Hipotermia
Objawy

Hipotermia definiowana jest jako obniżenie temperatury ciała poniżej 35°C (95°F) i stanowi stan nagły wymagający pilnej interwencji medycznej. Wyróżnia się trzy stopnie zaawansowania: łagodną (35-32°C), umiarkowaną (32-28°C) oraz ciężką (<28°C). W łagodnej hipotermii dominują objawy takie jak intensywne drżenie mięśniowe, tachykardia, tachypnoe, zaburzenia koordynacji i początkowe zaburzenia świadomości (tzw. "umbles"). W umiarkowanym stadium dochodzi do ustania drżenia, nasilenia zaburzeń neurologicznych, bradykardii, hipotensji, sinicy oraz zaburzeń rytmu serca. Ciężka hipotermia charakteryzuje się brakiem reakcji, skrajną sztywnością mięśni, bradykardią, migotaniem komór lub asystolią, a także zatrzymaniem krążenia i śpiączką. Szczególnie narażone na ciężki przebieg są niemowlęta i osoby starsze, u których objawy mogą być atypowe, a śmiertelność sięga około 50% w populacji geriatrycznej.

Hipotermia – wprowadzenie

Hipotermia (hypothermia) to stan chorobowy, który występuje, gdy temperatura ciała spada poniżej 35°C (95°F). Jest to stan nagły wymagający natychmiastowej pomocy medycznej. W hipotermii organizm traci ciepło szybciej, niż jest w stanie je wytworzyć, co prowadzi do niebezpiecznie niskiej temperatury ciała. Normalna temperatura ciała wynosi około 37°C (98,6°F). Gdy temperatura ciała spada, serce, układ nerwowy i inne narządy nie mogą funkcjonować tak sprawnie jak zwykle.12

Nieleczona hipotermia może doprowadzić do niewydolności serca i układu oddechowego, a ostatecznie do śmierci. W zależności od stopnia obniżenia temperatury wyróżnia się hipotermię łagodną, umiarkowaną i ciężką. Stan ten może rozwijać się stopniowo, a zaburzenia świadomości związane z hipotermią często uniemożliwiają samodzielne rozpoznanie problemu przez pacjenta.13

Stadia hipotermii i ich charakterystyka

Hipotermia progresywnie rozwija się przez kilka stadiów w miarę spadku temperatury ciała. Każde stadium charakteryzuje się specyficznymi objawami klinicznymi o narastającym nasileniu:45

Hipotermia łagodna (35-32°C)

Przy temperaturze ciała między 35°C a 32°C występują następujące objawy:46

  • Intensywne, niekontrolowane drżenie (dreszcze)
  • Szczękanie zębami
  • Wyczerpanie, uczucie zmęczenia
  • Niezdarność, spowolnienie ruchów i reakcji („fumbles”)
  • Senność
  • Słaby puls
  • Przyspieszenie czynności serca (tachykardia)
  • Przyspieszony oddech (tachypnoe)
  • Blada skóra, zimna w dotyku
  • Splątanie i zaburzenia oceny sytuacji/utrata świadomości otoczenia
  • Wzmożona diureza
  • Trudności z mówieniem, „mumbling” – mamrotanie

47

Na tym etapie pacjent jest przytomny i może odpowiadać na pytania, choć mogą już występować problemy z jasnym myśleniem. Charakterystyczne dla tego stadium są tak zwane „umbles” – zestaw objawów obejmujący potykanie się (stumbles), mamrotanie (mumbles), niezdarność (fumbles) i marudzenie (grumbles).78

Hipotermia umiarkowana (32-28°C)

Przy temperaturze ciała między 32°C a 28°C, stan pacjenta ulega pogorszeniu:46

  • Ustanie drżenia – to krytyczny znak pogłębiającej się hipotermii
  • Spowolnienie oddechu i czynności serca
  • Bełkotliwa mowa
  • Postępujące obniżenie funkcji umysłowych
  • Halucynacje
  • Sinawy kolor skóry (sinica)
  • Zwiększona sztywność mięśni
  • Rozszerzone źrenice
  • Zaburzenia rytmu serca
  • Obniżone ciśnienie krwi
  • Osłabione odruchy
  • Utrata przytomności
  • Inkontynencja moczu

469

Na tym etapie obserwuje się znaczne pogorszenie stanu neurologicznego pacjenta – jest on senniejszy i może nie chcieć się poruszać. Charakterystycznym objawem jest paradoksalne rozbieranie się (paradoxical undressing) – zachowanie, w którym osoba z hipotermią zdejmuje ubranie pomimo przebywania w zimnym otoczeniu. Występuje to u 20-50% przypadków śmiertelnych hipotermii.1011

Hipotermia ciężka (poniżej 28°C)

Przy temperaturze ciała poniżej 28°C występuje stan bezpośredniego zagrożenia życia:126

  • Całkowity brak drżenia
  • Niskie ciśnienie krwi (hipotensja)
  • Płyn w płucach (obrzęk płuc)
  • Brak odruchów
  • Całkowita sztywność mięśni
  • Utrata ruchów dowolnych
  • Skąpomocz
  • Zatrzymanie akcji serca (zatrzymanie krążenia)
  • Śpiączka, która może naśladować śmierć
  • Zgon

127

Pacjent w ciężkiej hipotermii jest minimalnie reaktywny lub nie reaguje wcale. Mięśnie są sztywne, skóra jest lodowata w dotyku i ma siną barwę. Oddech jest płytki i wolny lub nieobecny, podobnie jak akcja serca – puls jest słaby, wolny lub niewyczuwalny. Często pacjent sprawia wrażenie martwego, choć może nadal żyć.713

W końcowych stadiach hipotermii może wystąpić zachowanie określane jako „terminal burrowing” lub „syndrom ukrycia się i śmierci”. Dotknięte osoby wchodzą do małych, zamkniętych przestrzeni, takich jak przestrzenie pod łóżkami czy za szafami.10

Progresja objawów hipotermii

Objawy hipotermii nasilają się stopniowo wraz ze spadkiem temperatury ciała. Ta progresja jest kluczowa dla zrozumienia dynamiki choroby i stanowi istotną wskazówkę diagnostyczną dla personelu medycznego.114

Rozwój objawów klinicznych

Początkowo organizm reaguje na obniżenie temperatury uruchamiając mechanizmy kompensacyjne:1516

  • Między 35°C a 34°C większość osób drży intensywnie, zwykle we wszystkich kończynach
  • Poniżej 34°C mogą pojawić się zaburzenia oceny sytuacji, amnezja i dyzartria
  • Przy około 33°C można zaobserwować ataksję i apatię
  • Większość pacjentów z temperaturą 32°C lub niższą jest w stanie osłupienia
  • Przy 31°C lub poniżej organizm traci zdolność generowania ciepła poprzez drżenie
  • Przy 30°C wzrasta ryzyko zaburzeń rytmu serca
  • Między 28°C a 30°C źrenice mogą być znacznie rozszerzone i minimalnie reaktywne na światło, co może imitować śmierć mózgu
  • Przy 28°C organizm staje się wyraźnie podatny na migotanie komór i dalszą depresję kurczliwości mięśnia sercowego
  • Poniżej 27°C, 83% pacjentów jest w śpiączce

17

W miarę postępu hipotermii, drżenie początkowo nasila się, a następnie całkowicie ustaje, co pozwala na jeszcze szybszy spadek temperatury ciała. Funkcjonowanie ośrodkowego układu nerwowego stopniowo się pogarsza – początkowo pojawia się letarg, potem splątanie, pobudzenie, a czasem halucynacje, aż do śpiączki. Źrenice mogą stać się niereaktywne. Oddech i akcja serca zwalniają, by ostatecznie ustać.18

