Temperature-related emergencies are often subtle, easily missed, and rapidly fatal without early recognition and intervention. This session delivers a high-yield, field-focused approach to identifying and managing both hypothermia and hyperthermia in prehospital and austere environments. Participants will learn to recognize early warning signs, differentiate severity, and apply targeted management strategies using available resources. Key concepts—including cardiac instability in hypothermia, heat stroke pathophysiology, and critical complications such as rhabdomyolysis—are reinforced through practical, scenario-based decision-making. Designed for EMS and wilderness providers, this talk emphasizes real-world strategies to stabilize patients and prevent deterioration when time, environment, and resources are working against you.