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Frostbite

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888:. Active rewarming seeks to warm the injured tissue as quickly as possible without burning. The faster tissue is thawed, the less tissue damage occurs. According to Handford and colleagues, "The Wilderness Medical Society and State of Alaska Cold Injury Guidelines recommend a temperature of 37–39 °C, which decreases the pain experienced by the patient whilst only slightly slowing rewarming time." Warming takes 15 minutes to 1 hour. The faucet should be left running so the water can circulate. Rewarming can be very painful, so pain management is important. 972: 479: 407: 435: 516: 504: 1047: 3887: 3935: 569:). Prolonged exposure to temperatures below −2 °C (28 °F) may cause ice crystals to form in the tissues, and prolonged exposure to temperatures below −4 °C (25 °F) may cause ice crystals to form in the blood. Ice crystals can damage small blood vessels at the site of injury. Typically, prolonged exposure to temperatures below −0.55 °C (31.01 °F) may cause frostbite. 3923: 3911: 3899: 58: 379: 787:
Individuals with frostbite or potential frostbite should go to a protected environment and get warm fluids. If there is no risk of re-freezing, the extremity can be exposed and warmed in the underarm of a companion or the groin. If the area is allowed to refreeze, there can be worse tissue damage. If
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Areas that are usually affected include cheeks, ears, nose and fingers and toes. Frostbite is often preceded by frostnip. The symptoms of frostbite progress with prolonged exposure to cold. Historically, frostbite has been classified by degrees according to skin and sensation changes, similar to burn
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A systematic review and metaanalysis revealed that iloprost alone or iloprost plus recombinant tissue plasminogen activator (rtPA) may decrease amputation rate in case of severe frostbite in comparison to buflomedil alone with no major adverse events reported from iloprost or iloprost plus rtPA in
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recommends covering the skin and scalp, taking in adequate nutrition, avoiding constrictive footwear and clothing, and remaining active without causing exhaustion. Supplemental oxygen might also be of use at high elevations. Repeated exposure to cold water makes people more susceptible to frostbite.
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The major risk factor for frostbite is exposure to cold through geography, occupation and/or recreation. Inadequate clothing and shelter are major risk factors. Frostbite is more likely when the body's ability to produce or retain heat is impaired. Physical, behavioral, and environmental factors can
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Frostbite has been described in military history for millennia. The Greeks encountered and discussed the problem of frostbite as early as 400 BC. Researchers have found evidence of frostbite in humans dating back 5,000 years, in an Andean mummy. Napoleon's Army was the first documented instance of
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without exhaustion. Treatment is by rewarming, by immersion in warm water (near body temperature) or by body contact, and should be done only when consistent temperature can be maintained so that refreezing is not a risk. Rapid heating or cooling should be avoided since it could potentially cause
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are potential consequences of frostbite. Permanent nerve damage including loss of feeling can occur. It can take several weeks to know what parts of the tissue will survive. Time of exposure to cold is more predictive of lasting injury than temperature the individual was exposed to. The
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The process of frostbite differs from the process of non-freezing cold injury (NFCI). In NFCI, temperature in the tissue decreases gradually. This slower temperature decrease allows the body to try to compensate through alternating cycles of closing and opening blood vessels
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Evidence of frostbite occurring in people dates back 5,000 years. Evidence was documented in a pre-Columbian mummy discovered in the Andes. The number of cases of frostbite is unknown. Rates may be as high as 40% a year among those who
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classifications. However, the degrees do not correspond to the amount of long term damage. A simplification of this system of classification is superficial (first or second degree) or deep injury (third or fourth degree).
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all contribute to the development of frostbite. Immobility and physical stress (such as malnutrition or dehydration) are also risk factors. Disorders and substances that impair circulation contribute, including
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McIntosh, SE; Opacic, M; Freer, L; Grissom, CK; Auerbach, PS; Rodway, GW; Cochran, A; Giesbrecht, GG; McDevitt, M; Imray, CH; Johnson, EL; Dow, J; Hackett, PH; Wilderness Medical, Society. (December 2014).
358:. The most common age group affected is those 30 to 50 years old. Frostbite has also played an important role in a number of military conflicts. The first formal description of the condition was in 1813 by 1028:
was 2.5 per 100,000 among civilians, compared with 3.2 per 100,000 in Montreal. Research suggests that men aged 30–49 are at highest risk, possibly due to occupational or recreational exposures to cold.
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McIntosh, Scott E.; Opacic, Matthew; Freer, Luanne; Grissom, Colin K.; Auerbach, Paul S.; Rodway, George W.; Cochran, Amalia; Giesbrecht, Gordon G.; McDevitt, Marion (1 December 2014).
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The pathological mechanism by which frostbite causes body tissue injury can be characterized by four stages: Prefreeze, freeze-thaw, vascular stasis, and the late ischemic stage.
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the area cannot be reliably kept warm, the person should be brought to a medical facility without rewarming the area. Rubbing the affected area can also increase tissue damage.
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may prevent blood vessel blockage. This treatment might be appropriate in grades 2–4 frostbite, when people get treatment within 48 hours. In addition to vasodilators,
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mass cold injury in the early 1800s. According to Zafren, nearly 1 million combatants fell victim to frostbite in the First and Second World Wars, and the Korean War.
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Bruen, KJ; Ballard JR; Morris SE; Cochran A; Edelman LS; Saffle JR (2007). "Reduction of the incidence of amputation in frostbite injury with thrombolytic therapy".
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Third degree frostbite developing. Doppler arterial ultrasound showed adequate perfusion to the foot with no blood flow to the toes. Gangrene was still demarcating.
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Handford, Charles; Buxton, Pauline; Russell, Katie; Imray, Caitlin EA; McIntosh, Scott E; Freer, Luanne; Cochran, Amalia; Imray, Christopher HE (22 April 2014).