Objawy kardiologiczne

W miarę spadku temperatury ciała, funkcje układu sercowo-naczyniowego ulegają postępującemu upośledzeniu:1819

  • Początkowo bradykardia zatokowa
  • Następnie powolne migotanie przedsionków
  • W stadium terminalnym migotanie komór lub asystolia
  • Zmniejszony rzut serca i spadek ciśnienia tętniczego
  • Przy temperaturze poniżej 30°C znacznie wzrasta ryzyko zaburzeń rytmu serca

1820

Gdy temperatura spada poniżej ciężkiej hipotermii, aktywność elektryczna serca jest coraz trudniejsza do wykrycia. Występuje znaczna bradykardia z częstością akcji serca około 30 uderzeń na minutę przy temperaturze 28°C.21

Zmiany neurologiczne

Funkcje neurologiczne są szczególnie wrażliwe na obniżenie temperatury ciała:2022

  • Początkowe upośledzenie oceny sytuacji i pamięci
  • W miarę nasilania się hipotermii rozwija się bełkotliwa mowa, ataksja i senność
  • W ciężkiej hipotermii dochodzi do śpiączki i śmierci
  • Przepływ krwi w mózgu znacząco spada, gdy temperatura ciała spada poniżej 33°C

2022

Inne układy narządowe

Hipotermia wpływa na wszystkie układy narządowe:2023

  • Układ oddechowy: spadek częstości oddechów, retencja dwutlenku węgla, kwasica oddechowa, ostatecznie zatrzymanie oddychania
  • Układ moczowy: początkowo wzmożona diureza, potem w cięższych stadiach skąpomocz i niewydolność nerek
  • Układ krzepnięcia: koagulopatia w umiarkowanej do ciężkiej hipotermii

2023

Specyficzne objawy hipotermii

Objaw drżenia

Drżenie jest jednym z najbardziej charakterystycznych objawów hipotermii i kluczowym elementem w ocenie jej stopnia zaawansowania:124

  • W łagodnej hipotermii drżenie jest intensywne i niekontrolowane – jest to naturalny mechanizm obronny organizmu do wytworzenia ciepła
  • Ustanie drżenia podczas kontynuowanej ekspozycji na zimno jest krytycznym objawem progresji do umiarkowanej hipotermii
  • Brak drżenia w ciężkiej hipotermii wynika z wyczerpania zapasów energetycznych organizmu

2425

Jak stwierdza dr Stephen Cook z Franciscan Health: „Objawy hipotermii mogą obejmować drżenie, które jest naturalnym sposobem organizmu na wytworzenie ciepła. Oprócz drżenia może wystąpić brak koordynacji, a także splątanie umysłowe.”26

Zaburzenia świadomości

Hipotermia znacząco wpływa na funkcje poznawcze i stan świadomości:12

  • Początkowo pogorszenie osądu i koncentracji
  • Postępujące splątanie i dezorientacja
  • Bełkotliwa mowa, przypominająca mowę osób nietrzeźwych
  • W miarę pogłębiania się stanu – senność, apatia
  • Ostatecznie utrata przytomności

121

Zaburzenia świadomości są szczególnie niebezpieczne, ponieważ pacjent traci zdolność do rozpoznania zagrożenia i podjęcia działań ratunkowych. Jak podkreśla się w literaturze: „Osoba z hipotermią może nie być w stanie jasno myśleć ani sprawnie się poruszać. To czyni hipotermię szczególnie niebezpieczną, ponieważ osoba może nie wiedzieć, że to się dzieje.”249

Zmiany w układzie krążenia

Objawy ze strony układu krążenia stanowią istotny element obrazu klinicznego hipotermii:12

  • Słaby, często trudny do wyczucia puls
  • Początkowo przyspieszenie, a następnie zwolnienie czynności serca
  • Zaburzenia rytmu serca
  • Obniżone ciśnienie tętnicze
  • W ciężkiej hipotermii – ekstremalna bradykardia, migotanie komór, zatrzymanie krążenia

221

Hipotermia może prowadzić do nieregularnej pracy serca, co jest jednym z najbardziej niebezpiecznych powikłań tego stanu. Ciężka hipotermia może być przyczyną zatrzymania krążenia i śmierci.227

Zmiany w układzie oddechowym

Objawy ze strony układu oddechowego towarzyszące hipotermii:128

  • Spowolniony, płytki oddech
  • W miarę progresji hipotermii – dalsza depresja ośrodka oddechowego
  • W ciężkiej hipotermii – oddech bardzo powolny, często niewykrywalny
  • Płyn w płucach (obrzęk płuc) w zaawansowanych stadiach

2823

Zmiany skórne

Charakterystyczne objawy skórne w hipotermii:46

  • Skóra blada, zimna w dotyku
  • W miarę pogłębiania się stanu – sinawy lub szary kolor skóry (sinica)
  • U niemowląt – skóra jaskrawoczerwona i zimna

41

Hipotermia u szczególnych grup pacjentów

Hipotermia u niemowląt i dzieci

Niemowlęta i dzieci są szczególnie podatne na hipotermię ze względu na nierozwinięty mechanizm termoregulacji:129

  • Typowe objawy hipotermii u niemowląt to jaskrawoczerwona, zimna skóra oraz bardzo niska energia
  • Niemowlęta mogą być ospałe i mniej aktywne niż zwykle
  • Słaby płacz
  • Trudności z oddychaniem
  • Słaby apetyt lub odmowa jedzenia

309

Brak zdolności do termoregulacji jest kluczową przyczyną hipotermii krótko po urodzeniu, gdyż noworodki nie są jeszcze w stanie utrzymać temperatury ciała we właściwym zakresie. Ze względu na swoją wielkość, niemowlęta tracą ciepło szybciej i łatwiej, co sprawia, że ich temperatura rdzeniowa może się szybciej zmieniać.29

U dzieci poważne objawy hipotermii obejmują: słabe tętno i nieregularny oddech. Hipotermia u niemowląt wymaga natychmiastowej pomocy medycznej przy temperaturze rektalnej poniżej 36,5°C.3031

Hipotermia u osób starszych

Osoby starsze są bardziej narażone na hipotermię ze względu na:3233

  • Obniżoną zdolność termoregulacji
  • Często współistniejące choroby przewlekłe
  • Zmniejszoną zdolność reagowania na obniżenie temperatury
  • Ograniczoną mobilność
  • Mniejszą świadomość zagrożenia

3233

U osób starszych diagnoza może być utrudniona, gdyż objawy mogą być niespecyficzne. Hipotermia u seniorów może nie być rozważana w przypadku zaburzeń świadomości, koordynacji i mowy, jeśli pacjent przebywa w pomieszczeniu, a nie w oczywistym środowisku zimnym.32

Literatura wskazuje, że śmiertelność w przypadku hipotermii u osób starszych wynosi około 50%, co podkreśla wagę szybkiego rozpoznania i leczenia w tej grupie wiekowej.34

Specjalne rodzaje hipotermii

Hipotermia okresowa

Hipotermia okresowa (periodic hypothermia) to rzadkie zaburzenie charakteryzujące się nawracającymi epizodami hipotermii bez wyraźnej ekspozycji na zimno:3522

  • Występuje jako spontaniczna okresowa hipotermia i hiperhidroza bez zmian w podwzgórzu
  • Może wystąpić w każdym wieku (od 6 miesięcy do 62 lat)
  • Charakteryzuje się nawracającymi epizodami hipotermii
  • Podczas epizodów obserwuje się postępujące splątanie i obniżony poziom pobudzenia
  • Dodatkowe objawy to poty, asterixis, bradykardia i małopłytkowość

