Daniela Hurtado North Dakotans know all too well that there's a risk of frostbite and hypothermia in extreme cold.
The Centers for Disease Control say there were more than 16,000 hypothermia deaths in the U.S. from 1999 to 2011, an average of about 1,300 per year.
The state health department doesn't have data for hypothermia cases in 2017 yet.
Sanford Health Dr. Eric says temperatures this cold brings very serious issues.
He says there are concerns of hypothermia deaths in the emergency department of the hospital
Walking 5 miles in these cold temps, may be a cause for concern.
"Well I probably walk pretty much every day right now. I don't drive, I don't like to drive when it's this cold out. I got an old car," said Bismarck resident.
"All it requires is a temperature that is lower than your body temperature and prolonged exposure. Because you're exposing yourself and losing heat to the environment and pretty soon you'll cool down. So hypothermia is more common than people realize," said Thompson.
But what if you don't have anywhere to keep warm?
"It's a tough situation with the lack of care and services for the people that are unfortunate in this community," said Thompson.
But if you do end up in the emergency room for hypothermia, this device will help doctors normalize your temperature.
Although we will see a bit of warmth on Wednesday, the inevitable will come again and it will get real cold.
Doctors say to remember to layer up and to stay inside as much as you can.