Hypothermia?
Hypothermia is a real risk on Misti! We were surprised how cold it was sleeping at 4800m. We were forced to stay in the sleeping bag at camp.
In the desert, nights are colder than you might expect.
This is an easy hike. Bring all the warm clothes you have, just in case. Dress for -15C.
Of course the top will be much colder than base camp. But if you keep moving, mid-day, it is not likely to be a problem.
The wind was blowing fierce at the to when we were there, a perfect day down below. Be prepared.
Tim Leadem of the Sierra Club calls hypothermia the greatest single cause of death among amateur hikers.
Hypothermia is profuse loss of heat from the body core. Despite all warnings, a high percentage of hikers still set off with insufficient clothing.
Signs & Symptoms of Hypothermia:
- shivering (may be absent in later stages)
- numbness
- lack of co-ordination, slurred speech
- confused or unusual behaviour, poor judgement
- body temperature below 35 degrees C (95 degrees F)
- loss of consciousness (in extreme cases)
First Aid:
- remove wet clothing and dry the casualty
- put on dry clothes
- keep the head warm
- put the hiker into a pre-warmed sleeping bag
- add hot water bottles into the bag or, even better, have another hiker strip down to underwear and climb into the sleeping bag with the victim to share body heat
- if the casualty is alert, have them drink warm liquids & high calorie hot food
The best strategy is prevention. Stay warm and dry. If you start to get a chill, drop what you are doing and climb into your sleeping bag until warm.
Heat Exhaustion? Sunburn?
Bring a broad brimmed hat — it's easy to get burned on this hike. You are very exposed.
Be alert to prevent a progressive overheating emergency. Watch for signs of heat cramps, which often precedes heat exhaustion, and the potentially fatal heat stroke.
Signs & symptoms of heat cramps:
- severe muscle contractions, usually in the legs and the abdomen
- normal body temperature (usually)
Treatment:
- cool the body (wet the clothes)
- have casualty rest in a cool place
- drink fluids
- stretch and massage muscles
Dehydration?
You need carry a lot of water to the base camp. 7-8 litres or more / person.
Misti is dusty. We needed some water to wash.
Plan to drink far more liquids than normal. It is not unusual for some to drink 5 - 6 litres of fluid / day). Don’t run short or you may need to rush to the villages on day 3.
Keep your water bottle handy. Consider adding drink powders to make fluid intake a little more palatable.
Many hikers are using Platypus, Camelbak, or Dromedary hydration systems these days – but good old water bottle(s) will do just as well.
Check the colour of your urine as an indicator to see if you are drinking enough liquids.
Stay hydrated.
