The Definition of Cold Stress
Cold stress refers to health conditions resulting from prolonged exposure to cold temperatures, including hypothermia and frostbite.
Cold stress refers to health conditions resulting from prolonged exposure to cold temperatures, including hypothermia and frostbite.

Cold stress describes the range of health conditions that can result from prolonged or intense exposure to cold environmental temperatures, including hypothermia (a dangerous drop in core body temperature), frostbite (freezing of skin and underlying tissue), and trench foot (tissue damage from prolonged exposure to wet, cold conditions). Risk factors contributing to cold stress include low temperatures, wind chill, wetness, and inadequate clothing or insufficient acclimatization, and outdoor workers in cold climates, as well as workers in refrigerated environments like cold storage facilities, face elevated cold stress risk.
Outdoor utility workers responding to a winter storm are provided with insulated, layered clothing and scheduled warm-up breaks in a heated vehicle every hour, along with training to recognize early signs of frostbite such as numbness or skin discoloration.
Early warning signs of hypothermia include uncontrollable shivering, fatigue, confusion, slurred speech, and loss of coordination; as hypothermia progresses, shivering may actually stop and mental confusion can worsen significantly, which is a dangerous sign requiring immediate medical attention.
Frostbite is a localized injury involving the freezing of skin and underlying tissue, typically affecting extremities like fingers, toes, ears, and the nose, while hypothermia is a systemic condition involving a dangerous drop in the body's overall core temperature; a worker can experience frostbite without hypothermia, or both simultaneously in severe cold exposure situations.
Effective controls include providing appropriate insulated and layered clothing, scheduling regular warm-up breaks in heated areas, monitoring weather conditions including wind chill, training workers to recognize early symptoms in themselves and coworkers, and using a buddy system so cold stress symptoms can be identified in others who may not notice their own early signs.