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BDA (BRITISH DIABETIC ASSOCIATION) / OB (OUTWARD BOUND) MOUNTAIN COURSE: CANOE TRIPS
Canoe trips
Canoe trips need careful planning because the party will be away from roads and therefore emergency help for much of the time. There is not much space in a canoe and everything unprotected gets wet. All the participants carry their own snacks in plastic bags (at least twice the amount they would normally need) and the staff carry extra food in waterproof containers, and some drinking water. We also carry resuscitation equipment, spare woolen clothing, glucose and glucagon and a first aid kit, all in waterproof containers tied into the bottom of staff canoes: On meandering rivers it is especially important that the group stays together, to prevent the danger of someone having a hypoglycemic attack around a corner out of sight. The staff is dispersed throughout the group, with the doctor at the back.
White-water canoeing requires a shore back-up and the groups have to be much smaller so that attention can be given to each person going over rough stretches.
You can get very cold on canoeing trips and warm clothes and windbreakers are essential. (Wool stays warm even when wet.) Wet suits should be worn in winter. Warm, dry clothes should be available at the destination to stop further chilling while you are packing up and loading the vehicle to return to base. Extra food should also be available in the vehicle.
Hypoglycemia
A capsize may be the first sign of a hypoglycemic attack. Some people behave recklessly when going hypoglycemic and capsize because of it. Others just drift farther and farther towards the back of the group as they get more and more tired. It is virtually impossible to decide if someone who has just found himself head first in the cold water is hypoglycemic or not and so our rule is to give glucose after every capsize.
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