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Thread: Emergency treatment for hypothermia/hypoglycemia

  1. #1
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    Default Emergency treatment for hypothermia/hypoglycemia

    We've seen a couple post's lately about sudden lethargy/unresponsiveness of seemingly otherwise healthy babies....I felt it might be worthwhile to post the emergency protocol I have used both in the clinic and for my own personal self in these cases. In any emergency the consult of a professional is alway's advised and this does NOT replace the care of a veteriarian by any stretch, but I felt it useful to share nonetheless for those who find themselves with a cold, lifeless baby.

    The typical scenario is the discovery of a baby that is both cold and either extremely lethargic, or comotose. It can look like a completely hopeless situation and one would never guess that in most cases, a baby can be brought back upright and eating within a matter of minutes! Often babies are brought to rehabber's in this situation by wellmeaning finders who just didn't know how to keep a baby warm....or when a baby is found cold and wet. A cold babies body uses sugar stores to try and regain some level of warmth so this situation is one that can happen fast, and spiral downhill in no time.

    The first goal should be to warm the baby. I have found that in these extreme cases, the quickest way to get body temp back to a stable number is water. You MUST have the capability to blow dry baby on a warm setting....if no blow dryer is available, do NOT use the water method. Otherwise, this is what I do.....run very warm, tho not HOT, water into a container big enough to submerse the baby in( think coffee cup). Obviously you do NOT want to allow the head or nose to fall below the water so support the head submersing as much body mass as possible. This allows heat to penetrate every nook and cranny of the baby. After a couple minutes of being in the water most babies will regain some level of conciousness. At this point you can rub a TINY AMOUNT of karo or nutrical around the gums. Only use enough to smear a small layer on the mucous membranes....any more could potentially choke the baby. I keep on hand at all times a bag of injectable dextrose for these purposes but I realize that this won't be available to everyone so the oral sugars are the best alternative.

    After the greater part of the babys body temp has been brought up you can remove him and immediately place him on a heating pad, in a towel, and use a blow dryer on a LOW setting to dry him. Keep the dryer moving constantly and at a good distance from the baby to prevent burns. Stimulate the baby as much as possible by turning him over, rubbing him, talking to him, etc. Once baby is dry, offer more nutrical on the gums in tiny amounts until he becomes more alert and aware of his surroundings. At the point when the baby finally start's to lick the nutrical himself(some frantically start to eat it so watch fingers) you can SLOWLY offer formula a drop at a time. Make SURE the baby is swallowing the formula, if he isn't, revert back to the nutrical for a bit. It will take the baby anywhere from a few seconds to several minutes to regain enough of it's faculties to actually nurse again so follow his lead. Once the baby start's sucking and nursing normally you're in the clear and can start to breath easier and regain your composure

    Some point's of importance are to always keep the baby warm....most of us know this....but to the layperson who thinks a blanket or a warm lap is enough, it is imperative that one realizes that a supplemental heat source is a MUST....also, I have recieved a couple of older, "crashed" babies who were in the weaning phase. Always make SURE baby is eating plenty of solid food's between formula feedings and never allow them to run out of lab block's or water.

    I have seen so many critters that basically looked dead for all practical purposes and it would be very easy to believe there is no hope at all but it is AMAZING the recovery these guy's can make within a small amount of time so never think there isn't hope with a cold, lifeless baby

    Erin
    Western arkansas wayward critter connection
    http://www.facebook.com/pages/Wester...08962405816930

  2. 5 TSBers pass along the fuzzy thanks to DipityDane:

    Candyanne2019 (09-02-2019), frankc (11-21-2019), Marzzi (09-19-2019), sdreamcatcher (12-02-2016), StrawberrySyrup (02-20-2017)

  3. #2
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    Wink Re: Emergency treatment for hypothermia/hypoglycemia

    Thank you for the information. You write very well and are able to explain what to do in a manner in which all can understand. I always appreciate someone with good information AND the ability to share it so others who don't know all the medical terms etc can understand. You may have just saved a bunch of squirrels!

    Joanne in Jax


    Isn't it amazing how such a tiny creature can steal our entire heart? Squirrel love is AWESOME! Joanne in Jax FL.

  4. #3
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    Erin
    Western arkansas wayward critter connection
    http://www.facebook.com/pages/Wester...08962405816930

  5. #4
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    dipity thank you!!! i've already shared this with one member...

    Silvana..

