ACSM Cold Weather Guidelines
Cold Injuries and Risks
Hypothermia Physiology
Mountaineers & Polar Explorer Case Studies
Winter Athlete Adaptations
100
ACSM recommends this clothing strategy because trapped air reduces heat loss while allowing moisture control. 

What is layering clothing?

100

This mild cold injury causes numb, pale skin whiteout permanent tissue freezing.

What is frostnip?

100

This condition is defined as a core temperature below 35C. 

What is hypothermia?

100

Polar explorers rely heavily on this macronutrient due to its high energy density per gram.

What is fat?

100

Raising muscle temperature before competition improves enzyme activity through this preparation activity.

What is a warm-up?

200

According to ACSM, athletes should avoid cotton because it increases this form of heat loss when wet.

What is conductive (or evaporative) heat loss?

200

Ice crystal formation inside tissues characterizes this severe cold injury described in wilderness medicine journals. 

What is frostbite?

200

Uncontrolled muscle contractions that generate heat during early hypothermia are known as this. 

What is shivering thermogenesis?
200

Continuing movement during expeditions help maintain this source of body heat.

What is metabolic heat production?

200

Heat production without muscle contractions, involving metabolic processes, is called this. 

What is non-shivering thermogenesis?

300

ACSM guidelines emphasize maintain this body regions temperature because excessive loss threatens survival first.

What is the core (core body temperature)?

300

Rubbing frozen skin worsens injury because it increases this type of cellular damage.

What is tissue damage (mechanical cell damage)?

300

This dangerous temperature drop occurs hen cold blood from extremities returns to the core during exercise.

What is after drop?

300

Snow caves protect explorers because snow provides this thermal property.

What is insulation?

300
Winter athletes carefully manage sweat to prevent this pathway of heat loss during recovery.

What is evaporative heat loss?

400
ACSM recommends increasing intake of this to support thermogenesis during prolonged cold exercise.

What are calories (or energy intake/carbohydrates)?

400

Rapid rewarming is delayed if refreezing risk exists because it increases this complication.

What is severe tissue destruction?

400

Confusion and poor judgement occur because cold slows this physiological system controlling cognition.

What is the nervous system?

400

Many expedition accidents occur between hypothermia impairs this cognitive ability needed for safe decisions.

What is decision-making?

400

Increased calorie needs during cold training occur because athletes must maintain this physiological process. 

What is thermoregulation?

500

Gradual exposure to cold training environments develops this physiological adjustment improving tolerance

What is acclimatization?
500

Reduced blood flow during cold exposure protects the core but increasers risk of peripheral injury.

What is vasoconstriction?

500

Severe hypothermia increases risk of this fatal cardiac rhythm disturbance noted in rescue case studies.

What is ventricular fibrillation?

500
Removing gloves briefly at high altitude often leads to localized freezing injury due to rapid heat loss by this mechanism.

What is conduction (heat loss)?

500
Repeated cold exposure improves circulation efficiency and tolerance through this long term adaptation. 

What is acclimatization?