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Grade 4: if there is a lesion very near the body (such as the carpals of the hand), the limb can be lost. Sepsis and/or other systemic problems are expected.
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classification system of grades, based on the tissue response to initial rewarming and other factors is designed to predict degree of longterm recovery.
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or chilblains are inflammation of the skin from exposure to wet, cold (non-freezing) conditions. They can appear as various types of ulcers and blisters.
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Frostnip is similar to frostbite, but without ice crystal formation in the skin. Whitening of the skin and numbness reverse quickly after rewarming.
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Early on, the primary symptom is loss of feeling in the skin. In the affected areas, the skin is numb, and possibly swollen, with a reddened border.
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following thawing. Diagnosis is based on symptoms. Severity may be divided into superficial (1st and 2nd degree) or deep (3rd and 4th degree). A
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can be given in the field to prevent clotting and inflammation. Ibuprofen is often preferred to aspirin because aspirin may block a subset of
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is damage to nerves and blood vessels that results from exposure to cold wet (non-freezing) conditions. This is reversible if treated early.
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Millet, John D.; Brown, Richard K. J.; Levi, Benjamin; Kraft, Casey T.; Jacobson, Jon A.; Gross, Milton D.; Wong, Ka Kit (November 2016).
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is a condition that causes itchy blisters over the body that can mimic frostbite. It does not require exposure to cold to develop.
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burning or heart stress. Rubbing or applying force to the affected areas should be avoided as it may cause further damage such as
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Knapik JJ, Reynolds KL, Castellani JW (2020). "Frostbite: Pathophysiology, Epidemiology, Diagnosis, Treatment, and Prevention".
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People who are exposed to low temperatures for prolonged periods, such as winter sports enthusiasts, military personnel, and
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Third degree frostbite. No surgical interventions recommended as the gangrenous portion of the wound was still demarcating.
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Gage AA, Ishikawa H, Winter PM (1970). "Experimental frostbite. The effect of hyperbaric oxygenation on tissue survival".
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Finderle Z, Cankar K (April 2002). "Delayed treatment of frostbite injury with hyperbaric oxygen therapy: a case report".
857:: should be administered according to local guidelines. Uncomplicated frostbite wounds are not known to encourage tetanus. 693: 2171: 1959: 3751: 3560: 2680: 2635: 2452: 1421: 1157: 897: 3971: 3399: 1142: 1111: 1004:
A number of long term sequelae can occur after frostbite. These include transient or permanent changes in sensation,
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Grade 3: if there is a lesion on the intermediate or near body part, auto-amputation and loss of function can occur
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areas. Most often, frostbite occurs in the hands and feet. The initial symptoms are typically a feeling of cold and
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Prevention consists of wearing proper, fully-covering clothing, avoiding low temperatures and wind, maintaining
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Various types of surgery might be indicated in frostbite injury, depending on the type and extent of damage.
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If the area is still partially or fully frozen, it should be rewarmed in the hospital with a warm bath with
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Avoid cold, wear proper clothing, maintain hydration and nutrition, stay active without becoming exhausted
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Golant, A; Nord, RM; Paksima, N; Posner, MA (Dec 2008). "Cold exposure injuries to the extremities".
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Palmar surface of frostbitten feet five days after a freeze. Patient was homeless with poor footwear.
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Fourth degree frostbite in a homeless patient five days after freezing conditions. Patient developed
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of frostbite. In the United States, frostbite is more common in northern states. In Finland, annual
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People with potential for large amputations and who present within 24 hours of injury can be given
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Grade 1: if there is no initial lesion on the area, no amputation or lasting effects are expected
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often have frostbite as well. Since hypothermia is life-threatening this should be treated first.
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Early symptoms include a colorless appearance of the skin, a hard texture, and painless rewarming.
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In fourth degree frostbite, structures below the skin are involved like muscles, tendon, and bone.
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Grade 2: if there is a lesion on the distal body part, tissue and fingernails can be destroyed
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has also been attempted with limited success. Studies have suggested that administration of
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use. Homeless individuals and individuals with some mental illnesses may be at higher risk.
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as an adjunctive treatment can assist in tissue salvage. Cases have been reported, but no
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is recommended for pain relief or to reduce swelling or inflammation. For severe injuries,
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and other life-threatening complications of cold exposure. Before treating frostbite, the
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First degree frostbite is superficial, surface skin damage that is usually not permanent.
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Ay H, Uzun G, Yildiz S, Solmazgul E, Dundar K, Qyrdedi T, Yildirim I, Gumus T (2005).
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Wilderness Medicine E-Book: Expert Consult Premium Edition - Enhanced Online Features
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In the weeks after injury, this hardened, blistered skin dries, blackens, and peels.
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Sachs, Christoph; Lehnhardt, Marcus; Daigeler, Adrien; Goertz, Ole (1 March 2017).
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scans are not required for diagnosis, but might be useful for prognostic purposes.
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Avoiding alcohol and drugs that impair circulation or natural protective responses
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that can appear similar to frostbite. It is caused by contamination of cocaine by
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Lorentzen, Anne Kathrine; Davis, Christopher; Penninga, Luit (20 December 2020).
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Prefreeze phase: involves the cooling of tissues without ice crystal formation.
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that occurs when someone is exposed to extremely low temperatures, causing the
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Heil, K; Thomas, R; Robertson, G; Porter, A; Milner, R; Wood, A (March 2016).
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Frostbite is diagnosed based on signs and symptoms as described above, and by
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is another possible mechanism of injury. Blisters and spasm of blood vessels (
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Eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy
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Freeze-thaw phase: ice-crystals form, resulting in cellular damage and death.
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Singleton, Joanne K.; DiGregorio, Robert V.; Green-Hernandez, Carol (2014).
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Symptoms include blood blisters and "blue-grey discoloration of the skin".
