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Signs of mild vs severe hypothermia — how to tell?

April 5, 2026

Quick Answer

Hypothermia signs can be separated into mild and severe categories: mild hypothermia symptoms include shivering, confusion, and difficulty speaking, while severe hypothermia symptoms include loss of consciousness, slurred speech, and a weak or absent pulse. A person experiencing mild hypothermia is generally still able to respond, whereas severe hypothermia indicates a critical emergency.

Recognizing Mild Hypothermia

Mild hypothermia typically occurs when a person’s body temperature drops between 90°F (32°C) and 95°F (35°C). At this stage, the body begins to shiver in an attempt to generate warmth. Other common symptoms include confusion, difficulty speaking, and a slow or labored response to commands. If you suspect mild hypothermia, remove any wet clothing and provide the person with warm blankets or a sleeping bag. Avoid direct heat sources, such as heaters or hot showers, as these can cause rapid rewarming and potentially lead to shock.

Identifying Severe Hypothermia

Severe hypothermia is typically characterized by a body temperature below 90°F (32°C). At this stage, the person may experience a loss of consciousness, slurred speech, or a weak or absent pulse. Additionally, the body may experience cardiac arrhythmias, and the skin may appear pale, blue, or purple due to poor circulation. If you suspect severe hypothermia, call for emergency medical assistance immediately and begin CPR if the person has stopped breathing or their heart has stopped beating. Wrap the person in warm blankets or a sleeping bag, but avoid direct contact with the body, as this can cause further heat loss.

First Aid Techniques for Hypothermia

When treating hypothermia, it’s essential to focus on rewarming the body gradually and safely. Avoid using electrical heating pads or hot water bottles, as these can cause burns or lead to further complications. Instead, use warm blankets or a sleeping bag to cover the person, and consider using warm liquids, such as tea or broth, to help stimulate circulation. Monitor the person’s body temperature closely, and consider seeking medical attention if you’re unsure about the severity of the hypothermia or if the person’s condition worsens over time.

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