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Updated: Apr 4, 2026

Field-Based Thermal Physiology Assay: Cold Shock Recovery under Ambient Conditions
Published on: March 9, 2021
Medical Evaluation for Exposure Extremes: Cold
Jessie R Fudge1, Brad L Bennett, Juris P Simanis
1*Activity, Sports and Exercise Medicine Department, Group Health Cooperative, Everett, Washington; †Military and Emergency Medicine Department, F. Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland; ‡Sports and Occupational Medicine Department, Citizens Memorial Hospital, Bolivar, Missouri; and §Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota.
Preventing cold weather injuries requires assessing athlete readiness, medical history, and physiological responses. Proper preparation and education ensure safe cold-weather exercise by mitigating risks like hypothermia and frostbite.
Area of Science:
- Environmental medicine
- Sports medicine
- Physiology
Background:
- Cold environments pose injury risks due to factors like temperature, windchill, and wetness.
- Athlete preparedness and pre-existing conditions significantly influence cold injury susceptibility.
Purpose of the Study:
- To outline strategies for decreasing risks of hypothermia, frostbite, and nonfreezing cold injuries.
- To prevent the exacerbation of pre-existing medical conditions during cold-weather activities.
Main Methods:
- Utilizing preparticipation screening history to identify at-risk individuals.
- Conducting thorough examinations and providing targeted counseling.
- Educating athletes on proper preparation and response to cold conditions.
Main Results:
- Risk stratification based on preparedness and medical history.
- Identification of key environmental factors contributing to cold injuries.
- Emphasis on proactive screening and counseling.
Conclusions:
- Cold weather exercise can be performed safely with adequate education and preparation.
- Preparticipation screening is crucial for mitigating cold-related injury risks.
- Understanding physiological responses to cold is key for prevention.
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