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In frostbite, cooling of the body causes narrowing of the blood vessels (
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individuals, are at greatest risk. Other risk factors include drinking
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In third degree frostbite, the layers of tissue below the skin freeze.
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Zafren, Ken (2013). "Frostbite: Prevention and Initial Management".
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The first priority in people with frostbite should be to assess for
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may be used. Surgery, including amputation, is sometimes necessary.
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Sachs, C; Lehnhardt, M; Daigeler, A; Goertz, O (30 October 2015).
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At this stage, lasting cold sensitivity and numbness can develop.
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in 1999. His nose, fingers and toes were subsequently amputated.
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In the weeks after injury, pain persists and a blackened crust (
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Other considerations for standard hospital management include:
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This article is about a medical condition. For other uses, see
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Primary Care, Second Edition: An Interprofessional Perspective
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can be drained by needle aspiration, unless they are bloody (
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In the weeks after injury, the skin's surface may slough off.
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Handford, C; Thomas, O; Imray, CHE (May 2017). "Frostbite".
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and nutrition, and sufficient physical activity to maintain
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drugs can be used to counteract the detrimental peripheral
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Late ischemic phase: characterized by inflammatory events,
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Rosen's emergency medicine: concepts and clinical practice
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Frostbitten toes two to three days after mountain climbing
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in hospital after developing frostbite when benighted on
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may occur following treatment. Complications may include
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Mistovich, Joseph; Haffen, Brent; Karren, Keith (2004).
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explorer who in 1912 died of complications of frostbite
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There is a lack of comprehensive statistics about the
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Evidence is insufficient to determine whether or not
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are recommended during the painful rewarming process.
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of the skin or other tissues, commonly affecting the
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Avoiding temperatures below −23 °C (-9 °F)
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In second degree frostbite, the skin develops clear
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Effect of low temperature on skin and other tissues
2371:"Frostbite: Background, Pathophysiology, Etiology" 1367:Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1 752:Additional measures to prevent frostbite include: 585:, swelling (edema), and poor blood flow (stasis). 2707:. Archived from the original on 15 September 2008 2423:"Hugh Herr's Best Foot Forward | Boston Magazine" 837:gel can be applied before breathable, protective 778:Recognizing early signs of frostnip and frostbite 3967:Skin conditions resulting from physical factors 963:can be done to attempt to preserve blood flow. 318:may help in determining the extent of injury. 95:Numbness, feeling cold, clumsiness, pale color 3259: 2943: 1596:CT.gov - Connecticut's Official State Website 1470: 1468: 1466: 1464: 1462: 8: 1782:. UK National Health Service. 24 August 2021 1460: 1458: 1456: 1454: 1452: 1450: 1448: 1446: 1444: 1442: 1340:. Springer Publishing Company. p. 172. 