I fell thru the ice up to my shoulders a few years ago. Luckly, I was near my house. I plan doin' alot of cold weather fishin' this year and I came across this read. I'd say I've been into stage two Hypothermia a few times -at least- but didn't recognize it... If you plan on fishin' this winter, ya outta read this. I wouldn't mind dying on the river when my time comes, but I'd prefer to do it in warm weather, whilst reeling in a PB flathead!:wink: This is a C&P from Jerry Dennis http://www.catfish1.com/forums/showthread.php?t=66576 Things to know about Hypothermia. An average of 600 people in the US die from Hypothermia each year. The highest percentage of which are recreational outdoorsmen (hunter, fishers, hikers, campers). It doesnt have to be freezing temperatures for Hypothermia to take effect. Most reported Hypothermia cases occur between 30 & 50 degrees Fahrenheit. Hypothermia is caused by the cooling of the core body temperature. Wet & windy conditions as well as fatigue contribute Hypothermia occurring. Hypothermia can be recognized by shivering , slowness of pace, clumsiness, disorientation, muscle un-coordination, and irrational behavior. Some of the causes of Hypothermia one encounter are: Being stranded un prepared for dropping temperatures, Being dunked into cold water, Loss of heat source or shelter, etc. 3 Stages of Hypothermia Stage 1 The normal core temperature in humans is 98.6 degrees F. A core temperature drop to between 96.8 & 95 degrees F places a person in Stage 1 Hypothermia. Hands become numb & unable to perform complex task (tying knots etc). Quick & shallow breathing begin. Chill bumps raise hair to try insulate the body. As the core temperature continues to drop a person often may feel as if they are warming up, but they are actually heading into stage 2. Try touching your thumb to your little finger, if you cant you are headed into stage 2. Stage 2 A core temperature drop to between 95 & 91.4 degrees F places a person in Stage 2 Hypothermia. Uncontrollable shivering starts. Muscle un-coordination becomes apparent & motor skills are slow. Disorientation sets in & lips, ears, fingers, & toes may become blues. Stage 3 A core temperature drop to below 90 degrees F places a person in Stage 3 Hypothermia. The shivering stops. Confusion , stumbling, & difficulty speaking occur. When the core temp drops below 86 degrees F skin turns blue and walking is near impossible. Major organs start to shut down & clinical death occurs. Treatment consist of sheltering and warming the core temperature slowly. Dry off as soon as possible because water conducts heat away from the body 25 times faster than air. Dry blankets insulate the body but want produce heat , a heat source must be added (heat from another person, warm drinks, hand warmers). If stages of Hypothermia continue to climb seek medical attention quickly. If a person is clinically dead continue to seek help , there have been cases where hypothermic victims have been clinically dead for up to 2 hours then revived with medical help. Prevention consist of being prepared for sudden drops in temperature. Multiple heat sources readily available. Properly layered clothing (cotton clothing in not a good choice as it retains water). Take notice of temperature forecast before your outing and add in the wind chill factor then plan on a lower temperature. A 20 mph wind change can cause a 20 degree drop in the temperature. Keep an extra set of dry clothes near by ( in camp, vehicle, water tight pack). Plan ahead for condition changes, quick retreats to shelter, and medical assistance. Fishermen keep in mind that in America 4000 people die each year from drowning and it is not known how many of these drownings are caused by Hypothermia.