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Responding to Cold Weather Injuries: Hypothermia Protocol

Introduction
When the temperature drops and the wind gets icy, the risk of cold‑weather injuries rises. One of the most serious among these is hypothermia — when your body loses heat faster than it can create it, causing the core temperature to fall dangerously. Knowing how to recognise this condition and respond quickly is important if you or someone nearby is exposed to cold conditions. In this article we’ll walk through what hypothermia looks like, how to act, and key steps that you should follow to help someone safely until professional care arrives. With the right response you can make a meaningful difference in a cold emergency.


Recognising Hypothermia: What to Look For

Being aware of the signs can help you act early. Hypothermia begins when exposed to cold air, water, or wind and the body can’t keep up with heat‑loss.
Here are key clues:

  • Shivering, though this may stop in more serious cases.
  • Slurred speech or mumbling.
  • Slow or shallow breathing.
  • Weak pulse or a slow heart rate. 
  • Confusion, drowsiness, or loss of coordination.
    If you notice these signs in someone who has been exposed to the cold, treat it as a possible medical emergency.

Immediate Actions You Should Take

When you suspect hypothermia, every minute counts. Here are the steps to follow:

  • Move the person to a warmer, dry place if you can. Avoid large movements or jolts.
  • Remove wet clothing and replace with dry layers or blankets. Wet clothing speeds heat loss.
  • Cover their head, neck and torso to retain warmth. Use blankets, coats, or sleeping bags.
    Warm the core of the body first (torso, neck, chest), not the arms or legs. Warming extremities first can cause cold blood to rush back to the core and cause risks.

  • If the person is conscious and able to swallow, offer a warm, non‑alcoholic, non‑caffeinated drink (for example warm water or broth).
  • Monitor breathing and responsiveness. If their breathing slows to the point of not being clearly detectable or they become unresponsive, begin https://cprcertificationnow.com  if you are trained.
  • Call emergency services (for example 911 or your local number) if the condition is serious or you’re unsure. Don’t wait to see if it gets better on its own. 

Things You Must Avoid

There are some very important mistakes you should avoid in hypothermia situations:

  • Do not use direct heat sources like a hot water bath, heating pad, or fire to rapidly warm the person. That can trigger dangerous heart rhythms. 
  • Do not rub or massage the limbs or body. This can cause further damage or shock in the cold body.
  • Do not give alcohol to warm the person. Alcohol may give a false sense of warmth but actually increases heat loss.
  • Avoid moving the person excessively if they are severely hypothermic. Minimising movement helps avoid placing extra stress on the heart.

Prevention and Safe Practices for Cold Weather

Preventing hypothermia is far easier than treating it. Here are some actions you can take:

  • Dress in layers when you are going out into the cold. Outer layers should protect against wind and moisture; inner layers should insulate.
  • Keep dry. Wet clothing increases heat loss. Change out of wet clothes as soon as possible
  • Limit time in extreme cold or windy conditions, especially if you’re wet or fatigued.
  • Monitor vulnerable individuals: older adults, children, or those with health conditions are at higher risk.
  • Have a plan and gear: warm blankets, dry clothing, emergency supplies in case you’re outdoors or in a vehicle in cold weather.

Conclusion
Cold weather may seem just uncomfortable, but it can lead to serious injury if your body can’t keep warm. Learning to recognise hypothermia, acting promptly to warm the core, staying dry and getting professional help when needed are vital steps. By being prepared and knowing the right responses you can protect yourself, your family and anyone else who may be caught in a cold exposure situation. Remember, early treatment and gentle care make a difference. Stay warm, stay safe, and if ever in doubt, respond as though it is an emergency. You’ll be glad you were ready.

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