1062:Several notable cases of frostbite include: 759:Avoiding moisture, including in the form of 743:infographic video about frostbite prevention 2340: 2338: 1224:Emergency Medicine Clinics of North America 811:should be raised above 35 °C. Oral or 648:or the leaking of blood out of the vessels. 610:). If this process continues, inflammatory 3910: 3286: 3266: 3252: 3244: 2950: 2936: 2928: 2777: 1665: 1663: 1661: 1659: 1657: 1655: 1653: 1217: 1215: 1213: 1211: 1209: 1207: 1205: 1203: 1201: 1199: 1197: 1195: 1193: 947:tissue is usually delayed unless there is 915:Blood vessel dilating medications such as 775:Using chemical or electric warming devices 741:Centers for Disease Control and Prevention 56: 39: 2634:Weaver LK, Greenway L, Elliot CG (1988). 2575: 2558:Folio LR, Arkin K, Butler WP (May 2007). 2275: 2218: 2085: 2044: 1885: 1834: 1567: 1510: 1492: 1400:. Elsevier Health Sciences. p. 181. 1370:. Elsevier Health Sciences. p. 502. 1359: 1357: 1329: 1327: 1299: 1277: 1275: 1273: 1191: 1189: 1187: 1185: 1183: 1181: 1179: 1177: 1175: 1173: 424:early on, and the skin's surface hardens. 1389: 1387: 1271: 1269: 1267: 1265: 1263: 1261: 1259: 1257: 1255: 1253: 1114:who lost his nose and hands to frostbite 144:, certain medications, prior cold injury 2248:Cochrane Database of Systematic Reviews 1909:Jurkovich, Gregory J. (February 2007). 1874:Wilderness & Environmental Medicine 1288:Wilderness & Environmental Medicine 1169: 644:Vascular stasis phase: marked by blood 577:Rewarming causes tissue damage through 2718: 2657: 2244:"Interventions for frostbite injuries" 1738:Journal of Special Operations Medicine 847:: if there is trauma, skin infection ( 3425:Radiation-induced erythema multiforme 2484:"I'll get there, even if it kills..." 2403:from the original on 13 February 2017 2158: 2156: 1954: 1952: 1915:The Surgical Clinics of North America 1622: 1620: 1618: 1616: 1614: 1612: 800:that are important in injury repair. 7: 3898: 2519: 1672:High Altitude Medicine & Biology 511:and was unable to properly dry feet. 3742:Pseudoverrucous papules and nodules 3430:Radiation-induced hypertrophic scar 2482:Heawood, Jonathan (27 March 2004). 1911:"Environmental cold-induced injury" 2433:from the original on 30 March 2017 2381:from the original on 2 March 2017. 2377:. Medscape, LLC. 2 February 2017. 2199:Deutsches Ärzteblatt International 1807:Deutsches Ärzteblatt International 1079:, the junior wireless operator of 493:Later, the skin becomes black and 25: 2501:from the original on 4 March 2017 2463:from the original on 4 March 2017 2174:from the original on 4 March 2017 2000:from the original on 4 March 2017 1970:from the original on 3 March 2017 1638:from the original on 2 March 2017 1628:"Frostbite Clinical Presentation" 1481:Extreme Physiology & Medicine 1422:"Frostbite - Symptoms and causes" 3933: 3921: 3909: 3897: 3886: 3885: 3528:Inner ear decompression sickness 2313:10.5435/00124635-200812000-00003 1102:Mount Washington (New Hampshire) 626:to increase localized clotting. 3922: 975:3 weeks after initial frostbite 593:) can develop after rewarming. 3982:Wilderness medical emergencies 2260:10.1002/14651858.cd012980.pub2 1145:has been performed on humans. 1069:, an English army captain and 927:that occurs during frostbite. 912:can be done to assess damage. 187:Rewarming, medication, surgery 1: 3762:environmental skin conditions 3555:High-altitude pulmonary edema 3752:Tropical anhidrotic asthenia 3561:High-altitude cerebral edema 2613:10.1016/0011-2240(70)90038-6 1158:tissue plasminogen activator 1096:Noted American rock climber 1093:after it arrived in New York 3774:frictional/traumatic/sports 3400:Chronic radiation keratosis 1592:"Frostbite and Hypothermia" 1112:1996 Mount Everest disaster 501:can occur after two months. 127:Temperatures below freezing 3998: 3866:Pseudoacanthosis nigricans 3090:Retroperitoneal hemorrhage 2754:10.1001/archsurg.142.6.546 2111:Prehospital Emergency Care 1713:Zonnoor B (29 July 2019). 1394:Auerbach, Paul S. (2011). 749:Wilderness Medical Society 32:Frostbite (disambiguation) 29: 3962:Mountaineering and health 3881: 3637:Space adaptation syndrome 3545:Chronic mountain sickness 3450:Radiation recall reaction 3440:Radiation-induced morphea 3343:Warm water immersion foot 2725:: CS1 maint: unfit URL ( 2664:: CS1 maint: unfit URL ( 2211:10.3238/arztebl.2015.0741 1927:10.1016/j.suc.2006.10.003 1887:10.1016/j.wem.2014.09.001 1819:10.3238/arztebl.2015.0741 1301:10.1016/j.wem.2014.09.001 1236:10.1016/j.emc.2016.12.006 1139:hyperbaric oxygen therapy 64: 55: 3819:Weathering nodule of ear 3435:Radiation-induced keloid 3420:Radiation-induced cancer 3350:Non-freezing cold injury 3328:Immersion foot syndromes 2577:10.7205/milmed.172.5.560 2074:British Medical Bulletin 2037:10.1177/1941738116630542 1143:randomized control trial 815:fluids should be given. 