Dangerously cold temperatures and snow are sweeping across several states.
The winter blast has brought record breaking cold, and left tens of thousands of people shivering.
The cold snap stretches from the northern plains to the northeast.
It brought frigid temperatures, near blizzard conditions and caused a variety of headaches.
Snow and ice are blamed for hundreds of accidents in several states.
"People are going out in this, and unfortunately we've got to come out and help them when they get in trouble," said Pewaukee, Wisconsin Fire Chief Peter Rohde.
White-out conditions over the weekend caused a 60 car pileup on a Pennsylvania interstate, killing a woman and injuring close to 20 others.
Air travel was also interrupted with cancellations across the region because of icy conditions.
In the upper midwest wind chill readings hit -50 degrees.
The winter blast is moving east with more snow and ice, and the problems that go along with them.