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My mom is always telling me to bundle up when it's cold outside. She says that you can get frostbite. What is it? And can I catch it?
Signed, Chilly Charlie


Dear Chilly Charlie:



Your mom is right. You should be careful to protect yourself from the cold when you go outside in the winter. But injury from the cold frostnip, frostbite, or hypothermia is something that generally can be prevented if you take proper precautions when it's cold and wet outside.

Ordinarily, when you are cold, you shiver. This is your body's attempt to keep warm. But under certain conditions, shivering no longer works. Your body begins to lose more heat than it can make and your body can no longer keep you warm. The first parts of your body to get cool are likely to be your extremities your fingers, toes, cheeks, ears, and nose. As they get colder, the blood vessels there close down. With less warm blood flowing to keep your skin warm, the liquid in your skin tissue begins to freeze.... This describes frostnip and its related, but more serious cousin, frostbite. Then there's hypothermia, the most severe cold injury. Hypothermia occurs when your body simply gives up trying to keep any part of your body warm and your temperature "normal." So instead of 98.6 degrees your temperature drops and drops.

If you're outside and discover your limbs starting to hurt or become numb, your the skin on your fingers or toes becoming hard and whitened, or yourself becoming sleepy and confused, you may have a cold injury. You need to get inside immediately! You need to alert an adult who probably will turn to a medical professional who may warm your extremities, or your whole body, with blankets or in warm water or use other medical procedures. But what's most important to remember is that these injuries are easy to avoid. When it's cold outside, you need to cover your head, your nose, your neck, and your hands, dress in layers and stay both warm AND dry. And, if it is below freezing, pay attention to both the wind and the temperature. Don't stay out too long! If you are cold and wet, get inside immediately! For worms like me winter is one long snuggle with a dirt ball, but for the rest of you winter is a Wonderland! So, please, just take care of yourself and enjoy it!

Signed,

Wendell



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