    *************************************

    tip for flyer parents.... Flying Squirrels need meat every single day (mealworms/waxworms/cooked chicken breast)

  6. #5
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    Thank you...Im glad I could share something that might help another critter.
    Erin
    Western arkansas wayward critter connection
    http://www.facebook.com/pages/Wester...08962405816930

  7. #6
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    Has anyone ever seen this is older or juvenile flyers? Bronson was like this this morning and I have no idea why. He had food, water, and a warm pouch full of fleece (and I live in FL AND the heat is on. He looked dehydrated too if that helps.

  8. #7
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    Quote Originally Posted by DipityDane View Post
    We've seen a couple post's lately about sudden lethargy/unresponsiveness of seemingly otherwise healthy babies....I felt it might be worthwhile to post the emergency protocol I have used both in the clinic and for my own personal self in these cases. In any emergency the consult of a professional is alway's advised and this does NOT replace the care of a veteriarian by any stretch, but I felt it useful to share nonetheless for those who find themselves with a cold, lifeless baby.

    The typical scenario is the discovery of a baby that is both cold and either extremely lethargic, or comotose. It can look like a completely hopeless situation and one would never guess that in most cases, a baby can be brought back upright and eating within a matter of minutes! Often babies are brought to rehabber's in this situation by wellmeaning finders who just didn't know how to keep a baby warm....or when a baby is found cold and wet. A cold babies body uses sugar stores to try and regain some level of warmth so this situation is one that can happen fast, and spiral downhill in no time.

    The first goal should be to warm the baby. I have found that in these extreme cases, the quickest way to get body temp back to a stable number is water. You MUST have the capability to blow dry baby on a warm setting....if no blow dryer is available, do NOT use the water method. Otherwise, this is what I do.....run very warm, tho not HOT, water into a container big enough to submerse the baby in( think coffee cup). Obviously you do NOT want to allow the head or nose to fall below the water so support the head submersing as much body mass as possible. This allows heat to penetrate every nook and cranny of the baby. After a couple minutes of being in the water most babies will regain some level of conciousness. At this point you can rub a TINY AMOUNT of karo or nutrical around the gums. Only use enough to smear a small layer on the mucous membranes....any more could potentially choke the baby. I keep on hand at all times a bag of injectable dextrose for these purposes but I realize that this won't be available to everyone so the oral sugars are the best alternative.

    After the greater part of the babys body temp has been brought up you can remove him and immediately place him on a heating pad, in a towel, and use a blow dryer on a LOW setting to dry him. Keep the dryer moving constantly and at a good distance from the baby to prevent burns. Stimulate the baby as much as possible by turning him over, rubbing him, talking to him, etc. Once baby is dry, offer more nutrical on the gums in tiny amounts until he becomes more alert and aware of his surroundings. At the point when the baby finally start's to lick the nutrical himself(some frantically start to eat it so watch fingers) you can SLOWLY offer formula a drop at a time. Make SURE the baby is swallowing the formula, if he isn't, revert back to the nutrical for a bit. It will take the baby anywhere from a few seconds to several minutes to regain enough of it's faculties to actually nurse again so follow his lead. Once the baby start's sucking and nursing normally you're in the clear and can start to breath easier and regain your composure

    Some point's of importance are to always keep the baby warm....most of us know this....but to the layperson who thinks a blanket or a warm lap is enough, it is imperative that one realizes that a supplemental heat source is a MUST....also, I have recieved a couple of older, "crashed" babies who were in the weaning phase. Always make SURE baby is eating plenty of solid food's between formula feedings and never allow them to run out of lab block's or water.

    I have seen so many critters that basically looked dead for all practical purposes and it would be very easy to believe there is no hope at all but it is AMAZING the recovery these guy's can make within a small amount of time so never think there isn't hope with a cold, lifeless baby



    Thank you SO much. This happened to me this morning and I was FREAKING out. Baby is now okay, and eating/moving normally.

  9. #8
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    Quote Originally Posted by StrawberrySyrup View Post
    Thank you SO much. This happened to me this morning and I was FREAKING out. Baby is now okay, and eating/moving normally.

    Glad baby is ok now!
    Erin
    Western arkansas wayward critter connection
    http://www.facebook.com/pages/Wester...08962405816930

  10. #9
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    Help!!!!!! My baby is in need. I have done the above and he took about 3 mrs then he didn't want anymore. I have a non shut off heating pad under him and I'm holding him. I have given him a dose of Karl a couple more times. He just seems so listless. He was fine yesterday. What should I do?