597:Non-freezing cold injury 3747:Sclerosing lymphangitis 3338:Tropical immersion foot 2533:Aviat Space Environ Med 1994:us.bestpractice.bmj.com 1364:Ferri, Fred F. (2017). 951:or systemic infection ( 841:or bandages are put on. 614:act in the area. Small 482:Frostbite 12 days later 3834:Painful fat herniation 3814:Vibration white finger 3523:Decompression sickness 3380:Erythrocyanosis crurum 1960:"VisualDx - Frostbite" 1632:emedicine.medscape.com 1067:Captain Lawrence Oates 1059: 1012:in the area affected. 976: 931:the included studies. 744: 520: 512: 483: 461:There can be longterm 439: 411: 383: 300:mental health problems 160:Differential diagnosis 142:mental health problems 3789:Fissure of the nipple 3757:UV-sensitive syndrome 3682:Adverse drug reaction 3511:Middle ear barotrauma 3501:Arterial gas embolism 3197:Occupational injuries 2459:. 16 September 2015. 2301:J Am Acad Orthop Surg 1684:10.1089/ham.2012.1114 1552:10.1148/rg.2016160045 1494:10.1186/2046-7648-3-7 1117:Scottish mountaineer 1049: 974: 738: 518: 506: 481: 437: 409: 381: 360:Dominique Jean Larrey 3977:Causes of amputation 3784:Equestrian perniosis 3202:Traumatic amputation 2685:Undersea Hyperb. Med 2429:. 18 February 2009. 1921:(1): 247–267, viii. 1110:, a survivor of the 957:compartment syndrome 587:Platelet aggregation 542:Raynaud's phenomenon 366:'s army, during its 281:compartment syndrome 110:compartment syndrome 3871:Narcotic dermopathy 3779:Black heel and palm 3732:Dermatosis neglecta 3606:Psychological abuse 3445:Radiation poisoning 2742:Archives of Surgery 2345:Marx, John (2010). 1880:(4 Suppl): S43-54. 1294:(4 Suppl): S43–54. 1133:Research directions 1042:Society and culture 694:Levamisole toxicity 3972:Weather and health 3841:Uranium dermatosis 3794:Pulling boat hands 3703:Lightning injuries 3165:Penetrating trauma 3085:Grey Turner's sign 3075:Subungual hematoma 2859:External resources 2087:10.1093/bmb/ldw001 1750:10.55460/PDX9-BG8G 1152:using intravenous 1060: 977: 851:) or severe injury 745: 688:Bullous pemphigoid 579:reperfusion injury 521: 513: 484: 440: 412: 384: 374:Signs and symptoms 368:invasion of Russia 80:emergency medicine 3949: 3948: 3698:Electrical injury 3540:Altitude sickness 3388: 3387: 3241: 3240: 2913: 2912: 2640:J. Hyperbaric Med 2356:978-0-323-05472-0 2134:Laderer, Ashley. 1127:Mont Blanc massif 943:or amputation of 772:Layering clothing 736: 655:and tissue death. 581:, which involves 362:, a physician in 223: 222: 154:Based on symptoms 150:Diagnostic method 119:Superficial, deep 37:Medical condition 16:(Redirected from 3989: 3937: 3925: 3924: 3913: 3912: 3901: 3900: 3889: 3888: 3725:physical factors 3721:skin conditions 3653:Hypersensitivity 3370:Cold intolerance 3287: 3274:Consequences of 3268: 3261: 3254: 3245: 3233:Abdominal trauma 3141:Ballistic trauma 3028:Friction blister 3023:Fracture blister 2952: 2945: 2938: 2929: 2778: 2766: 2765: 2737: 2731: 2730: 2724: 2716: 2714: 2712: 2676: 2670: 2669: 2663: 2655: 2653: 2651: 2631: 2625: 2624: 2596: 2590: 2589: 2579: 2555: 2549: 2548: 2528: 2522: 2517: 2511: 2510: 2508: 2506: 2479: 2473: 2472: 2470: 2468: 2449: 2443: 2442: 2440: 2438: 2419: 2413: 2412: 2410: 2408: 2389: 2383: 2382: 2367: 2361: 2360: 2342: 2333: 2332: 2296: 2290: 2289: 2279: 2254:(12): CD012980. 2239: 2233: 2232: 2222: 2190: 2184: 2183: 2181: 2179: 2168:www.uptodate.com 2160: 2151: 2150: 2148: 2146: 2131: 2125: 2124: 2106: 2100: 2099: 2089: 2065: 2059: 2058: 2048: 2019:Fudge J (2016). 2016: 2010: 2009: 2007: 2005: 1986: 1980: 1979: 1977: 1975: 1956: 1947: 1946: 1906: 1900: 1899: 1889: 1864: 1849: 1848: 1838: 1798: 1792: 1791: 1789: 1787: 1776: 1770: 1769: 1733: 1727: 1726: 1724: 1722: 1710: 1704: 1703: 1667: 1648: 1647: 1645: 1643: 1624: 1607: 1606: 1604: 1602: 1588: 1582: 1581: 1571: 1546:(7): 2154–2169. 