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Heat, Cold and Weather Safety

Frostbite for Beginners: Where to Start

Frostbite: the few things that matter most, and the mistakes that catch people out early.

Marcus Okafor, MSc Health journalist 3 min read 3 views
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Winter — Heat, Cold and Weather Safety
Photo by Ryan Pohanic on StockSnap · CC0

Injury caused by freezing of the skin and the tissues under it, most often on the fingers, toes, nose, ears, cheeks and chin.

Key takeaways

  • First signs: redness or pain in the skin
  • Later signs: skin that is white or grayish-yellow, unusually firm or waxy, or numb
  • Most useful single change: Get into a warm place as soon as possible.
  • Commonest mistake: Rubbing or massaging the area.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

Why bother

It can cause permanent damage, and numb skin can be burned easily during rewarming.

Start here

Begin here, with two things rather than ten.

  • Get into a warm place as soon as possible
  • Put the affected area in warm, not hot, water

Then add these

After that, these.

  • Warm the area with body heat, for example fingers in an armpit
  • Cover exposed skin with hats, scarves, mittens and water-resistant boots

The numbers, in one place

Published figures for Frostbite
MeasureFigure
First signsredness or pain in the skin
Later signsskin that is white or grayish-yellow, unusually firm or waxy, or numb
Higher riskpeople with poor circulation and people who are not dressed for the cold
Often occurs withhypothermia, which should be treated first

Common early mistakes

  • Rubbing or massaging the area
  • Using a heating pad, heat lamp, fireplace or radiator to warm numb skin
  • Walking on frostbitten feet or toes unless absolutely necessary

Where to go next

When to speak to a doctor

Get medical care for any skin that stays numb, white or grayish-yellow, or that blisters after rewarming. Call 911 if there are also signs of hypothermia, such as confusion, slurred speech or a temperature below 95°F.

Where this comes from

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

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Marcus Okafor

Health journalist covering cardiovascular risk and long-term weight research. Previously spent four years fact-checking medical copy, a job that permanently ruined his tolerance for the word "detox".

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