Cold stress: What it is and what to do about it - Updated for 2024

Cold stress: What it is and what to do about it - Updated for 2024 header image
2021-11-29

Working in cold weather can be brutal. And even with the proper protection, being exposed to extreme conditions for long periods of time can still have severe short- and long-term effects.

This is known as cold stress, which occurs when the body can’t maintain its normal temperature in cold environments, leading to various health risks. When the body can’t warm itself, serious cold-related illnesses, like frostbite, trench foot, hypothermia, and even death, can result. 

Although OSHA doesn’t have a specific standard for working in cold environments, it’s still the employer’s responsibility to maintain a safe workplace. This means addressing winter weather hazards and making sure employees are equipped with the right protection, like protective cold weather work gloves. 

Here's some practical information to help you understand, treat, and avoid the signs and symptoms of cold stress on the job. Get to know these hazards so they don’t get to know you.

A worker holding a pickaxe while wearing the Chrome SLT® Winter 4073W safety gloves in the snow

Cold weather hazards

Stiffness

Your range of motion is one of the first things affected in cold weather. Your body wants to increase the temperature of the torso, so it pumps blood away from limbs. This can hinder flexibility, dexterity, and agility in the hands and feet, which limits a worker’s ability to grip or carry objects or even move away from dangerous situations.

Treatment

Take a break and move into a warm area. If extra layers of warm clothing are available, add them. Drink warm fluids.

Frostbite

Common on the fingers, toes, nose, ears, cheeks, and chin, frostbite can occur at or below 32°F (0°C), or during above freezing temperatures with wind chills below 32°F (0°C). At this temperature, blood vessels close to the skin start to constrict, reducing blood flow to your extremities to dangerously low levels, leading to the eventual freezing and death of skin tissue in the affected areas. For early signs of frostbite, the skin will appear white or red and can feel hard or stiff (not ideal for working safely).

Treatment

For any noticeable frostbite symptoms, always call 911. Move into a warm area as soon as possible and do not try to rewarm the area unless directed by medical personnel. Avoid rubbing or massaging the area or using any type of heating element (such as a heating pad), as this could cause more damage to the affected area. The key is to slowly bring the temperature of the affected area to normal body temperature (about 98.2°F or 37°C).

Hypothermia

This is a condition in which core temperature drops below the required temperature for normal metabolism and body functions. Symptoms vary depending on the level of hypothermia; the four levels are mild, moderate, severe, and critical.

The first sign is severe shivering, followed by drowsiness. Irritability, confusion, and loss of coordination are more severe signs; with slurred speech, unconsciousness, and heart failure being the most severe dangers. Being mindful of these symptoms can be critical.

Treatment

For any noticeable hypothermia symptoms, always call 911 immediately. If hypothermia is mild (core body temperature 90-95 degrees), start by moving the victim to a warm, dry area. Remove any wet clothing, replace with warm, dry clothes and wrap in blankets. Have them drink something warm and sweet. Avoid suppressing shivering, massaging the extremities, or placing in a warm bath or shower.

If the hypothermia is more moderate to severe (core body temperature below 90 degrees), be sure to handle the victim gently, and check for airway obstructions. If pulse and breathing are stabilized, gently remove wet clothing and replace with dry, layered blankets.

Begin rewarming victim with extra clothing, warm blankets, and even electric blankets or heating pads on the torso, armpits, and neck (be mindful of the temperature, as these can burn). Avoid suppressing shivering, giving anything by mouth, massaging the victim, or immersing in warm water. Even if the victim appears lifeless, continue first aid treatment. The body can sometimes survive for hours without signs of life at very low body temperatures.

Trench foot

This occurs when feet are cold and damp while wearing constricting footwear. Unlike frostbite, trench foot does not require freezing temperatures and can occur at temperatures up to 60° Fahrenheit. This condition can occur with as little as thirteen hours’ exposure. Symptoms of trench foot include tingling, itching, burning pain, and swelling of the feet. More advanced cases can also include blisters and infections.

Treatment

Move yourself or the victim to a warm area and wrap with a dry towel. Do not try to rewarm the area unless directed by medical personnel.


An additional warning: Understanding wind chill

Don’t forget, it’s not just snow and freezing temperatures that can lead to cold stress. Wind chill is another critical factor in assessing cold stress. It refers to the combined effect of wind and temperature on how cold it feels outside. Higher wind speeds can significantly increase heat loss from the body, making even moderately cold temperatures feel much colder. 

To better understand the impact of wind chill, you can refer to the Wind Chill Chart. This chart illustrates how different wind speeds affect perceived temperature and helps gauge the risk of cold stress. This can help you better understand the chances of frostbite and take the necessary precautions to combat the risks. 

How to avoid succumbing to the elements

As serious as these hazards are, they are avoidable if you are properly prepared. If you must work in cold environments, be sure you know how to avoid succumbing to any of these cold-weather hazards through the preparations below.

  • Training – This should be given so workers understand the signs of cold stress and how to avoid the hazards.
  • Engineering controls – These can be effective in reducing the risk of cold stress, such as radiant heaters or structures to shield work areas from drafts or wind to reduce wind chill.
  • Safe work practices – Implement practices such as having warm liquids available to workers; limiting heavy work during particularly cold, wet, or windy weather; or ensuring frequent breaks are taken when workers are exposed to the elements.
  • Dress properly – Wearing the proper clothing and PPE is extremely important.
    • Clothing: Ensure your workers are prepared by donning several layers of warm clothing and making sure the head, feet, and hands are properly covered and protected. See what kind of clothing insulation you might need
    • Gloves: Insulated gloves are best, depending on how low-temperature levels get in your work environment. Even better is using hand PPE that is insulated, lined for waterproofing, and offers the protection you need to do your job while maintaining dexterity. See what cold weather liners can do for you
    • Boots: Ensure work boots are suitable for the job, such as waterproof, water-resistant, and lined.

It's also important to understand your physical body composition, metabolism, level of activity, amount of sleep, what you’ve eaten or drank, and, of course, what you’re wearing can determine the level of danger you could be putting yourself into while working in cold weather.

And remember, always keep on the lookout for cold stress symptoms and take breaks when needed.

Up close image of the Chrome SLT® Winter 4067W in front of snow.

HexArmor® can help

Have questions about what cold weather PPE may be right for you? Understanding the PPE you need for your workplace environment is imperative to any heat and cold stress safety program. 

Download our cold-weather brochure and see what product may be the best for you and your application, or learn more about our cold-weather technology.

Let us know if you need help or if you're ready to start a trial - our Solution Specialists are ready to work with you. Call 1-877-MY ARMOR or send us a message.

Browse all HexArmor® cold weather hand protection

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