3522

Rozróżnia się cztery odrębne zespoły: wrodzona okresowa hipotermia z lub bez zmian strukturalnych oraz nabyta okresowa hipotermia stereotypowa lub niestereotypowa. Epizody z definicji ustępują samoistnie bez trwałego deficytu neurologicznego, jednak pacjenci podczas epizodów są unieruchomieni, co naraża ich na powikłania medyczne.36

Hipotermia spowodowana immersją

Zanurzenie w zimnej wodzie może prowadzić do szczególnie szybkiego rozwoju hipotermii:3738

  • Woda prowadzi do utraty ciepła co najmniej 24 razy szybciej niż powietrze o tej samej temperaturze
  • Osoba zanurzona w wodzie o temperaturze bliskiej zamarzania (0,3°C) będzie miała objawy łagodnej hipotermii w ciągu 2 minut
  • Utrata przytomności może nastąpić w ciągu mniej niż 15 minut
  • Oczekiwany czas przeżycia w takich warunkach wynosi od 15 do 45 minut

3938

Długotrwałe przebywanie w mokrym ubraniu również znacząco przyspiesza rozwój hipotermii, nawet przy umiarkowanych temperaturach otoczenia.40

Rozpoznanie hipotermii

Rozpoznanie hipotermii zazwyczaj opiera się na objawach pacjenta i pomiarze temperatury ciała:32

  • Temperatura rdzeniowa poniżej 35°C (95°F) potwierdza hipotermię
  • W łagodnych przypadkach rozpoznanie może być trudne ze względu na subtelność objawów
  • U osób starszych hipotermia może być pomylona z udarem, otruciem alkoholowym lub innym stanem powodującym splątanie
  • Pacjent z ciężką hipotermią może sprawiać wrażenie nieprzytomnego, bez wyraźnych oznak pulsu czy oddechu

3216

Jedynym wiarygodnym sposobem określenia, czy dana osoba ma hipotermię, jest pomiar temperatury rdzeniowej, czego nie można zrobić doustnie. Często trudno jest odróżnić osobę mocno wyziębioną od osoby z hipotermią bez pomiaru temperatury.41

Rokowanie w hipotermii

Rokowanie w hipotermii zależy od wielu czynników, w tym stopnia nasilenia stanu i wcześniejszego stanu zdrowia pacjenta:1934

  • Osoby z łagodną hipotermią zazwyczaj wracają do zdrowia bez trwałych następstw
  • Pacjenci szybko poddani resuscytacji mają zwykle dobre rokowanie, choć mogą mieć pozostałości odmrożeń i uszkodzenia mięśni
  • Skrajne wartości wieku i ciężka hipotermia wiążą się z gorszym rokowaniem
  • Śmiertelność w przypadku hipotermii u osób starszych wynosi około 50%
  • Dzieci i niemowlęta mają tendencję do lepszego rokowania po ciężkiej hipotermii niż dorośli

193442

Osoby z łagodną hipotermią zwykle wracają do zdrowia bez trwałych uszkodzeń. Jednak osoby z umiarkowaną do ciężkiej hipotermii mogą zmagać się z poważnymi powikłaniami, a nawet śmiercią. Ryzyko zgonu wzrasta, gdy temperatura rdzeniowa spada poniżej 32°C, a jeśli temperatura rdzeniowa jest niższa niż 28°C, stan jest zagrażający życiu bez natychmiastowej pomocy medycznej.13

Powikłania hipotermii

Hipotermia może prowadzić do licznych powikłań, szczególnie w przypadkach umiarkowanych i ciężkich:2343

  • Hipoksja (niedotlenienie tkanek)
  • Odmrożenia prowadzące do zgorzeli rąk i stóp
  • Zapalenie trzustki
  • Płyn w płucach (obrzęk płuc)
  • Zapalenie płuc
  • Niewydolność nerek
  • Problemy z sercem, w tym zaburzenia rytmu
  • Krwawienie do mózgu u wcześniaków
  • Hipoglikemia (niski poziom cukru we krwi)

2330

Zbyt szybkie ogrzewanie po hipotermii może znacznie zwiększyć ryzyko zatrzymania akcji serca. Inne powikłania ogrzewania to stany zapalne, zaburzenia rytmu serca, ciężkie infekcje i zakrzepy krwi.43

Stadium hipotermii Temperatura ciała Główne objawy Zmiany fizjologiczne
Łagodna 35-32°C (95-90°F) Intensywne drżenie, zaburzenia koordynacji, bełkotliwa mowa, zmęczenie, dezorientacja Tachykardia, tachypnoe, zwiększone napięcie mięśniowe, wzmożona diureza
Umiarkowana 32-28°C (90-82°F) Ustanie drżenia, nasilenie splątania, spowolnienie, halucynacje, sinica, sztywność mięśni Bradykardia, spowolniony oddech, zaburzenia rytmu serca, hipotensja, rozszerzenie źrenic
Ciężka poniżej 28°C (poniżej 82°F) Brak reakcji, skrajna sztywność mięśni, brak odruchów, skóra lodowata i sina Skrajne zwolnienie akcji serca i oddechu, migotanie komór lub asystolia, brak ruchów dowolnych, śpiączka

Objawy hipotermii – kluczowe aspekty kliniczne

Hipotermia jest stanem zagrożenia życia, który manifestuje się szeregiem objawów o narastającym nasileniu w zależności od stopnia obniżenia temperatury ciała.144

  • Początkowo obserwuje się intensywne drżenie, zaburzenia koordynacji i funkcji poznawczych
  • Drżenie jest kluczowym objawem – jego ustanie przy dalszej ekspozycji na zimno sygnalizuje przejście do umiarkowanej hipotermii
  • W miarę spadku temperatury ciała pojawiają się zaburzenia świadomości, zwolnienie funkcji życiowych i ostatecznie utrata przytomności
  • Najcięższe stadia charakteryzują się brakiem odruchów, głęboką śpiączką i zatrzymaniem krążenia
  • Specyficzne grupy pacjentów (niemowlęta, osoby starsze) mogą prezentować atypowe objawy i są szczególnie podatne na rozwój hipotermii

1345

Hipotermia może rozwijać się stopniowo i często osoby dotknięte nią nie są świadome swojego stanu, co czyni ją szczególnie niebezpieczną. Szybkie rozpoznanie objawów i natychmiastowa interwencja medyczna są kluczowe dla pomyślnego wyniku leczenia.4546

