Frostbite Injury Management in Emergency
Frostbite of the extremities affects two distinct groups of people: an ‘at-risk’ urban population, mainly the homeless, and persons exposing themselves to an arctic environment, i.e., climbers, polar explorers, etc.
A localized cold-induced lesion, or frostbite, is defined as tissue injury resulting from the prolonged exposure of flesh to a temperature of less than 0°C.
Improvement in the quality of textiles and clothing protections diminishes the impact of frostbite, yet it can still develop because of an insidious and painless onset.
Frostbite injury most often involves the hands and feet, and less often the ears, nose and cheeks.
Frostbite can result in catastrophic amputations, sometimes quite proximally on the affected limbs of previously healthy young men.
A new classification of frostbite, based on initial clinical examination, has the advantage of establishing a long-term prognosis early on in the management of frostbite.
Thrombolytic agents and prostacyclin used in the early phase of treatment of frostbite offer new hope to reduce the risk of amputation and sequelae from frostbite injury.
KeywordsBone Scanning Thrombolytic Agent Hyperbaric Oxygen Therapy Initial Lesion Cold Injury
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- 8.Botta-Kauer Y. Les brûlures de la main. Med et Hyg. 1997; 55: 2369–72.Google Scholar
- 9.Mills WJ Jr. Clinical aspects of frostbite injury. In: Proceeding of the Symposium on Artic Medicine and Biology. IV. Frostbite, Fort Wainwright, Alaska: Artic Aeromedical Laboratory, 1964.Google Scholar
- 15.Reamy B V. Frostbite: review and current concepts. J Am Board Fam Prac. 1998; 11(1): 34–40.Google Scholar
- 16.Pollard AJ, Murdoch DR. The high altitude medicine handbook. Abingdon: Radcliffe Medical Press, 2003.Google Scholar
- 17.Killian H. Terminology and division into groups of localised cold injuries. In: Cold and Frost Injuries. Berlin: Springer-Verlag, 1981; pp 25–37.Google Scholar
- 18.Washburn B. Frostbite. N Eng J Med. 1962; 266: 974–89.Google Scholar
- 23.Robson MC, Heggers JP. Evaluation of frostbite blister fluid as a clue to pathogenesis. J Hand Surg [Am]. 1981; 6: 43–47.Google Scholar
- 24.Raine TJ et al. Antiprostaglandins and antithromboxanes in the treatment of frostbite. Surg Forum. 1980; 31: 557–8.Google Scholar
- 25.McCauley RL, Smith DJ, Robson MC, Heggers JP. Frostbite. In Wilderness Medicine by Auerbach PS (ed.). St Louis: Mosby, 2001 (4th ed).Google Scholar
- 27.MartínezVillén G, Morandeira JR. Patología localizada por acción del frío: “congelaciones”. In: Morandereira JR, Martínez Villén G, Masgrau L, Avellanas M, editors. Manual Básico de medicina de montaña. Zaragova: Prames, 1996. pp. 171–4Google Scholar
- 31.Finderle Z, Cankar K. Delayed treatment of frostbite injury with hyperbaric oxygen therapy: a case report. Av Spc Env Med. 2002; 73(4): 393–394.Google Scholar