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Updated: Mar 29, 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 Bennett2, Juris P Simanis3
1Activity, Sports and Exercise Medicine Department, Group Health Cooperative, Everett, Washington (Dr Fudge).
Preventing cold weather injuries requires assessing athlete readiness, medical history, and physiological responses to cold. Proper preparation and education are key to safely exercising in cold environments.
Area of Science:
- Sports Medicine
- Environmental Physiology
- Exercise Science
Background:
- Cold environments pose significant injury risks to athletes.
- Factors include athlete preparedness, medical history, and physiological responses to cold, windchill, and wetness.
Purpose of the Study:
- To outline strategies for decreasing risks of hypothermia, frostbite, and nonfreezing cold injuries.
- To prevent exacerbation of pre-existing conditions during cold weather exercise.
Main Methods:
- Utilizing preparticipation screening history.
- Conducting thorough medical examinations.
- Providing targeted counseling on cold environment risks and management.
Main Results:
- Risk reduction is achieved through comprehensive athlete assessment.
- Education and preparation are crucial for safe cold weather activity.
- Appropriate response to changing weather conditions is vital.
Conclusions:
- Cold weather exercise can be performed safely.
- Effective risk management involves athlete preparedness, screening, and education.
- Minimizing environmental exposure risks is paramount.
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