What to Do
If you notice any of these signs, take the person’s temperature. If it is below 95°F, the situation is an emergency. Get medical attention immediately. If medical care is not available, begin warming the person, as follows:
- Get the victim into a warm room or shelter.
- Remove any wet clothing from the victim.
- Warm the center of the body first, i.e. chest, neck, head and groin, using an electric blanket if available. Use skin-to-skin contact under loose, dry layers of blankets, clothing, towels or sheets.
- Warm beverages can help increase the body temperature, but do not give alcoholic beverages. Do not try to give beverages to an unconscious person.
- After body temperature has increased, keep the person dry and wrapped in a warm blanket, including the head and neck.
- Get medical attention as soon as possible.
A person with severe hypothermia may be unconscious and may not seem to have a pulse or to be breathing. In this case, handle the victim gently, and get emergency assistance immediately. Even if the victim appears dead, CPR should be provided. CPR should continue while the victim is being warmed, until the victim responds or medical aid becomes available. In some cases, hypothermia victims who appear to be dead can be successfully resuscitated.
Frostbite is an injury to the body that is caused by freezing. Frostbite causes a loss of feeling and color in affected areas. It most often affects the nose, ears, cheeks, chin, fingers or toes. Frostbite can permanently damage the body, and severe cases can lead to amputation. The risk of frostbite is increased in people with reduced blood circulation and among people who are not dressed properly for extremely cold temperatures.
At the first signs of redness or pain in any skin area, get out of the cold or protect any exposed skin. Signs of frostbite may include:
A white or grayish-yellow skin area
Skin that feels unusually firm or waxy
A victim is often unaware of frostbite until someone else points it out because the frozen tissues are numb.
What to Do
If you detect symptoms of frostbite, seek medical care. Because frostbite and hypothermia both result from exposure, first determine whether the victim also shows signs of hypothermia, as described previously. If there is frostbite, but no sign of hypothermia, and immediate medical care is not available, proceed as follows:
Get into a warm room as soon as possible.
Unless absolutely necessary, do not walk on frostbitten feet or toes because this increases the damage.
Immerse the affected area in warm, not hot, water (the temperature should be comfortable to the touch for unaffected parts of the body).
Or, warm the affected area using body heat. For example, the heat of an armpit can be used to warm frostbitten fingers.
Do not rub the frostbitten area with snow or massage it at all because this can cause more damage.
Don’t use a heating pad, heat lamp, or the heat of a stove, fireplace, or radiator for warming. Affected areas are numb and can be easily burned.
These procedures are not substitutes for proper medical care. Hypothermia is a medical emergency, and frostbite should be evaluated by a health care provider. It is a good idea to take a first aid and emergency resuscitation (CPR) course to prepare for cold weather health problems. Knowing what to do is an important part of protecting your health and the health of others. Taking preventive action is your best defense against having to deal with extreme cold-weather conditions. By preparing your home and car in advance for winter emergencies, and by observing safety precautions during times of extremely cold weather, you can reduce the risk of weather-related health problems.
Excerpted from CDC web site: http://emergency.cdc.gov/disasters/