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Hypothermia – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hypothermia/symptoms-causes/syc-20352682
    Hypothermia is a condition that occurs when core body temperature drops below 95 degrees Fahrenheit (35 degrees Celsius). It is a medical emergency. In hypothermia (hi-poe-THUR-me-uh), the body loses heat faster than it can produce heat, causing a dangerously low body temperature. Regular body temperature is around 98.6 degrees Fahrenheit (37 degrees Celsius). […] When body temperature drops, the heart, nervous system and other organs can’t work as well as they usually do. Left untreated, hypothermia can cause the heart and respiratory system to fail and eventually can lead to death. […] Symptoms of hypothermia include: Shivering. Slurred speech or mumbling. Slow, shallow breathing. Weak pulse. Clumsiness or lack of coordination. Drowsiness or very low energy. Confusion or memory loss. Loss of consciousness. In infants, bright red, cold skin. […] People with hypothermia usually aren’t aware of their condition. The symptoms often begin gradually. Also, the confused thinking associated with hypothermia prevents self-awareness. The confused thinking also can lead to risk-taking behavior.
  • #2 Hypothermia Signs, First Aid and Prevention | Franciscan Health
    https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention
    Hypothermia is an abnormally low body temperature (usually under 96 degrees) brought on by staying in cold temperatures for a long period of time and the body is unable to produce enough heat. […] This low temperature affects the brain and a person’s ability to think clearly or move well and can be deadly. Severe hypothermia can also cause an irregular heartbeat leading to heart failure and death. […] The most common symptoms of hypothermia are: Confusion, Sleepiness, Fumbling hands, Severe shivering or no shivering, Exhaustion, Slow, slurred speech, Shallow breathing, Weak pulse, Low blood pressure, Drowsiness, A change in behavior or appearance during cold weather, Stiffness in the arms and legs, Poor control over body movements or slow reactions, In infants, bright red, cold skin and/or very low energy.
  • #3 Hypothermia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK545239/
    Hypothermia occurs when the body dissipates more heat than it absorbs or creates, resulting in failure to maintain homeostasis and proper bodily function. […] Hypothermia is defined as a drop in body temperature below 35 C. The condition is common in cold geographic areas and during cooler months, though it can also develop in locations with milder climates. Hypothermia affects all organ systems. Presenting symptoms depend on the severity of the condition. […] Patients with mild hypothermia have a core body temperature ranging from 32 to 35 C (90-95 F). The core temperature for moderate hypothermia is 28 to 32 C (82-90F). The core body temperature is less than 28 C (82 F) for severe or profound hypothermia. […] In mild hypothermia, the core body temperature ranges from 32 to 35 C (90-95 F). The symptoms are often subtle and nonspecific, including hunger, nausea, fatigue, shivering, and pale-dry skin.
  • #4 Hypothermia (Low Body Temperature): Signs, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/21164-hypothermia-low-body-temperature
    Hypothermia symptoms vary based on the severity of the condition. The stages of hypothermia include mild, moderate and severe. […] Mild hypothermia means your body temperature is between 95 F and 89.6 F (35 C and 32 C). Signs of mild hypothermia include: Shivering and chattering teeth. Exhaustion. Clumsiness, slow movements and reactions. Sleepiness. Weak pulse. Fast heart rate (tachycardia). Rapid breathing (tachypnea). Pale skin color. Confusion and poor judgment/loss of awareness. Excessive urination. Trouble speaking. […] Moderate hypothermia means your body temperature is between 89.6 F and 82.4 F (32 C and 28 C). Signs of moderate hypothermia include: Slow down in breathing and heart rate. Slurred speech. Decline in mental function. Hallucinations. Decreased shivering. Bluish color to skin (cyanosis). Increased muscle stiffness. Dilated pupils. Abnormal heart rhythm. Decreased blood pressure. Weakened reflexes. Loss of consciousness.
  • #5
    https://www.ecsinstitute.org/blog/ecsi/2023/12/01/recognizing-the-symptoms-of-hypothermia-what-you-need-to-know
    Hypothermia happens when heat loss occurs faster than heat production and the bodys core temperature falls below 95F (35C). Generally, the core body temperature will not fall until after many hours of continuous exposure. However, this can be accelerated by wet skin, wind, and inactivity. […] Many of us who have been recreating or working in the outdoors have been cold to the point where we start to shiver, but we can move and take care of ourselves. This is the start of cold stress on our bodies. If we suspect cold stress we should move around or exercise to get warm, we should eat high-calorie food or drink. If we have wet clothes, we should remove them and put on dry clothing. However, if unattended cold stress can become hypothermia and turn into a life-threatening situation. […] There are three main types of hypothermia: mild, moderate and severe. All of these are based on core body temperature. Often taking core body temperature is not possible for many reasons in remote locations. Becoming familiar with the signs of hypothermia can help to determine if a person may have hypothermia.
  • #6 Hypothermia | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/healthyliving/hypothermia
    Hypothermia can be distinguished into 3 stages mild, moderate or severe. The signs and symptoms of hypothermia can be approximately grouped with the temperature ranges of the different stages: […] For mild hypothermia (35 to 32oC), signs and symptoms include: pale and cool to touch as blood vessels constrict in the skin, numbness in the extremities, sluggish responses, drowsiness or lethargic, shivering, increased heart rate and breathing. […] For moderate hypothermia (32 to 28oC), signs and symptoms include: decreasing conscious state, urine incontinence as a result of an increased workload on the kidneys related to blood being shunted to the major organs, no longer shivering, slowed heart rate, breathing rate and low blood pressure. […] For severe hypothermia (below 28oC), signs and symptoms include: unconscious and no longer responding, the heart beats more slowly and may become irregular before ultimately stopping if the person gets too cold, no response to light in the pupil of the eye, rigid muscles the person might feel like they are in rigor mortis, pulses and respiratory effort may be present but hard to detect.
  • #7
    https://www.ecsinstitute.org/blog/ecsi/2023/12/01/recognizing-the-symptoms-of-hypothermia-what-you-need-to-know
    Signs of Mild Hypothermia: Vigorous, uncontrollable shivering; Awake and alert; Complains of painful cold feet and hands; Can answer questions; The person mumbles, grumbles, fumbles, stumbles and tumbles (the umbles). […] Signs of Moderate Hypothermia: Shivering stops; The umbles worsen; May be sleepy and not want to move much; Confused about surroundings; Skin is bluer or paler than baseline color and cold when touched. […] Signs of Severe Hypothermia: Barely responsive; Rigid and stiff muscles; Skin feels ice cold and appears blue; Slow shallow or absent breathing; Weak, slow or absent heartbeat; Appears dead with no signs of life.
  • #8 Hypothermia Signs & Symptoms – The MR340facebook-squareenvelope-squaremenuchevron-downcross-circle
    https://mr340.org/news/hypothermia-signs-symptoms/
    What is Hypothermia? It is a decrease in the core body temperature to a level at which normal muscular and cerebral functions are impaired. […] Signs and Symptoms of Hypothermia […] Watch for the „Umbles” – stumbles, mumbles, fumbles, and grumbles which show changes in motor coordination and levels of consciousness. […] Mild Hypothermia: Shivering – not under voluntary control. Can’t do complex motor functions (i.e. paddling) can still walk & talk. […] Moderate Hypothermia: Slurred speech. Violent shivering. Dazed consciousness. „I don’t care” attitude. Loss of fine motor coordination – particularly in hands – can’t zip up jacket. Irrational behavior – paradoxical undressing – person starts to take off clothing. […] Severe Hypothermia: Shivering occurs in waves, violent then pause, pauses get longer then shivering stops. Person falls to the ground, can’t walk, curls up into a fetal position to conserve heat. Muscle rigidity develops. Skin is pale, pupils dilate, pulse rate decreases.
  • #9 Preventing Hypothermia | Winter Weather | CDC
