
Jun 19, 2022
1/In recent days, the @US_FDA has authorized and the @CDCgov (via @CDCDirector) has recommended the @pfizer and @moderna_tx #COVID19 vaccines for
children 6m+.

Though the safety and effectiveness of the vaccines are quite impressive, I've seen a more fundamental question.
2/That is, "Why should I vaccinate my child against #COVID at all? After all, it isn't that severe in kids, and my kid already had it. Is #COVID19 in children really a big deal?"

I'd like to make the public health case for pediatric #COVID19 vaccines with @CDCgov data.
3/Let's start with the baseline number of cases among children. Many children have been affected by COVID throughout the pandemic.

All of these slides are from a recent @CDCgov #ACIP meeting and are publicly available here cdc.gov/vaccines/acip/…
Read 17 tweets
May 13, 2022
1/Here's where we stand with #COVID19 in #Maine right now.

There are 223 people hospitalized w/COVID, 35 of whom are in the ICU and 2 on a ventilator.

Two weeks ago, there were 143 hospitalized. One thing different now as compared to prior surges is the severity level.
2/In prior waves, the number of patients in the ICU and on ventilators grew in tandem with overall numbers. But here, we have not seen the same parallel growth in the most severely ill patients.

Two weeks ago, there were 34 patients in the ICU and 5 on ventilators.
3/So our growth in hospitalizations has come from non-ICU/non-ventilated patients. They are still ill--make no mistake--since they are hospitalized.

Generally, the composition of those who are hospitalized now are older vaccinated individuals and younger, unvaccinated ones.
Read 6 tweets
Apr 5, 2022
1/There are some signs that the the levels of #COVID19 in #Maine may be starting to increase.

First, the most recent set of wastewater surveillance results showed uniform increases in viral levels across the state. This is different from the episodic spikes we've seen before.
2/The latest wastewater reports are here:

maine.gov/dhhs/mecdc/inf…

and here:

covid.cdc.gov/covid-data-tra…
3/Second, hospitalizations have increased. As of this morning, there are 104 people in the hospital in #Maine w/#COVID19. Of them, 30 are in the ICU and 4 are on a ventilator.

These are nowhere near the levels that we saw in mid-Jan '22. But they are a recent increase.
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(