Oluse spooned the warm liquid into his mouth with a savoring expression of bliss as he listened to the Pycon's recount, and question. As she came to an end he set the stew aside and wiped some that had dripped onto his chin. "Well, honestly. I haven't seen much frostbite all season from the Vantha. People like myself and Banir need to watch out, but those beautiful marks. The snowflakes, that all the Vantha have." He smiled, both from the residual taste of the spicy stew and the thought of the elegant gnosis. "They are from Morwen, and they, amongst other things, allow the Vantha to resist the cold very well. So luckily frost bite isn't much of a problem. Which is good, since there really is not cure for frostbite. In most cases the best cure it a good prevention, though I can show you how after I finish up explaining the kiss what can be done about frostbite. But first, tea. Wouldn't want to catch cold." He dipped the tiny woven basket of herbs into his water, mixing the infusion around then took a sip, sparingly since he hated having to dress down to pee every fifteen minutes when he drank too much liquid.
"Ah, much better. Ok so, what I explained to you yesterday is how to administer the kiss to children and infants. First, on children about," he put his hand out to gauge out about the size of an eight year old, "this size or small you, or whoever if giving the Kiss wants to use the heel of their palm like," he demonstrated a different hand placement, "this. And you want to press around on the breast bone, right at the nipple line." He smiled and stretched his fingers slightly, popping them. "Other than that just keep in mind losing breath is even a bigger, and more common problem for children so you don't want to waist any time before jumping in and doing the procedure. As for Infants, when you breath into them careful when tilting their head back, don't go too far or you may hurt them or block the airway more. Breath into both their nose and mouth as the rate of one breath per half second. You want to breath so that their chest raises, but not their stomach. Should be obvious they are miniscule," he looked at her with pause, "no offense." He raised an eyebrow unsure if that was offensive or not then continued. "You can either use these two fingers, and press down like this, right under their nipple line on their sternum." He held up his middle and ring fingers and demonstrated on air before him. "Of if whoever is helping you can, holding them like this, and pressing with your thumbs." He showed the second and more supportive way to do it. "Just as fast with the same ratio as before. And try to remember to do this fast, don't think or pause. Working with infants can be particularly scary, but you need to just bare down and do it. Infants seem very delicate, but you can't let your fear of breaking them keep you from using the force of will necessary to help them. They need that much from you." He then gave her an encouraging smile and grabbed up his stew for a few more bites.
"Ok, not for the cold talk. First of all there is no way to speak of frostbite without speaking of hypothermia as well. Anybody who is outside a lot, people under the influence of alcohol or other numbing drugs, elderly, the dehydrated, and mentally distressed all have a predisposition to the condition." He spoke of the common issues as more diseases than what a laymen would consider them, but he seemed casual enough about them. In Oluse's world all illnesses and afflictions had their place, it was just another article in his mental encyclopedia and he was pleased with it there.
"Cold constricts blood flow. Under safe conditions the human body handles this by regulating quite expertly blood flow out to your extremities and bad to your core. But, unfortunately as conditions worsted your body stops flow to and from your extremities to prevent the cold from getting to your core. The human body will always protect the organs over the extremities. Our core is vital.
However, following this restriction of out blood to the extremities we see problem. This is when they start warming up again. See even just a small amount of time being exposed to extreme cold can injure the," He stops a moment to ponder how to continue, "Injure the pathways for your blood. Blood is meant to travel in a certain delicate way, and extreme cold and freeze that road and make it turbulent, so when blood returns it often clots or seeps where it shouldn't causing further damage." He gave a grave look to the Pycon, then followed with, "That's a bad thing."
"These damages come in three different stages. Frostbite can just look slightly pale, that isn't serious. The second is a chalk white from lack of blood, this means it is either second stage or will be third as the blood returns. Not good at all, and you are looking at a long difficult but possible recovery. The last is a dark burned or black look..." He just gave a discouraging look to adorn the end of that sentence as it petered off.