    https://www.cdc.gov/winter-weather/prevention/index.html
    Hypothermia can happen when a person is exposed to very cold temperature for a long period of time. When exposed to cold temperatures, your body begins to lose heat faster than it’s produced. Lengthy exposures will eventually use up your body’s stored energy, which leads to lower body temperature. […] Body temperature that is too low affects the brain, making the victim unable to think clearly or move well. This makes hypothermia especially dangerous, because a person may not know that it’s happening and won’t be able to do anything about it. […] The following are warnings signs of hypothermia: Adults: Shivering, Exhaustion or feeling very tired, Confusion, Fumbling hands, Memory loss, Slurred speech, Drowsiness. Babies: Bright red, cold skin, Very low energy. […] Hypothermia is a medical emergency. If you notice any of the above signs, take the person’s temperature. If it is below 95 F, get medical attention immediately! […] A person with severe hypothermia may be unconscious and may not seem to have a pulse or to be breathing.
  • #10 Hypothermia – Wikipedia
    https://en.wikipedia.org/wiki/Hypothermia
    There is often cold, inflamed skin, hallucinations, lack of reflexes, fixed dilated pupils, low blood pressure, pulmonary edema, and shivering is often absent. […] Twenty to fifty percent of hypothermia deaths are associated with paradoxical undressing. This typically occurs during moderate and severe hypothermia, as the person becomes disoriented, confused, and combative. […] An apparent self-protective behaviour, known as „terminal burrowing”, or „hide-and-die syndrome”, occurs in the final stages of hypothermia. Those affected will enter small, enclosed spaces, such as underneath beds or behind wardrobes.
  • #11 TrustCare | Hypothermia Explained
    https://trustcarehealth.com/blog/hypothermia-explained
    HT I: Mild Hypothermia, 95-89.6 degrees Normal or nearly normal consciousness, shivering […] HT II: Moderate Hypothermia, 89.6-82.4 degrees Shivering stops, consciousness becomes impaired […] HT III: Severe Hypothermia, 82.4-75.2 degrees Unconscious, may be difficult to detect vital signs […] HT IV: Apparent Death, 75.2-59 degrees […] HT V: Death from irreversible hypothermia.
  • #12 Hypothermia (Low Body Temperature): Signs, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/21164-hypothermia-low-body-temperature
    Severe hypothermia means your body temperature is less than 82.4 F (28 C). Signs of severe hypothermia include: Loss of shivering. Low blood pressure (hypotension). Fluid in lungs. Absence of reflexes. Complete muscle stiffness. Loss of voluntary motion. Low urine output (oliguria). Heart stops beating (cardiac arrest). Coma that may mimic death. Death. […] Symptoms will progress from mild to severe with prolonged exposure.
  • #13 Hypothermia | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/healthyliving/hypothermia
    Mild hypothermia (32 to 35C body temperature) is usually easy to treat. However, the risk of death increases as the core body temperature drops below 32C. […] If core body temperature is lower than 28C, the condition is life-threatening without immediate medical attention. Under this temperature, a person will be very cold to touch, unresponsive, rigid, not breathing, have no pulse, and their pupils will be fixed (they will not respond to light changes). They will appear to be dead, but they may not be.
  • #14 Hypothermia: Symptoms, treatment, stages, and more
    https://www.medicalnewstoday.com/articles/182197
    Hypothermia is a condition involving a low body temperature, usually below 95F (35C). Shivering, pale skin, unclear speech, and a fast heart rate can be signs of hypothermia. It is a medical emergency. […] The stages of hypothermia range from mild to severe. Even the mild stage is an emergency, and a bystander should call 911 if they notice its signs. […] As hypothermia progresses through the stages, symptoms become more severe and dangerous. A 2021 review article describes the symptoms in adults as follows: […] Symptoms in this stage include: body temperature of 90-95F (32-35C), tiredness, shivering, hunger, nausea, skin that is dry and paler than usual, fast heart rate, increased muscle tone, increased blood pressure, decline in memory, judgment, and thinking ability, unclear speech, loss of control of body movements, frequent urination.
  • #15 Hypothermia – Injuries and Poisoning – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/injuries-and-poisoning/cold-injuries/hypothermia
    Hypothermia results when the body loses more heat than can be replaced by increasing the amount of heat generated by the body through exercise or by increasing warming from external sources, such as a fire or the sun. […] The person shivers at first and later may become confused and lose awareness. […] Initial symptoms of hypothermia include intense shivering and teeth chattering. As body temperature falls further, […] Shivering stops. […] Movements become slow and clumsy. […] Reaction time is longer. […] Thinking is blurred. […] Judgment is impaired. […] When shivering stops, people become more sluggish and slip into a coma. The heart and breathing rates become slower and weaker. If they are very slow, the person may seem to have no signs of life (no heartbeat or attempts to breathe) even though the heart is beating very weakly. Eventually the heart does stop. […] The lower the body temperature is, the higher the risk of death. Death may occur at body temperatures below 88 F (about 31 C) but is most likely to occur below 83 F (about 28 C).
  • #16 Hypothermia Clinical Presentation: History, Physical Examination, Complications
    https://emedicine.medscape.com/article/770542-clinical
    Hypothermia is usually readily apparent in the setting of severe environmental exposure. […] Mild or moderate hypothermia can present with misleading symptoms, such as confusion, dizziness, chills, or dyspnea. […] Symptoms can include mood change, irritability, poor judgment, and lassitude. […] Slurred speech and ataxia may mimic a stroke, alcohol intoxication, or high-altitude cerebral edema. […] Similarly, profound hypothermia may present as coma or cardiac arrest. […] At a given temperature, specific physical examination findings vary among patients. However, an examination does provide a frame of reference for dividing presenting symptoms into mild, moderate, and severe hypothermic signs. […] Between 34C and 35C, most people shiver vigorously, usually in all extremities. […] As the temperature drops below 34C, a patient may develop altered judgment, amnesia, and dysarthria.
  • #17 Hypothermia Clinical Presentation: History, Physical Examination, Complications
    https://emedicine.medscape.com/article/770542-clinical
    At approximately 33C, ataxia and apathy may be seen. […] Most patients with temperatures of 32C or lower present in stupor. […] As the core reaches temperatures of 31C or below, the body loses its ability to generate heat by shivering. […] At 30C, patients develop a higher risk for arrhythmias. […] Between 28C and 30C, pupils may become markedly dilated and minimally responsive to light, a condition that can mimic brain death. […] At 28C, the body becomes markedly susceptible to ventricular fibrillation and further depression of myocardial contractility. […] Below 27C, 83% of patients are comatose. […] Pulmonary edema, oliguria, coma, hypotension, rigidity, apnea, pulselessness, areflexia, unresponsiveness, fixed pupils, and decreased or absent activity on EEG are all seen.
  • #18 Hypothermia – Injuries; Poisoning – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/injuries-poisoning/cold-injury/hypothermia
    Hypothermia is a core body temperature 35 C. Symptoms progress from shivering and lethargy to confusion, coma, and death. […] Intense shivering occurs initially, but then progressively ceases, which allows body temperature to drop more precipitously. Central nervous system dysfunction progresses as the body temperature decreases; people do not sense the cold. Lethargy and clumsiness are followed by confusion, irritability, sometimes hallucinations, and eventually coma. Pupils may become unreactive. Respirations and heartbeat slow and ultimately cease. Initial sinus bradycardia is followed by slow atrial fibrillation; the terminal rhythm is ventricular fibrillation or asystole.
  • #19 Hypothermia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK545239/