  11. #10
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    Is this for Grady? Please post back in his original thread with description of all the symptoms you are seeing. Listen carefully to his breathing, do you hear REGULAR clicking?


    Quote Originally Posted by Gradythegrand View Post
    Help!!!!!! My baby is in need. I have done the above and he took about 3 mrs then he didn't want anymore. I have a non shut off heating pad under him and I'm holding him. I have given him a dose of Karl a couple more times. He just seems so listless. He was fine yesterday. What should I do?
    See my wild squirrel adventures in the thread "Squirtle's yard!":
    https://thesquirrelboard.com/forums/...quirtle-s-Yard!

    See the sisters Pip and Nip!
    https://thesquirrelboard.com/forums/...-(Pip-and-Nip)!

    Loving dad to Sir Max, 2017-2018. There is no foot so small that it cannot leave an imprint on this world.

    "Once in a while you get shown the light, In the strangest of places if you look at it right."
    -Grateful Dead

  12. #11
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    Exclamation Re: Emergency treatment for hypothermia/hypoglycemia

    Yes, it's for Grady. So I need to post under his thread? No clicking,no respiratory distress noted.

  13. #12
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    I think you will get a faster response. Go into detail about what you are seeing in Grady.


    Quote Originally Posted by Gradythegrand View Post
    Yes, it's for Grady. So I need to post under his thread? No clicking,no respiratory distress noted.
    See my wild squirrel adventures in the thread "Squirtle's yard!":
    https://thesquirrelboard.com/forums/...quirtle-s-Yard!

    See the sisters Pip and Nip!
    https://thesquirrelboard.com/forums/...-(Pip-and-Nip)!

    Loving dad to Sir Max, 2017-2018. There is no foot so small that it cannot leave an imprint on this world.

    "Once in a while you get shown the light, In the strangest of places if you look at it right."
    -Grateful Dead

  14. Serious fuzzy thank you's to TubeDriver from:

    Spanky (04-17-2018)

  15. #13
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    I had an event last week where I certainly needed this important info. At the time I was at a loss of what was needed.
    I rode out Hurricane Dorian and after it had just past, made my way around to survey the damage. I was at work.
    While walking across a road I happen to find a young squirrel laying in the middle of the road, appearing to have succumbed to the force of the storm. I touched him and I found movement!! So I wrapped him in a towel and found a place to secure himóthen started my own storm of trying to get help on what to do. He was not very responsive.
    I placed a warmed water bottle in with him. Mainly for comfort, not realizing the importance of warming him up until now.
    I was able to contact a local Squirrel rescue person. They asked if I could care for him that night and theyíd pick him up the next day.
    The only info I received was to give a little Pedialyte to help with hydration.
    Nothing about body temperature.
    Well, I took him home and watched him decline over the night and watched him pass early that day.
    I feel horrible that this little guy didnít make it all because of a body temperature Iím sure. Maybe there were injuries from falling out of the tree. But nonetheless, he is gone.
    Iím not a wild animal rehab specialist, but I do appreciate life and hate to see it gone because of my lack of ability and mostly ineffective instructions.
    Iíve had time to rethink my actions and have done some reading. If I had this to do over, I would have provided a better opportunity to monitor his body temp. I felt helpless as his condition worsened. If I had only been clued in on temperature.
    Those who pass emergent info to would be rescuers, please tell us to dry and warm the baby first!! Keep them out of the air conditioning and ensure they are warm.

  16. Serious fuzzy thank you's to Corndog from:

    RockyPops (09-16-2019)

  17. #14
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    Default Re: Emergency treatment for hypothermia/hypoglycemia

    I've also experienced feelings of terrible guilt when losing a squirrel. I'm a licensed bat re-habber, but I get calls from people with squirrels now and then. I read as much as I could with the first four week old baby and he was doing great for about a week. Then, overnight he got very grey and listless and died. I stood in a vet's office blubbering like a child trying to get him help, but they refused to treat wildlife. I kept reading and it helped me with the next four squirrels I got. I even successfully brought back a six week old baby from what looked like convulsions by rubbing honey on his gums. Unfortunately, some of them died. I think ultimately the Fox Valley formula was the culprit. I'm so angry at them. All that we can do is improve our knowledge and,be better prepared to save the next one. I always thought squirrel people were a bit wacko, but now I'm one of them. I just love these little guys. I cry so hard when I lose one, hoping to save more in the future.

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    RockyPops (09-16-2019)

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