"Those are just the overt physical symptoms afterward though. You can tell that frostbite is setting in is the skin is itching, burning, or numb. Or all of the above. In really bad cases I've heard, but never seen, white or like yellow skin with blisters of caught blood on them. Really bad.
After the condition, and they start rewarming they will feel extreme pain int he affected areas for two or three days, and then some residual pain for up to another month. Pain is good, means it's healing. But even so, the condition can often seem less intimidating at first. Only time can tell the true severity.
When you go to cure it you can hope for clear blisters, pink skin, malleable flesh. The opposite does not bode well. Either way to treat it you want to stay with the usual, keep it elevated to reduce swelling. I know it seems counter productive to discourage blood flow, but the problem is not that blood can't get there, it's that when the body allows the blood to flow again it might harm them, as I explained before. Try not to use the frostbitten body parts, but make sure you get the patient to a warm dry area. This means wrapping them up as much as possible or getting them near fire in the wilderness. In this case, however, hypothermia is more of a threat than frostbite. Trust me, a limp can be lost, hypothermia threatens their life." It doesn't cross Oluse's mind as he speaks that she perhaps doesn't know what hypothermia is, in his inexperience forgetting to explain it.
"They may feel sick, but make sure they drink warm fluids. But no alcohol or sugary caffeinated drinks. Keep to simple teas, or just warmed water. Do not let them drink anything cold." He pauses again, his eyes drifting tot he corner of the room as he thinks of what else she might need to know. "A basic dry poultice would help. Do not warm the frozen area if it will freeze again. It's better to just leave it frozen then for it to refreeze after. When you do warm the area warm it fast. It will hurt but going slow for some reason seems to make everything worse.
Do not rub the area, with anything. It will make the situation worse, and they won't be able to tell you how it feels if it is numb. And I suppose the last thing is to be fast. Get them to a warm environment as fast as you possibly can without making the situation worse." He takes a big breath with a slight shiver and takes another drink of his tea.
"So that is all emergency care. Once you have them in a safe warm place there is more you can do. Warm water up to about the temperature of this tea here, and even though it will hurt the patient have them hold the afflicted area in the water. Hotter isn't bad, just don't burn the skin. Will usually take a half hour or so." He spoke with experience at this point, as if he wasn't unaccustomed to the procedure from this point in the least. His voice was almost casually recounting. "Giving them painkillers is fine, even if it thins the blood. But nothing that clots blood. Keeping them hydrated is important, this process really exhausts the body's resources.
Then the interactive part. Clear blisters are removes, along with dead tissue. Bloody blisters should be left, because you don't want to damage any of the delicate body that might still be alive underneath. Trust the body to heal itself. Give them infusions to encourage immunity. And you want to prescribe them Aloe treatment four times a day." He looked to her, remembering she probably didn't know much about herbs. "That is a very useful easy to grow plant from the south. I'll show ti to you later, and how to prepare the treatment.
You want to make sure the area is still, and unused while it heals, so splint it. Anything to help against inflammation is good. You may want them to take warm baths before each explication of the Aloe, but never leave them long enough that they proon, this could disrupt the cycle. You won't see results for some time, weeks at least, for serious cases. And nothing she be done hastily at this point." He sighed, and decided to clarify. "Do not amputate for at least a half season after. You need to trust the body to heal what it can.
The senses will do really odd things for some time, even years after the trauma. Just keep an open ear, and take everything in stride. The best thing to do with them in the months after is just to listen and be there with general advice, and careful moderation of the medicine you administer them. Try to be as aware of their coin purse as you are their body at this point. That is actually good advice for any treatment. Remember money is how patients feed themselves. They are trading their food and clothes and blankets for your help. Taking all of their money is the same as leaving them out in the cold." He gave an assured nod, then realized he had be rambling and shut up.
"Any questions?" He gave a passively abashed smile and took another sip of his tea.
oocReally sorry about this but don't have time to edit this right now XD So um... sorry about any weird grammatical hiccups >>