extreme cold

Extreme Cold

Exposure to extreme cold can be hazardous or even life-threatening. In temperatures of -15°C or colder, unprotected skin can freeze in less than 30 minutes and the risk of developing hypothermia is high. Learn more about the risks associated with exposure to extreme cold, tips for preventing cold-related illnesses, and how to prepare for this type of emergency.

Health Impacts
Potential health impacts associated with extreme cold include frostnip, frostbite, chilblains and hypothermia. In severe cases, hypothermia can lead to organ failure and even death. 

Symptoms of cold-related illness to watch for:
  • A white or grayish-yellow skin area
  • Skin that feels unusually firm or waxy
  • Numbness
  • Shivering
  • Exhaustion/feeling very tired
  • Confusion
  • Fumbling hands
  • Memory loss
  • Slurred speech
  • Drowsiness
  • Babies with bright red, cold skin and/or very low energy

HYPOTHERMIA

 
Hypothermia is considered the most serious cold-related illness and can result in death if not addressed quickly. 

Symptoms of hypothermia include:
  • Shivering
  • Confusion
  • Loss of muscle control (such as difficulty walking)
  • Drop in body temperature (below 35°C)

If you notice someone with signs of hypothermia:
  • Get medical attention immediately
  • Get the person indoors and lay them down
  • Gently remove wet clothing
  • Warm the person gradually and slowly using available sources of heat

FROSTBITE

Frostbite is a more severe condition, where both the skin and the underlying tissue (fat, muscle, bones) are frozen. Symptoms of frostbite vary based on the stage and severity of skin damage caused by the cold.

FROSTNIP

Frostnip is the first stage of frostbite and is considered the warning stage when skin damage is just temporary.

SYMPTOMS: The skin may be red to purple, or lighter than the natural skin tone, and may feel cold, slightly painful, and tingly. 

SUPERFICIAL (SURFACE) FROSTBITE

This is the second stage of frostbite and requires medical treatment.

SYMPTOMS: The skin might feel warm, but the water in the skin is actually slowly freezing into ice crystals, causing a pins-and-needles sensation. The skin may also sting or swell up.

After rewarming, the person may experience painful, spotty patches or purple or blue areas of skin resembling a bruise. The skin also may start to peel and feel like a sunburn.

SEVERE (DEEP) FROSTBITE

In the third state of frostbite, the person's lower layers of skin (subcutaneous tissue) freeze and total numbness sets in.

SYMPTOMS: It can be difficult to move the area that's frostbitten, or the person may be unable to move it normally.

Get medical attention immediately if any of these symptoms occur.

Additional symptoms:
  • Big blisters may appear on frostbitten skin 1-2 days following cold exposure
  • Frostbitten skin turns black due to skin cells dying post-freezing
  • Skin may form a hard, black covering that falls off on its own 
Cold Alerts
Southwestern Public Health (SWPH) issues cold weather alerts when
  • Temperatures drop to -15°C without wind chill, or
  • Temperatures drop to -20°C with wind chill
Who is Most Vulnerable to Cold Weather?
Some groups are more at risk in extreme cold weather, including:
  • Older adults and infants
  • People without access to proper shelter, clothing or food
  • Outdoor workers and winter sports enthusiasts 
  • Anyone exposed to cold for extended periods
Tips for Preventing Cold-Related Illnesses
COLD-RELATED ILLNESS PREVENTION TIPS:
  • Plan ahead by checking the weather forecast and dressing appropriately (for more information, view the What Should I Wear? section below)
  • Prepare your home and car with a 72-hour Emergency Kit
  • Keep your home adequately insulated and avoid opening doors and windows as much as possible
  • Monitor body temperature, especially those of infants, the elderly, and anyone who works outdoors for extended periods
  • Drink plenty of fluids to avoid decreased blood flow and dehydration (avoid fluids with large amounts of sugar or alcohol)
  • Reschedule outdoor activities and limit time outdoors if severe weather is in the forecast
  • Work slowly when exposed to the cold and avoid over exertion

WHAT SHOULD I WEAR?

Layer your clothing:
  • Inner layer: moisture-wicking fabric (such as merino wool or synthetic)
  • Middle layer: insulating material like fleece or down
  • Outer layer: windproof and waterproof shell

Wear insulated accessories (such as hat, mittens, scarf, and insulated boots)

TIP: Keep spare socks and gloves on hand in case your current pair gets wet.
Where Can I Go To Stay Warm?

In the event of a cold weather alert, the City of St. Thomas may open a temporary warming space at the Joe Thornton Community Centre.

Joe Thornton Community Centre

  • Address: 75 Caso Crossing, St. Thomas ON
  • Phone: 519-633-7112

Specific information relating to the warming centre, including hours of operation, will be made available upon opening the centre.

Additional warming spaces in St. Thomas:

St. Thomas Seniors Centre
  • Address: 225 Chestnut Street, St. Thomas ON
  • Hours: Mon-Fri 8:00 am - 4:00 pm
  • Phone: 519-633-2850

The INN 
  • Overnight Shelter
  • Address: 10 Princess Avenue, St. Thomas ON
  • Open 24 hours, 7 days per week
  • Phone: 519-637-9898

For more information on additional warming centres in the surrounding area, visit the Southwestern Public Health website.