Protect Yourself and Your Family During Extremely Cold Weather

Posted by: Linda Thiel on Tuesday, January 21, 2025
What is Hypothermia?

Hypothermia occurs when the body’s core temperature drops below 95°F (35°C). This condition happens when the body loses heat more quickly than it can produce, and the body's internal temperature falls to dangerously low levels, impairing normal bodily functions.

How Does Hypothermia Happen?

Hypothermia can occur in various environments, but it is most common in cold and wet conditions. It happens when the body is exposed to cold temperatures, causing it to lose heat faster than it can generate it. Risk factors include wet clothing, wind, exhaustion, alcohol use, and inadequate clothing.

Common ways hypothermia develops include:

  • Prolonged exposure to cold weather or water.
  • Being soaked in cold water (even in relatively mild conditions).
  • Wearing wet or insufficient clothing.
  • Dehydration or exhaustion, which can make the body less capable of generating heat.

Symptoms of Hypothermia

Symptoms of hypothermia develop gradually and can be divided into mild, moderate, and severe stages:

Mild Hypothermia:

  • Shivering
  • Cold, pale skin
  • Numbness or tingling in extremities
  • Slurred speech
  • Rapid breathing and heart rate
  • Difficulty with coordination

Moderate Hypothermia:

  • Shivering may stop (muscles lose ability to contract)
  • Confusion or disorientation
  • Lack of coordination or clumsiness
  • Drowsiness or difficulty staying awake
  • Slow, irregular breathing
  • Slurred or incoherent speech

Severe Hypothermia:

  • No shivering
  • Unconsciousness or inability to respond
  • Slow, weak, or irregular pulse
  • Very shallow or absent breathing
  • Loss of coordination and motor control
  • The body may appear stiff and frozen
  • Coma or death if untreated

How to Treat Hypothermia

If you suspect someone has hypothermia, immediate action is necessary. Follow these steps:

  1. Call for medical help: Seek medical care as soon as possible. Hypothermia can be life-threatening if not treated promptly.

  2. Move the person to a warm environment: If possible, move them out of the cold to a sheltered area. Avoid sudden or rough movements that could cause further harm.

  3. Warm the person gradually:

    • Remove any wet clothing and replace it with dry, warm clothes or blankets.
    • Use warm (not hot) blankets or heating pads to gently warm their body.
    • Provide warm, non-alcoholic, non-caffeinated drinks to help raise their core temperature (but only if they are conscious and able to swallow).
  4. Do not use direct heat (such as hot water or heating pads directly on the skin) as it can cause burns or shock the body’s systems.

  5. Monitor vital signs: Check for signs of life, like breathing and a pulse. If the person becomes unconscious and is not breathing, begin CPR immediately.

  6. Avoid rapid rewarming (such as immersing in hot water), as it can cause shock.

How to Prevent Hypothermia

  1. Dress in layers: Wear moisture-wicking, insulating, and waterproof clothing to stay dry and retain body heat.

  2. Stay dry: Wet clothing increases heat loss, so avoid getting wet, especially in cold conditions.

  3. Cover extremities: Wear hats, gloves, scarves, and thick socks. A significant amount of heat is lost through the head, hands, and feet.

  4. Limit time in cold environments: Avoid prolonged exposure to extreme cold, especially if wet or windy.

  5. Stay fueled and hydrated: Maintain energy levels with food and water, as the body needs more energy to stay warm in cold conditions.

  6. Avoid alcohol: Alcohol can impair the body's ability to regulate temperature and can increase the risk of hypothermia.

  7. Monitor weather conditions: Stay informed about the forecast and be prepared to seek shelter if conditions worsen.

By taking appropriate preventive measures and recognizing the signs of hypothermia early, you can significantly reduce the risk of severe outcomes. Follow up with your medical provider.

What is Frostbite?

Frostbite is a medical condition where skin and underlying tissues freeze due to prolonged exposure to extremely cold temperatures. It typically affects the fingers, toes, nose, ears, and cheeks.

Symptoms of Frostbite:

Frostbite develops in stages, and symptoms can vary depending on severity:

  1. Initial Stage (Frostnip):

    • Skin turns red, pale, or grayish.
    • Skin feels cold and numb.
    • Tingling or itching sensation.
  2. Superficial Frostbite (affects the outer layers of skin):

    • Skin becomes pale or bluish.
    • Hard, waxy texture to the skin.
    • Numbness or reduced sensation.
    • Blisters may form after rewarming.
  3. Deep Frostbite (affects deeper tissues, such as muscles and bones):

    • Skin turns white, yellowish, or bluish.
    • Loss of all sensation.
    • Skin feels hard, stiff, and cold.
    • Blisters filled with clear or bloody fluid may form.
    • Severe cases may lead to permanent damage or tissue death.

Treatment for Frostbite:

  1. Seek immediate medical attention: Severe frostbite requires professional care, especially if there’s deep tissue involvement. Contact your medical provider immediately. 

  2. Rewarming:

    • Gently warm the affected area by soaking it in warm (not hot) water (about 104-107°F or 40-42°C) for 20-30 minutes.
    • If no water is available, rewarm by using body heat (e.g., place frostbitten fingers in armpits).
    • Do not rub the frostbitten area, as it can cause more damage.
  3. Protect the affected area:

    • Do not break blisters.
    • Keep the frostbitten part elevated to reduce swelling.
    • Avoid direct contact with heat sources (like heating pads or fires) as it may cause burns.
  4. Pain management: Over-the-counter pain relievers like ibuprofen may be used to reduce pain and inflammation.

  5. Avoid re-exposure to cold: Once rewarmed, avoid returning the affected part to cold conditions.

Prevention of Frostbite:

  1. Dress in layers: Wear moisture-wicking base layers, insulating middle layers (e.g., wool), and a waterproof outer layer. Be sure to protect extremities like hands, feet, ears, and nose.

  2. Cover exposed skin: Use hats, gloves, scarves, and face masks to prevent direct exposure to wind and cold.

  3. Stay dry: Moisture increases heat loss, so stay dry and avoid sweating in cold environments.

  4. Keep active: Physical activity increases circulation, helping to keep the body warm.

  5. Avoid alcohol: Alcohol can impair your body's ability to regulate temperature, increasing the risk of frostbite.

  6. Take breaks in warm environments: If you're outside for extended periods, take breaks in warm areas to prevent frostbite.

If you suspect someone has frostbite, it is essential to treat it as a medical emergency and seek professional care promptly. 

 
Do you have a medical provider? 

It's important to have a medical provider who knows you and your medical history before an emergency arises. If you need a provider, check out the "Providers" page on this website for a directory of our medical, dental, and behavioral health providers. 

 
 
 
 
 
 
 
 
 

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