1531: 1525: 1524: 1514: 1496: 1472: 1437: 1436: 1434: 1432: 1418: 1412: 1411: 1391: 1382: 1381: 1361: 1352: 1351: 1331: 1322: 1321: 1303: 1279: 1248: 1247: 1219: 979:Tissue loss and 925:vasoconstriction 813:intravenous (IV) 809:core temperature 737: 708:People who have 604:vasoconstriction 567:vasoconstriction 327:core temperature 60: 40: 21: 3997: 3996: 3992: 3991: 3990: 3988: 3987: 3986: 3952: 3951: 3950: 3945: 3877: 3767:Electrical burn 3724: 3723:resulting from 3722: 3720: 3714: 3686: 3673:Arthus reaction 3641: 3622:Motion sickness 3610: 3584: 3568: 3484: 3480:Oxygen toxicity 3459: 3384: 3311: 3278: 3276:external causes 3272: 3242: 3237: 3206: 3129: 3096: 3037: 3033:Sucking blister 3013:Delayed blister 2989: 2966: 2956: 2914: 2909: 2908: 2854: 2853: 2789: 2775: 2770: 2769: 2739: 2738: 2734: 2717: 2710: 2708: 2678: 2677: 2673: 2656: 2649: 2647: 2633: 2632: 2628: 2598: 2597: 2593: 2557: 2556: 2552: 2530: 2529: 2525: 2518: 2514: 2504: 2502: 2481: 2480: 2476: 2466: 2464: 2451: 2450: 2446: 2436: 2434: 2427:Boston Magazine 2421: 2420: 2416: 2406: 2404: 2391: 2390: 2386: 2369: 2368: 2364: 2357: 2344: 2343: 2336: 2298: 2297: 2293: 2241: 2240: 2236: 2192: 2191: 2187: 2177: 2175: 2162: 2161: 2154: 2144: 2142: 2133: 2132: 2128: 2121: 2108: 2107: 2103: 2067: 2066: 2062: 2018: 2017: 2013: 2003: 2001: 1988: 1987: 1983: 1973: 1971: 1958: 1957: 1950: 1908: 1907: 1903: 1866: 1865: 1852: 1813:(44): 741–747. 1800: 1799: 1795: 1785: 1783: 1778: 1777: 1773: 1735: 1734: 1730: 1720: 1718: 1712: 1711: 1707: 1669: 1668: 1651: 1641: 1639: 1626: 1625: 1610: 1600: 1598: 1590: 1589: 1585: 1533: 1532: 1528: 1474: 1473: 1440: 1430: 1428: 1420: 1419: 1415: 1408: 1393: 1392: 1385: 1378: 1363: 1362: 1355: 1348: 1333: 1332: 1325: 1281: 1280: 1251: 1221: 1220: 1171: 1166: 1135: 1044: 1035: 1018: 990: 969: 937: 894: 879:povidone iodine 875: 785: 728: 726: 666:patient history 662: 632: 630:Pathophysiology 599: 575: 563: 558: 533: 528: 476: 445: 417: 393: 376: 202:tetanus vaccine 38: 35: 28: 23: 22: 15: 12: 11: 5: 3995: 3993: 3985: 3984: 3979: 3974: 3969: 3964: 3954: 3953: 3947: 3946: 3944: 3943: 3931: 3919: 3907: 3895: 3882: 3879: 3878: 3876: 3875: 3874: 3873: 3868: 3863: 3858: 3853: 3843: 3838: 3837: 3836: 3831: 3826: 3824:Wrestler's ear 3821: 3816: 3811: 3806: 3804:Surfer's knots 3801: 3796: 3791: 3786: 3781: 3771: 3770: 3769: 3759: 3754: 3749: 3744: 3739: 3734: 3728: 3726: 3716: 3715: 3713: 3712: 3707: 3706: 3705: 3694: 3692: 3688: 3687: 3685: 3684: 3678: 3677: 3676: 3675: 3670: 3665: 3660: 3649: 3647: 3646:Adverse effect 3643: 3642: 3640: 3639: 3634: 3629: 3624: 3618: 3616: 3612: 3611: 3609: 3608: 3603: 3598: 3596:Physical abuse 3592: 3590: 3586: 3585: 3583: 3582: 3576: 3574: 3570: 3569: 3567: 3566: 3565: 3564: 3558: 3552: 3547: 3542: 3532: 3531: 3530: 3520: 3519: 3518: 3513: 3508: 3503: 3492: 3490: 3486: 3485: 3483: 3482: 3477: 3467: 3465: 3461: 3460: 3458: 3457: 3452: 3447: 3442: 3437: 3432: 3427: 3422: 3417: 3415:Radiation burn 3412: 3410:Radiation acne 3407: 3402: 3396: 3394: 3390: 3389: 3386: 3385: 3383: 3382: 3377: 3372: 3367: 3362: 3357: 3352: 3347: 3346: 3345: 3340: 3335: 3325: 3319: 3317: 3313: 3312: 3310: 3309: 3304: 3299: 3293: 3291: 3284: 3280: 3279: 3273: 3271: 3270: 3263: 3256: 3248: 3239: 3238: 3236: 3235: 3230: 3225: 3220: 3214: 3212: 3208: 3207: 3205: 3204: 3199: 3194: 3189: 3176: 3171: 3162: 3153: 3148: 3143: 3137: 3135: 3131: 3130: 3128: 3127: 3122: 3117: 3112: 3106: 3104: 3098: 3097: 3095: 3094: 3093: 3092: 3087: 3082: 3077: 3072: 3067: 3062: 3047: 3045: 3039: 3038: 3036: 3035: 3030: 3025: 3020: 3015: 3010: 3005: 2999: 2997: 2991: 2990: 2988: 2987: 2986: 2985: 2974: 2972: 2968: 2967: 2957: 2955: 2954: 2947: 2940: 2932: 2926: 2925: 2920: 2911: 2910: 2907: 2906: 2895: 2875: 2863: 2862: 2860: 2856: 2855: 2852: 2851: 2840: 2829: 2810: 2790: 2785: 2784: 2782: 2781:Classification 2774: 2773:External links 2771: 2768: 2767: 2732: 2671: 2626: 2591: 2550: 2523: 2512: 2474: 2444: 2414: 2384: 2362: 2355: 2334: 2307:(12): 704–15. 2291: 2234: 2185: 2152: 2126: 2119: 2101: 2060: 2011: 1981: 1948: 1901: 1850: 1793: 1771: 1744:(4): 123–135. 1728: 1705: 1649: 1608: 1583: 1526: 1438: 1413: 1407:978-1455733569 1406: 1383: 1376: 1353: 1346: 1323: 1249: 1230:(2): 281–299. 1168: 1167: 1165: 1162: 1134: 1131: 1130: 1129: 1115: 1105: 1094: 1074: 1043: 1040: 1034: 1031: 1017: 1014: 989: 986: 981:autoamputation 968: 965: 936: 933: 910:CT angiography 893: 890: 874: 871: 870: 869: 860:pain control: 858: 855:tetanus toxoid 852: 842: 798:prostaglandins 784: 781: 780: 779: 776: 773: 770: 767: 757: 725: 722: 706: 705: 691: 685: 679: 673: 661: 658: 657: 656: 649: 642: 639: 631: 628: 624:prostaglandins 598: 595: 574: 571: 562: 559: 557: 554: 532: 529: 527: 524: 523: 522: 499:Autoamputation 491: 488: 475: 472: 471: 470: 465:and damage to 459: 452: 449: 444: 441: 432: 431: 428: 425: 416: 413: 404: 403: 400: 397: 392: 389: 375: 372: 340:tetanus toxoid 221: 220: 217: 213: 212: 195: 189: 188: 185: 181: 