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Cold Weather Safety: Hypothermia and Frostbite Explained

  • Sospita Safety Management
  • 6 days ago
  • 3 min read

A snow covered field with a forest in the background and a sunrise or sunset peeking over the trees
A snow covered field with a forest in the background and a sunrise or sunset peeking over the trees

Cold weather poses real risks that go far beyond discomfort. Prolonged exposure to low temperatures can lead to hypothermia and frostbite, both of which can develop quickly and cause serious, long-term harm if not treated properly. Understanding the symptoms and the reasons behind first aid steps can help prevent a minor exposure from becoming a medical emergency.


Hypothermia: A Dangerous Drop in Core Body Temperature

Hypothermia occurs when the body loses heat faster than it can produce it, causing the core temperature to fall below 35°C.


Mild hypothermia

  • Shivering

  • Cold, pale skin

  • Fatigue

  • Slurred speech

  • Poor coordination


Moderate hypothermia

  • Intense or uncontrollable shivering (which may later stop)

  • Confusion or altered behaviour

  • Slowed breathing and heart rate

  • Difficulty speaking or moving


Severe hypothermia

  • Little or no shivering

  • Loss of consciousness

  • Weak or irregular pulse

  • Shallow or absent breathing

  • High risk of cardiac arrest


Why hypothermia is serious:

As the body cools, the brain and heart become less able to function normally. In severe cases, even small movements can trigger dangerous heart rhythms.


Treatment and Why It Matters

  • Move to a warm, dry environment: This stops further heat loss, which is critical since continued exposure worsens the condition.

  • Remove wet clothing: Water conducts heat away from the body much faster than air, accelerating cooling.

  • Insulate with blankets or coats: Trapping body heat helps the person rewarm gradually and safely.

  • Warm the core first (chest and abdomen): Focusing on the core protects vital organs; warming arms and legs first can push cold blood back to the heart.

  • Avoid vigorous rubbing or rapid movement: Rough handling can trigger dangerous heart rhythms in moderate to severe hypothermia.

  • Seek emergency medical care: Moderate and severe hypothermia require professional treatment, including controlled rewarming and cardiac monitoring.


Frostbite: Freezing Injury to Skin and Tissue

Frostbite happens when skin and underlying tissues freeze, most commonly affecting fingers, toes, ears, nose, and cheeks.


Symptoms

  • Cold, numb, or tingling skin

  • Skin that appears white, grayish-yellow, or waxy

  • Hard or stiff-feeling tissue

  • Blistering or swelling after rewarming


Why frostbite is serious:

Frozen tissues are deprived of blood flow and oxygen, which can lead to permanent nerve damage, tissue death, and in severe cases, amputation.


How Quickly Frostbite Can Occur

(Approximate times with wind exposure)

Up to -25°C: 30-60 minutes

-25° to -35°C: 10-30 minutes

-35° to -50°C: 5-10 minutes

-50°C or colder: 5 minutes or less


Treatment and Why It Matters

  • Get out of the cold immediately: Prevents further freezing and tissue damage.

  • Rewarm slowly using warm (not hot) water: Gradual rewarming restores blood flow without causing burns or additional tissue injury.

  • Do not rub or massage affected areas: Frozen tissue is fragile; rubbing can cause internal damage.

  • Avoid direct heat (fires, heating pads): Numb skin can burn easily without the person realizing it.

  • Do not rewarm if refreezing is possible: Repeated freezing causes far more severe tissue damage.

  • Seek medical care for moderate or severe frostbite: Advanced treatment may be needed to preserve tissue and prevent infection.


Final Thoughts

Cold-related injuries are preventable, but they require awareness and prompt action. Knowing the symptoms of hypothermia and frostbite - and understanding why first aid steps matter - can save lives, reduce long-term injury, and turn a dangerous situation into a manageable one. Preparation, proper clothing, and early response remain the best protection against cold weather hazards.

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