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Frostbite Injury Management in Emergency

  • Emmanuel Cauchy
  • Scrimgeour Carron
  • Rik Verhellen
  • Fontanille Bernard
  • 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.

Keywords

Bone Scanning Thrombolytic Agent Hyperbaric Oxygen Therapy Initial Lesion Cold Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Emmanuel Cauchy
    • 1
  • Scrimgeour Carron
    • 1
  • Rik Verhellen
    • 1
  • Fontanille Bernard
    • 1
  1. 1.IFREMMONT, Institut de Formation et de Recherche en Médecine de Montagne, Hôpital de ChamonixChamonixFrance

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