180: 177: 173: 172: 162: 156: 155: 152: 146: 145: 135: 129: 128: 125: 121: 120: 117: 113: 112: 103: 97: 96: 93: 87: 86: 73: 67: 66: 62: 61: 53: 52: 49: 45: 44: 36: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3994: 3983: 3980: 3978: 3975: 3973: 3970: 3968: 3965: 3963: 3960: 3959: 3957: 3942: 3941: 3936: 3932: 3930: 3929: 3920: 3918: 3917: 3908: 3906: 3905: 3896: 3894: 3893: 3884: 3883: 3880: 3872: 3869: 3867: 3864: 3862: 3859: 3857: 3854: 3852: 3851:Skin pop scar 3849: 3848: 3847: 3844: 3842: 3839: 3835: 3832: 3830: 3827: 3825: 3822: 3820: 3817: 3815: 3812: 3810: 3807: 3805: 3802: 3800: 3799:Runner's rump 3797: 3795: 3792: 3790: 3787: 3785: 3782: 3780: 3777: 3776: 3775: 3772: 3768: 3765: 3764: 3763: 3760: 3758: 3755: 3753: 3750: 3748: 3745: 3743: 3740: 3738: 3735: 3733: 3730: 3729: 3727: 3717: 3711: 3708: 3704: 3701: 3700: 3699: 3696: 3695: 3693: 3689: 3683: 3680: 3679: 3674: 3671: 3669: 3666: 3664: 3661: 3659: 3656: 3655: 3654: 3651: 3650: 3648: 3644: 3638: 3635: 3633: 3630: 3628: 3625: 3623: 3620: 3619: 3617: 3613: 3607: 3604: 3602: 3599: 3597: 3594: 3593: 3591: 3587: 3581: 3578: 3577: 3575: 3571: 3562: 3559: 3556: 3553: 3551: 3548: 3546: 3543: 3541: 3538: 3537: 3536: 3535:High altitude 3533: 3529: 3526: 3525: 3524: 3521: 3517: 3514: 3512: 3509: 3507: 3506:Aerosinusitis 3504: 3502: 3499: 3498: 3497: 3494: 3493: 3491: 3487: 3481: 3478: 3476: 3472: 3469: 3468: 3466: 3462: 3456: 3453: 3451: 3448: 3446: 3443: 3441: 3438: 3436: 3433: 3431: 3428: 3426: 3423: 3421: 3418: 3416: 3413: 3411: 3408: 3406: 3403: 3401: 3398: 3397: 3395: 3391: 3381: 3378: 3376: 3373: 3371: 3368: 3366: 3363: 3361: 3358: 3356: 3353: 3351: 3348: 3344: 3341: 3339: 3336: 3334: 3331: 3330: 3329: 3326: 3324: 3321: 3320: 3318: 3314: 3308: 3305: 3303: 3300: 3298: 3295: 3294: 3292: 3288: 3285: 3281: 3277: 3269: 3264: 3262: 3257: 3255: 3250: 3249: 3246: 3234: 3231: 3229: 3226: 3224: 3221: 3219: 3216: 3215: 3213: 3209: 3203: 3200: 3198: 3195: 3193: 3190: 3188: 3187:Chemical burn 3184: 3180: 3177: 3175: 3172: 3170: 3166: 3163: 3161: 3158:/superficial/ 3157: 3154: 3152: 3149: 3147: 3144: 3142: 3139: 3138: 3136: 3132: 3126: 3123: 3121: 3118: 3116: 3113: 3111: 3108: 3107: 3105: 3103: 3099: 3091: 3088: 3086: 3083: 3081: 3080:Cullen's sign 3078: 3076: 3073: 3071: 3068: 3066: 3063: 3061: 3060:Battle's sign 3058: 3057: 3056: 3052: 3049: 3048: 3046: 3044: 3040: 3034: 3031: 3029: 3026: 3024: 3021: 3019: 3018:Edema blister 3016: 3014: 3011: 3009: 3006: 3004: 3003:Blood blister 3001: 3000: 2998: 2996: 2992: 2984: 2981: 2980: 2979: 2976: 2975: 2973: 2969: 2965: 2961: 2953: 2948: 2946: 2941: 2939: 2934: 2933: 2930: 2924: 2921: 2919: 2916: 2915: 2905: 2901: 2900: 2896: 2894: 2891: 2888: 2885: 2881: 2880: 2876: 2874: 2870: 2869: 2865: 2864: 2861: 2857: 2850: 2846: 2845: 2841: 2839: 2835: 2834: 2830: 2828: 2824: 2820: 2819: 2815: 2811: 2809: 2805: 2801: 2800: 2796: 2792: 2791: 2788: 2783: 2779: 2772: 2763: 2759: 2755: 2751: 2748:(6): 546–51. 2747: 2743: 2736: 2733: 2728: 2722: 2706: 2702: 2698: 2694: 2690: 2686: 2682: 2675: 2672: 2667: 2661: 2645: 2641: 2637: 2630: 2627: 2622: 2618: 2614: 2610: 2606: 2602: 2595: 2592: 2587: 2583: 2578: 2573: 2569: 2565: 2561: 2554: 2551: 2546: 2542: 2538: 2534: 2527: 2524: 2521: 2516: 2513: 2500: 2496: 2492: 2488: 2485: 2478: 2475: 2462: 2458: 2454: 2448: 2445: 2432: 2428: 2424: 2418: 2415: 2402: 2398: 2397:BBC - History 2394: 2388: 2385: 2380: 2376: 2372: 2366: 2363: 2358: 2352: 2348: 2341: 2339: 2335: 2330: 2326: 2322: 2318: 2314: 2310: 2306: 2302: 2295: 2292: 2287: 2283: 2278: 2273: 2269: 2265: 2261: 2257: 2253: 2249: 2245: 2238: 2235: 2230: 2226: 2221: 2216: 2212: 2208: 2205:(44): 741–7. 2204: 2200: 2196: 2189: 2186: 2173: 2169: 2165: 2159: 2157: 2153: 2141: 2137: 2130: 2127: 2122: 2120:0-13-049288-4 2116: 2112: 2105: 2102: 2097: 2093: 2088: 2083: 2079: 2075: 2071: 2064: 2061: 2056: 2052: 2047: 2042: 2038: 2034: 2030: 2026: 2025:Sports Health 2022: 2015: 2012: 1999: 1995: 1991: 1985: 1982: 1969: 1965: 1961: 1955: 1953: 1949: 1944: 1940: 1936: 1932: 1928: 1924: 1920: 1916: 1912: 1905: 1902: 1897: 1893: 1888: 1883: 1879: 1875: 1871: 1863: 1861: 1859: 1857: 1855: 1851: 1846: 1842: 1837: 1832: 1828: 1824: 1820: 1816: 1812: 1808: 1804: 1797: 1794: 1781: 1775: 1772: 1767: 1763: 1759: 1755: 1751: 1747: 1743: 1739: 1732: 1729: 1716: 1709: 1706: 1701: 1697: 1693: 1689: 1685: 1681: 1677: 1673: 1666: 1664: 1662: 1660: 1658: 1656: 1654: 1650: 1637: 1633: 1629: 1623: 1621: 1619: 1617: 1615: 1613: 1609: 1597: 1593: 1587: 1584: 1579: 1575: 1570: 1565: 1561: 1557: 1553: 