Knowledge (XXG)

Frostbite

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877:. 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. 961: 468: 396: 424: 505: 493: 1036: 3876: 3924: 558:). 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. 3912: 3900: 3888: 47: 368: 776:
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).
347:. 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 1017:
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".
846:: should be administered according to local guidelines. Uncomplicated frostbite wounds are not known to encourage tetanus. 682: 2160: 1948: 3740: 3549: 2669: 2624: 2441: 1410: 1146: 886: 3960: 3388: 1131: 1100: 993:
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).
1035: 3944: 3839: 3494: 3175: 3006: 2991: 2670:"The treatment of deep frostbite of both feet in two patients with hyperbaric oxygen" 2601: 2301: 1754: 1386:
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).
1688: 1107: 1065: 1010: 944:). This has led to the adage "Frozen in January, amputate in July". If symptoms of 749: 709:
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).
1142: 1086: 1059: 998: 823: 782: 600: 579: 324: 300: 186: 2750: 2625:"Controlled Frostbite Injury to Mice: Outcome of Hyperbaric Oxygen Therapy" 2574: 2533: 2309: 2274: 2217: 2084: 2043: 1931: 1884: 1833: 1768: 1746: 1680: 1566: 1509: 1306: 1232: 893:. These medications should be withheld if there are any contraindications. 2892: 2609: 1672: 1540: 1482: 486:. The amount of permanent damage can take one month or more to determine. 440:
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
2010:"Preventing and Managing Hypothermia and Frostbite Injury" 54:
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
2360:"Frostbite: Background, Pathophysiology, Etiology" 1356:Ferri's Clinical Advisor 2018 E-Book: 5 Books in 1 741:Additional measures to prevent frostbite include: 574:, swelling (edema), and poor blood flow (stasis). 2696:. Archived from the original on 15 September 2008 2412:"Hugh Herr's Best Foot Forward | Boston Magazine" 826:gel can be applied before breathable, protective 767:Recognizing early signs of frostnip and frostbite 3956:Skin conditions resulting from physical factors 952:can be done to attempt to preserve blood flow. 307:may help in determining the extent of injury. 84:Numbness, feeling cold, clumsiness, pale color 3248: 2932: 1585:CT.gov - Connecticut's Official State Website 1459: 1457: 1455: 1453: 1451: 8: 1771:. UK National Health Service. 24 August 2021 1449: 1447: 1445: 1443: 1441: 1439: 1437: 1435: 1433: 1431: 1329:. Springer Publishing Company. p. 172. 1051:Several notable cases of frostbite include: 748:Avoiding moisture, including in the form of 732:infographic video about frostbite prevention 2329: 2327: 1213:Emergency Medicine Clinics of North America 800:should be raised above 35 °C. Oral or 637:or the leaking of blood out of the vessels. 599:). If this process continues, inflammatory 3899: 3275: 3255: 3241: 3233: 2939: 2925: 2917: 2766: 1654: 1652: 1650: 1648: 1646: 1644: 1642: 1206: 1204: 1202: 1200: 1198: 1196: 1194: 1192: 1190: 1188: 1186: 1184: 1182: 936:tissue is usually delayed unless there is 904:Blood vessel dilating medications such as 764:Using chemical or electric warming devices 730:Centers for Disease Control and Prevention 45: 28: 2623:Weaver LK, Greenway L, Elliot CG (1988). 2564: 2547:Folio LR, Arkin K, Butler WP (May 2007). 2264: 2207: 2074: 2033: 1874: 1823: 1556: 1499: 1481: 1389:. Elsevier Health Sciences. p. 181. 1359:. Elsevier Health Sciences. p. 502. 1348: 1346: 1318: 1316: 1288: 1266: 1264: 1262: 1180: 1178: 1176: 1174: 1172: 1170: 1168: 1166: 1164: 1162: 413:early on, and the skin's surface hardens. 1378: 1376: 1260: 1258: 1256: 1254: 1252: 1250: 1248: 1246: 1244: 1242: 1103:who lost his nose and hands to frostbite 133:, certain medications, prior cold injury 2237:Cochrane Database of Systematic Reviews 1898:Jurkovich, Gregory J. (February 2007). 1863:Wilderness & Environmental Medicine 1277:Wilderness & Environmental Medicine 1158: 633:Vascular stasis phase: marked by blood 566:Rewarming causes tissue damage through 2707: 2646: 2233:"Interventions for frostbite injuries" 1727:Journal of Special Operations Medicine 836:: if there is trauma, skin infection ( 3414:Radiation-induced erythema multiforme 2473:"I'll get there, even if it kills..." 2392:from the original on 13 February 2017 2147: 2145: 1943: 1941: 1904:The Surgical Clinics of North America 1611: 1609: 1607: 1605: 1603: 1601: 789:that are important in injury repair. 7: 3887: 2508: 1661:High Altitude Medicine & Biology 500:and was unable to properly dry feet. 3731:Pseudoverrucous papules and nodules 3419:Radiation-induced hypertrophic scar 2471:Heawood, Jonathan (27 March 2004). 1900:"Environmental cold-induced injury" 2422:from the original on 30 March 2017 2370:from the original on 2 March 2017. 