Pay close attention to the cold! Hypothermia is a silent killer “

Hypothermia has already claimed its first lives. In this regard, doctor Tudor Ciuhodaru distributed a practical guide to survival in such situations. How to prepare for such a danger?

Hypothermia can be a real danger. This can be fatal or cause serious damage to the body. To avoid the negative effects of hypothermia, it is essential to recognize the first signs, know how to intervene and also how to prevent danger.

“Pay close attention to the cold. Hypothermia is a silent killer. The first victims appeared. A 79-year-old patient could not be saved and another 67-year-old is hospitalized with hypothermia and frostbite.
What you need to (not) do – a little guide to survival in such situations – are 3 things you need to know: recognition, intervention and last but not least prevention.

Until the Parliament adopts the Ciuhodaru law on teaching “Notions of first aid” in all schools in Romania, it is good to know:

A. Recognition:

1. The first symptoms of frostbite include sensitivity disorders (tingling, stinging), the skin turns red and flaky and then blisters appear (blisters as after burns) and motor disorders are installed.
!!! In the severe form it goes up to gangrene which requires amputation of the limb segment.

2. Among the alarm signs of hypothermia are: chills, cold, pale skin, paresthesias (numbness) in the limbs, balance and speech disorders, bradylalia, bradypsychia, drowsiness associated with shallow and low-frequency breathing, bradycardia, pulse imperceptibly, followed by confusion, hallucinations and coma – followed by “white death”.

3. Patients can be easily injured due to balance disorders and depending on the severity of the lesion and hypothermia may remain immobilized at home or fatal cases may occur.

B. First aid consists of (!!! simple and easy to do things aimed at limiting heat loss and progressive heating of the patient):

1.Place the patient on a dry surface that provides protection from the cold of the soil.
2. Find a shelter or space (possibly heated) to protect it from the cold and wind.
3. Remove wet clothes.
4. If possible, administer warm fluids.
5. Do not rub or massage the patient but only ensure progressive heating.
6. Do not heat the patient by contact with heat sources (stove, radiator, hot water, shower or bath). Due to sensitivity disorders, burns can occur and shock phenomena can occur.


1. Any frostbite requires medical-surgical consultation to avoid unfavorable progress and complications.
2. It benefits from external heating and drug therapy designed to reduce pain and improve blood circulation in the affected area.
3. First aid consists in finding a shelter or heated space. Place the victim on a dry surface to protect him from the cold of the ground, protecting him from the cold and wind and remove wet clothes, do not rub or massage the victim but only gradually warm him. Heating by contact with heat sources (stove, radiator) is prohibited as sensory disturbances can lead to burns.

C. Preventive measures are essential – both in the open and in the house:

1) In open spaces:
a) use thick clothes to protect the extremities (face, nose, ears, hands, feet), the shoes must be comfortable and well insulated from water, the best gloves are those that allow the fingers to move together;
b) !!! wet clothes should be changed immediately;
c) alternate the periods of exposure / work in the cold with the rest in heated areas.
e) !!! alcohol should be avoided (50% of cases of hypothermia are associated with alcohol consumption).

2) In the house:

a) maintain a temperature of at least 21 degrees (prolonged exposure to low temperatures in inappropriate clothing conditions may cause hypotemia).
b) periodically check the operation of the heat source (boiler or stove).
c) eat properly (a high-calorie diet, which includes hot liquids) and avoid alcohol or excessive sedatives.
d) check the condition of the elderly through visits or at least a phone call.


1. Risk groups: most cases, on a partial statistic, were registered in people aged between 20 and 60 years, with socioeconomic problems included in the category of the homeless or living only on social assistance and two people are in the category of pensioners.
2. Patients come in equal proportions from urban and rural areas.
3. The share of serious cases with frostbite of degrees II-III-IV is close to 50%, requiring the intervention of reconstructive surgeons.
4. The prognosis is obscured by the existence of the associated pathology.


1. Wind and humidity accentuate hypothermia and quickly lead to frostbite.
2. Almost half of the cases of hypothermia are associated with alcohol consumption.
3. DO NOT leave children alone in the car.
4. Any degree of hypothermia requires additional evaluation and specialized treatment.
5. Until the parliament adopts the Ciuhodaru law on teaching health education in all schools in Romania, these measures can help you not to have problems in this cold period “, the doctor recommends, on the page Facebook.

Source: Doctorul Zilei by

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