    Patients with moderate hypothermia have a core body temperature of 28 to 32 C (82-90 F). Cognitive decline and lethargy are common. […] Individuals with severe hypothermia have a core body temperature of less than 28 C (82 F). Cerebral blood flow continues to decline until patients become unresponsive. Blood pressure, heart rate, and cardiac output also continue to decrease. […] Severe hypothermia can be lethal, though many factors may improve the prognosis. […] Individuals who are resuscitated quickly usually have good outcomes, though they may have residual frostbite and muscle injury. Extremes of age and severe hypothermia generally have a poorer prognosis.
  • #20 Signs and Symptoms – RCEMLearning
    https://www.rcemlearning.co.uk/modules/hypothermia-and-frostbite/lessons/signs-and-symptoms/
    Hypothermia affects almost every organ system. […] With worsening hypothermia, bradycardia occurs, oxygen demand decreases and cardiac output falls. […] Eventually, severe bradycardia, ventricular fibrillation or asystole ensues. […] Patients with moderate-to-severe hypothermia may develop a coagulopathy. […] The response to mild hypothermia starts with impaired judgment and memory. […] As the severity of hypothermia worsens, slurred speech, ataxia and drowsiness develop. […] Finally, in severe hypothermia, coma and death result. […] More severe hypothermia results in renal failure and renal shutdown. […] As the body cools, the respiratory rate falls and the patient develops carbon dioxide retention, respiratory acidosis and ultimately respiratory arrest.
  • #21 Hypothermia – Wikipedia
    https://en.wikipedia.org/wiki/Hypothermia
    Hypothermia is defined as a body core temperature below 35.0 C (95.0 F) in humans. Symptoms depend on the temperature. In mild hypothermia, there is shivering and mental confusion. In moderate hypothermia, shivering stops and confusion increases. In severe hypothermia, there may be hallucinations and paradoxical undressing, in which a person removes their clothing, as well as an increased risk of the heart stopping. […] As hypothermia progresses, symptoms include: mental status changes such as amnesia, confusion, slurred speech, decreased reflexes, and loss of fine motor skills. […] As the temperature decreases, further physiological systems falter and heart rate, respiratory rate, and blood pressure all decrease. This results in an expected heart rate in the 30s at a temperature of 28 C (82 F).
  • #22 Diagnosis and management of periodic hypothermia
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5765588/
    Hypothermia, defined as a core temperature below 35C, can occur in a variety of clinical settings, including environmental exposure, shock, infection, metabolic disorders (such as hypothyroidism, adrenal insufficiency, and Wernicke encephalopathy), malnutrition, and alcohol or drug toxicity. […] The episodes are characterized by progressive confusion and a decreased level of arousal, hypothermia, and eventual resolution with a return to baseline. Additional clinical findings during episodes may include diaphoresis, asterixis, bradycardia, and thrombocytopenia. These recurrent episodes represent periodic hypothermia. […] Dysfunction, injury, or destruction of the preoptic area, whether congenital or acquired, can lead to the development of periodic hypothermia. The cognitive impairment and other neurologic symptoms seen during hypothermia may be due to the reduction in cerebral blood flow that occurs once the body temperature falls below 33C.
  • #23 Hypothermia Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/hypothermia
    There are many possible complications from hypothermia, including: Hypoxia (lack of oxygen in the tissues) […] Frostbite leading to gangrene in the hands and feet […] Inflammation of the pancreas […] Fluid in the lungs […] Pneumonia […] Kidney failure […] Heart problems. […] People with severe hypothermia should be hospitalized. They may need CPR. They should be moved very carefully and watched closely for an irregular heartbeat, which could be fatal. All people with hypothermia must be watched closely until their body temperature returns to normal.
  • #24 Signs and Symptoms of Hypothermia | Mass General Brigham
    https://www.massgeneralbrigham.org/en/about/newsroom/articles/signs-of-hypothermia
    Hypothermia is a medical emergency that requires immediate care. […] Hypothermia occurs when body temperature drops below 95F (35C). If you’re exposed to cold temperatures, your body can lose heat faster than it’s produced. […] Hypothermia is dangerous because cold environments are widespread and hypothermia can set in rapidly in low temperatures, especially if your body is wet. […] A person with hypothermia may be unable to think clearly or move well. This makes hypothermia especially dangerous, because you may not know that it’s happening. […] Warning signs of hypothermia in adults include: Shivering. If hypothermia becomes severe, a person may stop shivering. […] Hypothermia in the late stage involves a person who is totally unresponsive. […] If a person is shivering and seems quite cold, and suddenly stops shivering despite not getting any warmer, maybe they’re starting to get a little confused, they’re progressing to moderate hypothermia and that’s a true medical emergency, says Dr. Apisa.
  • #25 Hypothermia | Washington State Department of Health
    https://doh.wa.gov/emergencies/be-prepared-be-safe/severe-weather-and-natural-disasters/cold-weather/hypothermia
    Hypothermia is a condition in which a person’s body temperature has dropped significantly below normal. This occurs from inadequate protection against exposure to cold temperatures. The very young and elderly are the most susceptible to developing hypothermia when exposed to cold temperatures. […] The risk and extent of hypothermia is directly influenced by presence of wet clothing, contact with metals, wind-chill, and extent of temperature gradient between the body and its surroundings. Vulnerability is increased when circulation is impaired by cardiovascular disease, alcohol intake, exhaustion, and/or hunger. […] What are the symptoms of hypothermia? Uncontrolled shivering. Slow or unclear speech. Feeling extremely tired. Stumbling when attempting to walk. Confusion (person cannot think clearly). Semi-consciousness or unconsciousness.
  • #26 Hypothermia Signs, First Aid and Prevention | Franciscan Health
    https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention
    „Symptoms of hypothermia can include shivering, which is our body’s natural way to kind of create heat. But in addition to shivering, there can be lack of coordination, but also mental confusion,” said Franciscan Health cardiologist Stephen Cook, MD. „It’s really important for you to recognize what are normal symptoms of hypothermia when you’re out in the cold weather for long periods of time.”
  • #27 Hypothermia | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/h/hypothermia.html
    Hypothermia occurs when body temperature drops below 95F (35C). It’s a medical emergency. Hypothermia can progress from mild, to moderate, to severe. As the body temperature drops, it affects body organs, such as the brain. This makes it hard to think clearly or move well. It can also affect the heart. This causes abnormal heart rate and rhythm. Dropping body temperature affects the ability to breathe normally and causes loss of other body functions. If not treated, hypothermia can lead to death. […] These are the most common symptoms of hypothermia: Shivering, but conscious; Cold skin; Drowsiness; Confusion without shivering; Slow, slurred speech, or shallow breathing; Movements that may be slow and uncoordinated; As hypothermia gets worse, stiffness in the arms and legs; Slow heartbeat, weak pulse or low blood pressure; Slowed breathing rate; Loss of consciousness; In infants, cold and bright red skin, or very low energy. […] Untreated, hypothermia can be fatal. If the person has symptoms of hypothermia even if a temperature cant be taken, call 911. […] Severe hypothermia can cause an irregular heartbeat leading to heart failure and death. […] If not treated, hypothermia can lead to death.
  • #28 Hypothermia: Signs, Symptoms, Causes, and Treatment
    https://www.webmd.com/a-to-z-guides/what-is-hypothermia
    Hypothermia Symptoms […] First signs of hypothermia […] Warning signs of hypothermia in adults include: […] Shivering, which may stop as hypothermia progresses. (Shivering is actually a good sign that your heat regulation systems are still active.) […] Slow, shallow breathing […] Confusion and memory loss […] Drowsiness or exhaustion […] Slurred or mumbled speech […] Loss of coordination, fumbling hands, stumbling steps […] A slow, weak pulse […] Hypothermia symptoms for infants include: […] Cold-to-touch, bright red skin […] Unusually low energy […] Mild hypothermia […] Your body temperature is 90-95 F. Other symptoms include: […] Shivering and chattering teeth […] Feeling exhausted […] Slow movements and reactions […] Feeling sleepy […] Weak pulse […] Faster-than-normal heart rate
