Hi! I browsed your hypothermia tag, but didn’t see this particular issue addressed. In what stage of hypothermia does paradoxical undressing occur, and what are long-term consequences? My current setup is wet clothes + cool (between 5-10°C) + no heat (no blankets, no fire) = MC going from cold->shivering desperately->shivering subsiding/stopping, but the other character (distracted) doesn’t recognise hypothermia until she begins to undress. Is this plausible? ( Hypothermia 1/2)

(Hypothermia 2/2) There’s no access to medical care at the moment, so other character does what they would for more mild hypothermia–gets a fire going, gets MC out of wet clothes, shared body warmth, warm drink. Could this be enough, or are we looking at death regardless? I have MC disoriented and clumsy and going sort of through the reverse of her hypothermia stages as she warms up, and she ends up utterly exhausted, but I don’t know what the probable long-term effects could be. Thank you!

And since I ran out of space and didn’t want to turn the ask into a three-parter, I just wanted to say that I really love your blog, and you are incredibly awesome to take your time on this! So even if you don’t get to my question, I appreciate how much work you’ve put into this and wanted to thank you. ♥♥♥ (And now every time I rant to people about light switch comas, I point out your blog as proof that I’m right.)

Awww, thank you so much! I’m really happy that you enjoy the blog so much! 

Paradoxical undressing is part of the very last stages of hypothermia. It’s at the point where the character is so cold they’re in an altered mental state; that is, they don’t know what’s going on anymore, their executive function is basically completely gone so they can’t make good decisions, and essentially they stop being able to tell the difference between hot and cold. (At a certain point, the nerves just go what the frilly hell is this and confuse the sensations; it’s not “hot” or “cold” it’s just “EXTREME OF TEMPERATURE MAYDAY.”) 

Your character’s friend would have to be very distracted to not notice her get to this point, or else be off somewhere else doing something else and comes back to find her like this, but I’d say it’s fairly plausible. 

In terms of warming her up, that sounds like all the right stuff. I would have her get super sleepy once she’s finally getting warm, and have her friend not know if she’s going to die. Not only is it realistic, it’s quite dramatic! 

I wouldn’t throw the book across the room if the character lived at the end of all of this, so I think you’re okay on that front 🙂 

I hope this helped!! 

xoxo, Aunt Scripty

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