1549: 1545: 1541: 1540:Radiographics 1537: 1530: 1527: 1522: 1518: 1513: 1508: 1504: 1500: 1495: 1490: 1486: 1482: 1478: 1471: 1469: 1467: 1465: 1463: 1461: 1459: 1457: 1455: 1453: 1451: 1449: 1447: 1445: 1443: 1439: 1427: 1423: 1417: 1414: 1409: 1403: 1399: 1398: 1390: 1388: 1384: 1379: 1377:9780323529570 1373: 1369: 1368: 1360: 1358: 1354: 1349: 1347:9780826171474 1343: 1339: 1338: 1330: 1328: 1324: 1319: 1315: 1311: 1307: 1302: 1297: 1293: 1289: 1285: 1278: 1276: 1274: 1272: 1270: 1268: 1266: 1264: 1262: 1260: 1258: 1256: 1254: 1250: 1245: 1241: 1237: 1233: 1229: 1225: 1218: 1216: 1214: 1212: 1210: 1208: 1206: 1204: 1202: 1200: 1198: 1196: 1194: 1192: 1190: 1188: 1186: 1184: 1182: 1180: 1178: 1176: 1174: 1170: 1163: 1161: 1159: 1155: 1151: 1150:sympathectomy 1146: 1144: 1140: 1132: 1128: 1124: 1120: 1116: 1113: 1109: 1108:Beck Weathers 1106: 1104:in a blizzard 1103: 1099: 1095: 1092: 1091: 1085: 1084: 1078: 1075: 1072: 1068: 1065: 1064: 1063: 1057: 1053: 1048: 1041: 1039: 1032: 1030: 1027: 1023: 1015: 1013: 1011: 1007: 1002: 999: 996: 993: 987: 985: 982: 973: 966: 964: 962: 958: 954: 950: 946: 942: 934: 932: 928: 926: 922: 921:sympatholytic 918: 913: 911: 907: 903: 899: 891: 889: 887: 884: 883:chlorhexidine 880: 872: 867: 863: 859: 856: 853: 850: 846: 843: 840: 836: 832: 828: 824: 821: 820: 819: 816: 814: 810: 806: 801: 799: 795: 791: 782: 777: 774: 771: 768: 766: 762: 758: 755: 754: 753: 750: 742: 723: 721: 719: 715: 714:Technetium-99 711: 703: 699: 695: 692: 689: 686: 683: 680: 677: 674: 671: 670: 669: 667: 659: 654: 650: 647: 643: 640: 637: 636: 635: 629: 627: 625: 621: 617: 613: 609: 605: 596: 594: 592: 588: 584: 580: 572: 570: 568: 560: 555: 553: 551: 547: 543: 539: 530: 525: 517: 510: 505: 500: 496: 492: 489: 486: 485: 480: 474:Fourth degree 473: 468: 467:growth plates 464: 460: 457: 453: 450: 447: 446: 442: 436: 429: 426: 423: 419: 418: 415:Second degree 414: 408: 401: 398: 395: 394: 390: 388: 380: 373: 371: 369: 365: 361: 357: 351: 349: 348:thrombolytics 345: 341: 337: 334:. The use of 333: 328: 324: 319: 317: 313: 309: 308:blood vessels 305: 301: 297: 293: 289: 284: 282: 278: 274: 270: 266: 262: 258: 254: 250: 246: 242: 238: 234: 231: 227: 218: 214: 211: 210:thrombolytics 207: 203: 199: 196: 194: 190: 186: 182: 178: 174: 171: 167: 163: 161: 157: 153: 151: 147: 143: 139: 136: 134: 130: 126: 122: 118: 114: 111: 107: 104: 102: 101:Complications 98: 94: 92: 88: 85: 81: 77: 74: 72: 68: 63: 59: 54: 50: 46: 41: 33: 19: 3938: 3926: 3914: 3902: 3890: 3845: 3773: 3761: 3601:Sexual abuse 3589:Maltreatment 3516:Pneumothorax 3375:Acrocyanosis 3365:Aerosol burn 3359: 3307:Heat syncope 3302:Hyperthermia 3228:Chest trauma 3191: 3174:Aerosol burn 3156:Blunt trauma 3065:Raccoon eyes 3008:Coma blister 2897: 2877: 2866: 2842: 2831: 2812: 2793: 2745: 2741: 2735: 2721:cite journal 2709:. Retrieved 2688: 2684: 2674: 2660:cite journal 2648:. Retrieved 2643: 2639: 2629: 2604: 2600: 2594: 2570:(5): 560–3. 2567: 2563: 2553: 2539:(4): 392–4. 2536: 2532: 2526: 2515: 2503:. 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Medscape 1164:References 961:fasciotomy 906:Bone scans 886:antiseptic 849:cellulitis 823:wound care 765:emollients 724:Prevention 702:levamisole 698:vasculitis 612:mast cells 463:ulceration 273:blistering 193:Medication 176:Prevention 164:Frostnip, 3861:Slap mark 3829:Coral cut 3393:Radiation 3360:Frostbite 3211:By region 3192:Frostbite 3183:Corrosion 3070:Black eye 2971:Abrasions 2904:Frostbite 2884:emerg/209 2879:eMedicine 2697:1066-2936 2520:Marx 2010 2495:0261-3077 2268:1465-1858 1935:0039-6109 1827:1866-0452 1766:229171926 1560:0271-5333 1503:2046-7648 1310:1545-1534 1154:reserpine 1098:Hugh Herr 1090:Carpathia 1088:RMS  1081:RMS  1071:Antarctic 1026:incidence 1010:arthritis 967:Prognosis 959:develop, 873:Rewarming 839:dressings 835:Aloe vera 794:ibuprofen 783:Treatment 660:Diagnosis 591:vasospasm 573:Rewarming 556:Mechanism 495:mummified 382:Frostbite 336:ibuprofen 332:abrasions 323:hydration 312:bone scan 306:in small 226:Frostbite 216:Frequency 198:Ibuprofen 184:Treatment 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Index

Cold burn
Frostbite (disambiguation)

Specialty
Dermatology
emergency medicine
orthopedics
Symptoms
Complications
Hypothermia
compartment syndrome
Risk factors
Alcohol
mental health problems
Diagnostic method
Differential diagnosis
pernio
trench foot
Medication
Ibuprofen
tetanus vaccine
iloprost
thrombolytics
skin
injury
freezing
fingers
toes
nose
ears

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