  • #29 Signs and symptoms of hypothermia in newborns | Summer Health
    https://www.summerhealth.com/blog/hypothermia-in-newborns-signs-and-symptoms
    Hypothermia is a serious medical condition that happens when a persons core temperature drops below 97.7F (36.5C), according to the World Health Organization. There are 3 stages of hypothermia: […] Mild hypothermia: 90-95F (32-35C) […] Moderate hypothermia: 82-90F (28-32C) […] Severe hypothermia: below 82F (below 28C) […] Newborns, however, cant fully thermoregulate, which makes them more vulnerable to heat and cold. If your newborn cant keep their body temperature up on their own, they will need help. […] Lack of thermoregulation is a key cause of hypothermia shortly after birth since newborns arent yet able to keep their body temperature within the right range. […] Babies also lose heat easily and quickly because of their size, making it easier for their core temperature to change. This is especially true for newborns with low birth weight.
  • #30 Signs and symptoms of hypothermia in newborns | Summer Health
    https://www.summerhealth.com/blog/hypothermia-in-newborns-signs-and-symptoms
    Hypothermia can have serious consequences, especially for preterm infants. Possible complications include: […] Low blood sugar levels (hypoglycemia) […] Bleeding in the brain (hemorrhage) […] Lung and breathing issues […] Hypothermia is a medical emergency and can lead to death. If you think your baby might have hypothermia or a low body temperature or if their rectal temperature reading is less than 97.7F (36.5C) call 911 for immediate medical help. […] Other than a low body temperature, a baby with hypothermia may: […] Appear sluggish and less active than usual […] Have a weak cry […] Have pale, cold, or cool skin […] Have trouble breathing […] Have a low appetite or may not eat well […] Have low energy […] Serious symptoms of hypothermia include a weak pulse and irregular breathing. But remember: any symptoms of hypothermia should be taken seriously, and you should get emergency medical help.
  • #31
    https://www.boystownpediatrics.org/knowledge-center/hypothermia-children
    When playing outside in the cold and snow, a childs body can lose heat quickly. A childs normal core temperature ranges from 98-99 degrees; hypothermia occurs when it drops below 95 degrees. […] Hypothermia warning signs include: Body shivers, Fingers and toes feel numb, Exposed skin may look puffy and blue, Lack of coordination, Muscle aches, Difficulty walking, Mental confusion, Slower breathing and heart rate, Irregular or erratic heart beat. […] Because severe hypothermia can be a life-threatening condition, a child with any level of hypothermia needs prompt attention.
  • #32 Hypothermia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hypothermia/diagnosis-treatment/drc-20352688
    The diagnosis of hypothermia usually is clear based on a person’s symptoms. […] A diagnosis may not be clear, however, if the symptoms are mild. For example, hypothermia may not be considered when an older person who is indoors has symptoms of confusion, lack of coordination and speech problems. […] A person with severe hypothermia may appear unconscious, with no clear signs of a pulse or breathing. […] Depending on the severity of hypothermia, emergency medical care for hypothermia may include one of the following interventions to raise the body temperature: […] For mild hypothermia, covering the person with heated blankets and offering them warm fluids to drink may be enough. […] Blood may be drawn, warmed and recirculated in the body. […] A warmed solution of salt water may be put into a vein to help warm the blood. […] The use of humidified oxygen, given through a mask or nasal tube, can warm the airways and help raise the temperature of the body. […] A warm saltwater solution may be used to warm certain areas of the body, such as the area around the lungs or the abdominal cavity.
  • #33 Frostbite And Hypothermia: What You Should Know | Henry Ford Health – Detroit, MI
    https://www.henryford.com/blog/2023/02/frostbite-vs-hypothermia-need-know
    Hypothermia occurs when the bodys core temperature falls below 95 degrees Fahrenheit. This happens through exposure to cool and/or damp conditions. Cardiac arrhythmia, or an irregular heartbeat, can also occur when the core body temperature falls below 95 degrees Fahrenheit. The elderly, immobile and psychiatric patients are most at risk. Often times, hypothermia affects elderly people who live in poorly heated homes. […] Symptoms of hypothermia include slurred speech, decreased coordination, uncontrollable shivering, cold and pale skin, blue lips and nails, stiffening of the neck and limbs, memory lapses, stumbling, abnormally slow breathing and a slow, irregular heartbeat. The condition becomes grave when the shivering stops, muscles stiffen and the skin turns bluish.
  • #34 Hypothermia Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/hypothermia
    Signs and symptoms of hypothermia may include: Skin that is cold to the touch […] Shivering at first, then not shivering […] Lethargy, drowsiness […] Weakness, clumsiness […] Irritability, combativeness […] Confusion, delirium, hallucinations […] Slow reflexes […] Seizure, stupor, or coma […] Slowed, shallow, or arrested breathing […] Slowed, irregular, or arrested heartbeat […] Hunger […] Nausea. […] Hypothermia may develop over hours or days if your body cannot regulate heat as it should, if you cannot sense how cold it is, or if you live in a cold environment in the winter. […] People with mild hypothermia usually recover with no lasting damage. However, people with moderate-to-severe hypothermia can face serious complications and even death. Children are more likely to recover from severe hypothermia than adults. The death rate for hypothermia in older people is about 50%.
  • #35 Orphanet: Spontaneous periodic hypothermia
    https://www.orpha.net/en/disease/detail/29822
    A rare neurologic disorder characterized by spontaneous periodic hypothermia and hyperhidrosis in the absence of hypothalamic lesions. […] Spontaneous periodic hypothermia (SPH) prevalence is unknown but to date more than 50 cases of spontaneous periodic hypothermia have been described in the world literature. […] SPH can occur at any age (ranging from 6 months to 62 years). The clinical manifestations of the disease comprise recurrent episodes of hypothermia (core temperature […] There is no cure for SPH. Management is mainly supportive and includes re-warming with a warm blanket. […] SPH is a benign disease and may cease spontaneously. Some patients have been reported to have hyperthermia attacks during the course of the disease.
  • #36 Diagnosis and management of periodic hypothermia
    https://pmc.ncbi.nlm.nih.gov/articles/PMC5765588/
    Periodic hypothermia is a rare disorder that can occur in the context of 4 distinct syndromes: congenital periodic hypothermia with or without a structural lesion and acquired periodic hypothermia that is stereotyped or nonstereotyped. […] The episodes, by definition, resolve spontaneously without a lasting neurologic deficit. However, patients are bedridden during episodes, placing them at risk for medical complications such as pneumonia and deep vein thrombosis, and patients may require hospitalization. Recognition of a specific periodic hypothermia syndrome can inform treatment decisions, with successful treatment ending the episodes and improving the patient’s quality of life.
  • #37
    https://www.stjohn.org.nz/first-aid/first-aid-library/immediate-first-aid1/environmental-conditions?srsltid=AfmBOoogwiXundPaUlrmzDFQ2yz3RToaA-gOgf2QBVJOcAi8CbDEcELU
    Hypothermia results from excessive cooling of the body core. Generally, hypothermia occurs in cold conditions where clothing may not provide adequate insulation, and is often worsened by physical and mental exhaustion. Onset of hypothermia is more rapid if the body is immersed in water. […] Normally, in cold conditions, the body core maintains heat by decreasing blood supply to the legs and arms. This has the effect of lowering muscle activity which results in the characteristic signs of clumsiness and lack of coordination associated with hypothermia. If the body continues to be cooled, these signs will worsen; the person will become drowsy, erratic and sometimes irritable. This can lead to unconsciousness and death if no action is taken. […] It is important to remember that hypothermia can affect any person. Often hypothermia is only thought of in the context of outdoor activities, but other groups of people can also experience this condition e.g. elderly people after a fall in a cold house or garden.
