An ice fisherman’s hut plunges into freezing waters, and the clock starts ticking. How do emergency responders navigate extreme cold, unpredictable environments, and limited resources to save lives? In this episode of Medics Musings and Mayhem, Doc Dave, medic and firefighter Phil Aguet, and NOW newly minted Dr. Regan Washist tackle the real-world challenges of hypothermia response in rural settings. Join us as we break down critical pre-hospital care strategies, rapid assessment techniques, and the life-saving interventions that matter most when time and temperature are working against you. From hands-on field protocols to the complexities of rural emergency departments, this conversation is packed with expert insights, practical takeaways, and a dose of humor. Whether you're an EMT, first responder, healthcare provider, or just someone fascinated by high-stakes emergency medicine, this episode will change the way you think about cold-weather rescues. Stay warm, stay prepared, and tune in now!

Host: David Collins, MD, FACEP

Co-host: Regan Washist, MD (congrats Regan!) and Phil Aguet!

Editor/Reviewer: Michelle Collins

Editing Wizard: Phil Aguet

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