This episode of Akuttjournalen focuses on hypothermia as a complex and high-risk condition in prehospital and HEMS medicine. Together with Giacomo Strapazzon from the Institute of Mountain Emergency Medicine at EURAC Research, the discussion explores how hypothermia alters physiology, complicates assessment, and challenges clinical decision-making in austere environments. Key topics include field recognition, use of classification systems, transport and triage decisions, and the role of ECMO and advanced rewarming. The episode emphasizes the importance of early suspicion, temperature measurement, prevention of further cooling, and a well-coordinated chain of survival to improve outcomes in hypothermic patients.