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Dry tops and splash tops that fit snugly over the wrist of a prosthesis trap the prosthesis to the wearer, thus preventing an escape if that arm is caught. The person should use short dry tops and splash guards or adapt the sleeve and wrist closure of a long-sleeved top. 2/341907/alw/r2 Limb prone to injury if unprotected • Make sure the person wears protection over the exposed residual limb. Each person will have unique tissue sensitivity issues. Discuss with the person the potential skin injury danger and develop protective or padded barriers accordingly.

Using the formula, this combination of temperatures would suggest that paddlers do not need wet suits. However, if paddlers were immersed in 54 °F (12 °C) water, the air temperature would not keep them warm. This formula would apply only if wet paddlers exited the water quickly and the air temperature warmed them up. It does not apply when a paddler may be immersed in cold water for more than 20 minutes. Paddlers must always be prepared because the weather can change quickly. Everyone should bring along a change of clothes in a waterproof bag.

The underwear and insulation layers should be made from synthetic fabrics. A nylon bathing suit worn as the underwear layer also facilitates changing clothing in public. Synthetic long underwear keeps people warm even when wet, and the fabric stretches to accommodate splints on the paddler’s hands or feet and urinary leg bags. For the outer layer, paddlers can choose from a wide range of clothing styles to maximize independence. A good choice is loose, comfortable styles that do not bind when sitting in a boat, are easy to put on, and allow a full range of motion.

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