Chapter 14 · Situations and settings · 11 min read
Extreme cold and snow
Cold kills slowly and deceives: hypothermia clouds judgment before the victim realizes they are in danger. You do not need a blizzard; the combination of wet clothing, wind, and fatigue is enough at temperatures of 50 °F (10 °C). In many regions extreme cold is rare, but when it arrives (as in the February 2021 winter storm in the southern U.S.) it finds people without proper clothing, without experience, and with a poorly equipped car. This chapter covers clothing, hypothermia, frostbite, shelter in snow, being stranded in your car, ice on rivers and lakes, and dehydration in the cold. For general shelter and fire, see chapters 4 and 5; for winter storms at home, chapter 10; for general first aid, chapter 7.
The essentials · if you only have a minute
- Stay dry. Wet clothing (from rain, snow, or sweat) loses almost all of its warmth. Take off layers before you sweat.
- Dress in loose layers (COLD rule): Clean, avoid Overheating, Loose and layered, Dry. Avoid cotton.
- Shivering, clumsiness, confusion, slurred speech = hypothermia. Get the person out of the cold, remove anything wet, and warm the trunk first. Warm drinks only if they are conscious; never alcohol.
- If the person has stopped shivering and is confused or unconscious, it is serious: move them gently, lying down, wrap them up, and call 911.
- Frostbite: do not rub the skin. Do not warm it with fire, a stove, or an electric heating pad. Do not thaw it if it might refreeze.
- Stranded in your car: stay in the car. Run the engine about 10 minutes per hour, with the exhaust clear of snow and a window slightly open.
- You get dehydrated in the cold too. Drink even if you are not thirsty. Melt snow before drinking it.
In this chapter
14.1Clothing: the COLD rule2 min read0/514.2Hypothermia3 min read14.3Frostbite2 min read14.4Snow shelter (brief)1 min read14.5Stranded in your car during a blizzard2 min read0/714.6Frozen rivers and lakes1 min read14.7Dehydration in the cold1 min read14.8Common mistakes1 min read
Chapter sources (1)
- 1.FM 21-76 / ATP 3-50.21, Survival (cap. 4, Basic Survival Medicine; cap. 15, Cold Weather Survival) — Ejército de EE. UU. 2.Fight the Freeze (regla COLD) — U.S. Army — https://www.army.mil/article/66527/fight_the_freeze 3.Preventing Hypothermia; Frostbite — CDC — https://www.cdc.gov/winter-weather/prevention/index.html 4.Accidental Hypothermia (tabla de etapas y manejo) — American Family Physician, 2020 — https://www.aafp.org/pubs/afp/issues/ 2020/1101/p571.pdf 5.Frostbite: Recommendations for Prevention and Treatment from the Wilderness Medical Society — American Family Physician, 2020 — https://www.aafp.org/pubs/afp/issues/2020/0401/p440.html 6.Wind Chill brochure — National Weather Service — https://www.weather.gov/media/owlie/wind-chill-brochure.pdf 7.Stranded with your Vehicle — Maine Emergency Management Agency — https://www.maine.gov/mema/hazards/natural-hazards/severe- winter-storms/stranded-with-car 8.Ice thickness guidelines; What if you fall in? — Minnesota DNR — https://www.dnr.state.mn.us/safety/ice/thickness.html ; https:// www.dnr.state.mn.us/safety/ice/survival.html 9.1-10-1 Principle — Canadian Safe Boating Council — https://csbc.ca/1-10-1-principle/