  • #38 Hypothermia | cold water safety
    https://www.coldwatersafety.org/hypothermia
    Long before a person becomes hypothermic, they will be cold, miserable, and shivering violently. […] Hypothermia means low body temperature. It’s clinically defined as a core temperature below 95F (35C). […] It takes about thirty minutes of immersion for an adult of average size to develop hypothermia even in near-freezing water. […] When your body is having trouble keeping warm, it mounts a strong and automatic defense against the cold. […] Shivering also begins. Shivering automatically increases heat production through involuntary exercise, and it’s an important early warning sign that you’re losing too much heat. At this point, you aren’t hypothermic, but you’re heading in that direction. Shivering grows more intense as body temperature begins to fall. […] As body temperature falls below 95F (35C), both mental ability and consciousness suffer, and like cold shock and incapacitation, the primary danger is drowning.
  • #39 Hypothermia Stages: Symptoms, Definition, Death
    https://www.emedicinehealth.com/how_long_does_it_take_to_die_from_hypothermia/article_em.htm
    People die of hypothermia faster in water than in air, because water has a high thermal conductivity that can cool a person at least 24-times faster than air. […] A person who is immersed in near-freezing water at temperatures of 32.5F/0.3C will have symptoms of mild hypothermia in under 2 minutes and will be unconscious in less than 15 minutes, with an expected survival time of 15 to 45 minutes. […] Symptoms of mild hypothermia (body temperature of 90 to 95F/32 to 35C) include: Shivering, Goosebumps, Bluish skin, Confusion, Trouble speaking clearly, Memory problems, Altered judgment, Breathing faster than usual (hyperventilation), Loss of balance or coordination/clumsiness, Apathy, Fast heart rate, Urinating more than usual. […] Symptoms of moderate hypothermia (body temperature of 82 to 90F/28 to 32C) include: Shivering stops, Feeling very tired, Seeing things that are not there (hallucinations), Shallow breathing, Decreased reflexes, Paradoxical undressing (undressing despite the need for clothing to keep warm), Stupor, Increased risk for abnormal heartbeats (arrhythmias), Dilated pupils. […] Symptoms of severe hypothermia (body temperature less than 82F/28C) include: Stiffness, Low blood pressure, Muscle rigidity, Passing out, Coma, Unresponsiveness, Breathing stops, Heart stops.
  • #40 Hypothermia | Boy Scouts of America
    https://www.scouting.org/health-and-safety/safety-moments/hypothermia/
    Hypothermia is an abnormally low body temperature that is dangerous and potentially fatal if not properly cared for. Hypothermia most often occurs when individuals are exposed to extremely cold temperatures for extended periods of time. However, it can also occur in warmer environments in situations such as wearing wet clothing in windy conditions, becoming chilled from being in the rain for an extended period, or being submersed in cold water. […] Hypothermia occurs when the body loses heat faster than it can be generated. Once the body temperature begins to drop, the heart, brain, and other organs start losing their ability to function properly. Left untreated, these vital organs will begin to fail, eventually leading to death. A person experiencing hypothermia often isn’t aware of their condition because the onset is gradual and, as hypothermia progresses, they become confused and agitated.
  • #41 Hypothermia | cold water safety
    https://www.coldwatersafety.org/hypothermia
    It can be very difficult to tell the difference between someone who is badly chilled and someone who has hypothermia. […] The only reliable way to determine if someone has hypothermia is to measure their core temperature, something that cant be done orally. […] Regardless of whether the person is chilled or hypothermic, you’re going to have a very big problem on your hands because neither situation is easy to deal with in the outdoors. […] If the problem resulted from immersion, as soon as they’re out of the water your first objective should be to stop them from losing any more heat and getting even colder. […] You can become badly chilled or hypothermic even if you never enter the water. Whenever body heat is lost to the environment faster than you can replace it, incapacitation will be followed by hypothermia.
  • #42 Hypothermia (Extended Exposure to Cold) Temperature, Symptoms, Treatment
    https://www.medicinenet.com/hypothermia_extended_exposure_to_cold/article.htm
    Hypothermia is defined as a core body temperature of less than 95F (35C). Hypothermia occurs when the body’s temperature regulation is overwhelmed by a cold environment. […] As the body cools, the symptoms of hypothermia become more pronounced and severe. The sequence of symptoms can be graded as mild, moderate, or severe depending upon the core temperature. […] Mild hypothermia symptoms: core temperature 32C to 35C (90F to 95F) […] Moderate hypothermia core temperature 28C to 32C (82F to 90F) […] Severe hypothermia core temperature below 28C (82F) […] In mild hypothermia, the infant and child can develop intense peripheral vasoconstriction causing them to appear cyanotic or blue. […] In moderate hypothermia, the shivering stops, there is decreased consciousness with confusion, and slurred speech or weak cry. […] In severe hypothermia, there is loss of brain function with coma and reflexes are lost. […] The prognosis depends upon the severity of the hypothermia and the previous health of the victim. […] Infants and children tend to have a better prognosis after severe hypothermia than adults.
  • #43 Hypothermia: Symptoms, Causes, and Risk Factors
    https://www.healthline.com/health/hypothermia
    A common complication of hypothermia is frostbite, which may lead to gangrene, limb loss, and amputation. […] Most people with mild hypothermia will fully recover without any complications. However, you may experience complications if you have severe hypothermia or risk factors, such as underlying health conditions. […] Hypothermia doesn’t resolve on its own, so there’s no definite duration. It could last until warming methods are introduced. […] Warming up too quickly after hypothermia can significantly increase your risk of cardiac arrest. Other complications of rewarming may include inflammation, arrhythmias, severe infections, and blood clots, among others.
  • #44 Hypothermia: Signs, Symptoms, Causes, and Treatment
    https://www.webmd.com/a-to-z-guides/what-is-hypothermia
    Because people respond differently to hypothermia, temperatures for these stages may differ. […] […] […] Takeaways […] Hypothermia happens when you have long exposure to cold weather and your body temperature drops dangerously low. Symptoms include shivering, slow breathing, mental confusion, and a weak pulse. The key to recovery is to get warm as soon as possible. If you have hypothermia, you should go to the ER.
  • #45 Cold weather is here – be aware of hypothermia and how you can prevent – Regional One Health
    https://www.regionalonehealth.org/blog/2025/01/06/cold-weather-is-here-be-aware-of-hypothermia-and-how-you-can-prevent-and-address-this-serious-medical-emergency/
    Symptoms include shivering, slurred speech or mumbling, slow and shallow breathing, weak pulse, clumsiness or lack of coordination, drowsiness or low energy, confusion or memory loss, and loss of consciousness. […] Call 911 or seek medical help immediately for someone suffering from hypothermia. Symptoms include shivering, loss of consciousness, weak pulse, confusion, and shallow breathing. […] Remember, hypothermia is a serious medical emergency that can be fatal. It can cause cardiac arrest, bleeding disorders, and organ dysfunction, and patients can go into shock or a coma. […] Be alert to the early signs of hypothermia, and take action immediately. Prevention is always best, but catching issues early can lead to much better outcomes.
  • #46 Recognizing Hypothermia | Natural Disasters | CDC
    https://www.cdc.gov/natural-disasters/psa-toolkit/recognizing-hypothermia.html
    Hypothermia is a serious medical condition that strikes during very cold weather or when people are chilled from rain, sweat, or cold water. Shivering, exhaustion, confusion, fumbling hands, memory loss, slurred speech, and drowsiness are signs of hypothermia. […] Babies with hypothermia have bright red, cold skin, and very low energy. […] Seek immediate medical attention for signs of hypothermia.