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TriStar Centennial Medical Center

Winter Warning: Tips for Preventing Frostbite and Hypothermia

IMAGE Outdoor sports don't have to stop just because it is cold. In fact, many hikers, bikers, runners, and obviously skiers and snowshoers relish the invigorating cold of the winter months.

Before you head out for a day-long excursion in seriously cold weather, take the following steps to avoid frostbite and hypothermia.

Wear three layers of clothing:

  • An outer layer made of water-repellent and wind-proof material such as Goretex or nylon
  • A middle layer of wool or synthetic fabric such as Qualofil or Pile to absorb sweat and retain insulation
  • A synthetic layer such as polypropylene or Capilene closest to your skin to wick away moisture from perspiration

It is just as important to stay dry as it is to stay warm, including keeping sweat away from your skin. Bring extra clothes to change into if they become wet, especially from sweat.

Cover your head, face, and neck with a hat (or hood) and scarf or a balaclava. Since mittens are warmer, but gloves allow more use of your fingers, try wearing lightweight gloves under your mittens in case you need to use your hands. Keep your feet warm and dry with two pairs of socks (wool or synthetic).

Dehydration can contribute to hypothermia. Drink plenty of water and drinks with electrolytes if you will be active for a long period of time. Avoid drinks with alcohol and caffeine.

Your body needs food to fuel your exercise and to generate body heat, so do not head out on an empty stomach. And bring along plenty of snacks, like trail mix, energy bars, fruit, and bread.

Fatigue can contribute to hypothermia, so be aware of your energy level and plan the length of your excursion accordingly. Rest when necessary and cut the outing short if you are uncertain about your stamina.

A friend can help you if you get tired and keep an eye on your face, cheeks, and ears for signs of frostbite. Do periodic checks for cold, wet, and numb areas, especially your face, feet, and hands.

Temperatures below freezing (32°F or 0 C) and slightly higher temperatures accompanied by wind chill effects are risk factors for hypothermia and frostbite. Keep an eye on weather forecasts and plan your outdoor activities for the relatively warmer days without snow or rain.

  • Appalachian Mountain Club

  • Family Doctor—American Academy of Family Physicians

  • Canadian Red Cross

  • Health Canada

  • Curtis R. Outdoor action guide to hypothermia and cold weather injuries. Outdoor Action website. Available at: Accessed May 19, 2014.

  • Frostbite. EBSCO DynaMed website. Available at: Updated December 15, 2011. Accessed May 19, 2014.

  • Hypothermia. EBSCO DynaMed website. Available at: Updated November 19, 2012. Accessed May 19, 2014.

  • Keep your warmth: how to avoid, recognize, and treat hypothermia. Appalachian Mountain Club website. Available at: Accessed May 19, 2014.

The health information in this Health Library is provided by a third party. TriStar Health does not in any way create the content of this information. It is provided solely for informational purposes. It does not constitute medical advice and is not intended to be a substitute for proper medical care provided by a physician. Always consult with your doctor for appropriate examinations, treatment, testing, and care recommendations. Do not rely on information on this site as a tool for self-diagnosis. If you have a medical emergency, call 911.