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Fairview Range Blog

Pediatric Winter Weather Reminders

Dec 14, 2021 10:30:00 AM / by Fairview Pediatrics

We all know that winter in Northern Minnesota can be downright brutal. That’s why it’s important to take extra care in keeping our loved ones safe. From making sure our children have dressed appropriately for the bus, to knowing what the signs of frostbite and hyperthermia are, pediatrician Dr. Lauren Lundstrom has some important winter health reminders to prepare you and your children for the winter season.

What to wear

  •     Rule of thumb: dress older babies and young children in one more layer than an adult would wear in the same conditions
  •     Dressing infants and children in several thin layers will help to keep them dry and warm; a layer that wicks moisture closest to their skin, followed by a middle layer such as a down or fleece, and an outer shell layer such as a waterproof jacket to protect from rain, snow, and wind (avoiding cotton)
  •     Remember not to let them outside without their warm boots, socks, mittens, and hats as your child’s head, face, ears, hands, and feet are the most exposed to the cold, which could lead to frostbite
  •     Always change out of wet clothes right away
  •     Quilts, blankets, pillows, and other loose bedding should be kept out of an infant’s sleeping environment — it is better to sleep in onesies or wearable blankets
  •     It’s always good to pack an extra clothes bag for children, but especially in the winter. Keep a cold clothes emergency kit in your vehicle as well
  •     Keep a close eye on outdoor playtime in colder conditions and watch for warning signs such as red and tingly skin that has been exposed to the cold air — if teeth are chattering it’s time to head inside

Frostbite is an injury caused by freezing of the skin and underlying tissue cells when exposed to cold weather for a prolonged period of time. Skin typically becomes cold, red, numb, then will turn pale, grey, then a darkened color. It is most common in the toes, fingers, nose, ears, cheeks, and skin along with other areas highly exposed to the cold. The severity of the frostbite typically depends on the wind chill, dampness, temperature, and length of exposure. Frostbite can cause serious injury, so call your doctor immediately or take your child to the emergency room if they need medical attention. Keep in mind:

  •     You should not rub or massage the skin following frostbite
  •     Do not use direct heat to warm the skin
  •     Do not disturb any blisters that may arise
  •     You should wrap the warm areas of the body to prevent further damage and apply clean cotton or gauze between fingers and toes if they are affected

Further treatment will be determined by your doctor.

To prevent frostbite, be sure to dress your child appropriately and bring them inside to warm up with a warm snack or drink. Be sure to teach your child what signs to look out for.

Hypothermia is more severe than frostbite, as frostbite occurs when the skin has been exposed for too long; hypothermia, on the other hand, is a significant decrease in the body’s core temperature. Frostbite may or may not occur. Hypothermia is defined by the core body temperature dropping below 95 degrees F. Young children and older adults are more likely to develop hypothermia, as well as individuals who are chronically ill, malnourished, or are under the influence of drugs or alcohol.

Warning signs for hypothermia include:


  •     Drowsiness and shivering
  •     Confusion and memory loss
  •     Slurred speech and fumbling
  •     Inability to think or move, weakness
  •     Pale and cold skin
  •     Slowed breathing or heart rate
  •     Uncontrollable shivering


  •     Low energy and bright red/cold skin
  •     Shivering and cold chest
  •     Pale and cold skin
  •     Slowed breathing or heart rate
  •     Uncontrollable shivering

Call 911 anytime you suspect someone has hypothermia. Provide first aid while waiting for medical assistance. If someone is displaying the warning signs of hypothermia, provide the following:

  •     If unconscious, check airway, breathing, and circulation. If necessary, provide CPR. If the individual is breathing fewer than 6 breaths/minute begin rescue breathing
  •     Take the child or adult to a warm room and cover with warm blankets. Cover their neck and head to retain body heat
  •     Help remove any wet or tight-fitted clothing and replace it with dry clothing
  •     Warm the individual, if necessary, with your own body heat. Use a warm compress and apply it to the chest, neck, and groin areas
  •     If the individual is alert, you may provide warm, nonalcoholic fluids to help provide warming
  •     Stay with the individual until help has arrived

Remember to avoid going outside in extremely cold temperatures, immediately remove any wet clothes, and do not venture outside if you or a loved one is on certain medications or under the influence of drugs or alcohol.

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Topics: pediatrics

Fairview Pediatrics

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