2366:. Medscape, LLC. 2 February 2017. 2188:Deutsches Ärzteblatt International 1796:Deutsches Ärzteblatt International 1068:, the junior wireless operator of 482:Later, the skin becomes black and 14: 2490:from the original on 4 March 2017 2452:from the original on 4 March 2017 2163:from the original on 4 March 2017 1989:from the original on 4 March 2017 1959:from the original on 3 March 2017 1627:from the original on 2 March 2017 1617:"Frostbite Clinical Presentation" 1470:Extreme Physiology & Medicine 1411:"Frostbite - Symptoms and causes" 3922: 3910: 3898: 3886: 3875: 3874: 3517:Inner ear decompression sickness 2302:10.5435/00124635-200812000-00003 1091:Mount Washington (New Hampshire) 615:to increase localized clotting. 3911: 964:3 weeks after initial frostbite 582:) can develop after rewarming. 3971:Wilderness medical emergencies 2249:10.1002/14651858.cd012980.pub2 1134:has been performed on humans. 1058:, an English army captain and 916:that occurs during frostbite. 901:can be done to assess damage. 176:Rewarming, medication, surgery 1: 3751:environmental skin conditions 3544:High-altitude pulmonary edema 3741:Tropical anhidrotic asthenia 3550:High-altitude cerebral edema 2602:10.1016/0011-2240(70)90038-6 1147:tissue plasminogen activator 1085:Noted American rock climber 1082:after it arrived in New York 3763:frictional/traumatic/sports 3389:Chronic radiation keratosis 1581:"Frostbite and Hypothermia" 1101:1996 Mount Everest disaster 490:can occur after two months. 116:Temperatures below freezing 3987: 3855:Pseudoacanthosis nigricans 3079:Retroperitoneal hemorrhage 2743:10.1001/archsurg.142.6.546 2100:Prehospital Emergency Care 1702:Zonnoor B (29 July 2019). 1383:Auerbach, Paul S. (2011). 738:Wilderness Medical Society 21:Frostbite (disambiguation) 18: 3951:Mountaineering and health 3870: 3626:Space adaptation syndrome 3534:Chronic mountain sickness 3439:Radiation recall reaction 3429:Radiation-induced morphea 3332:Warm water immersion foot 2714:: CS1 maint: unfit URL ( 2653:: CS1 maint: unfit URL ( 2200:10.3238/arztebl.2015.0741 1916:10.1016/j.suc.2006.10.003 1876:10.1016/j.wem.2014.09.001 1808:10.3238/arztebl.2015.0741 1290:10.1016/j.wem.2014.09.001 1225:10.1016/j.emc.2016.12.006 1128:hyperbaric oxygen therapy 53: 44: 3808:Weathering nodule of ear 3424:Radiation-induced keloid 3409:Radiation-induced cancer 3339:Non-freezing cold injury 3317:Immersion foot syndromes 2566:10.7205/milmed.172.5.560 2063:British Medical Bulletin 2026:10.1177/1941738116630542 1132:randomized control trial 804:fluids should be given. 586:Non-freezing cold injury 3736:Sclerosing lymphangitis 3327:Tropical immersion foot 2522:Aviat Space Environ Med 1983:us.bestpractice.bmj.com 1353:Ferri, Fred F. (2017). 940:or systemic infection ( 830:or bandages are put on. 603:act in the area. Small 471:Frostbite 12 days later 3823:Painful fat herniation 3803:Vibration white finger 3512:Decompression sickness 3369:Erythrocyanosis crurum 1949:"VisualDx - Frostbite" 1621:emedicine.medscape.com 1056:Captain Lawrence Oates 1048: 1001:in the area affected. 965: 920:the included studies. 733: 509: 501: 472: 450:There can be longterm 428: 400: 372: 289:mental health problems 149:Differential diagnosis 131:mental health problems 3778:Fissure of the nipple 3746:UV-sensitive syndrome 3671:Adverse drug reaction 3500:Middle ear barotrauma 3490:Arterial gas embolism 3186:Occupational injuries 2448:. 16 September 2015. 2290:J Am Acad Orthop Surg 1673:10.1089/ham.2012.1114 1541:10.1148/rg.2016160045 1483:10.1186/2046-7648-3-7 1106:Scottish mountaineer 1038: 963: 727: 507: 495: 470: 426: 398: 370: 349:Dominique Jean Larrey 3966:Causes of amputation 3773:Equestrian perniosis 3191:Traumatic amputation 2674:Undersea Hyperb. Med 2418:. 18 February 2009. 1910:(1): 247–267, viii. 1099:, a survivor of the 946:compartment syndrome 576:Platelet aggregation 531:Raynaud's phenomenon 355:'s army, during its 270:compartment syndrome 99:compartment syndrome 3860:Narcotic dermopathy 3768:Black heel and palm 3721:Dermatosis neglecta 3595:Psychological abuse 3434:Radiation poisoning 2731:Archives of Surgery 2334:Marx, John (2010). 1869:(4 Suppl): S43-54. 1283:(4 Suppl): S43–54. 1122:Research directions 1031:Society and culture 683:Levamisole toxicity 3961:Weather and health 3830:Uranium dermatosis 3783:Pulling boat hands 3692:Lightning injuries 3154:Penetrating trauma 3074:Grey Turner's sign 3064:Subungual hematoma 2848:External resources 2076:10.1093/bmb/ldw001 1739:10.55460/PDX9-BG8G 1141:using intravenous 1049: 966: 840:) or severe injury 734: 677:Bullous pemphigoid 568:reperfusion injury 510: 502: 473: 429: 401: 373: 363:Signs and symptoms 357:invasion of Russia 69:emergency medicine 3938: 3937: 3687:Electrical injury 3529:Altitude sickness 3377: 3376: 3230: 3229: 2902: 2901: 2629:J. Hyperbaric Med 2345:978-0-323-05472-0 2123:Laderer, Ashley. 1116:Mont Blanc massif 932:or amputation of 761:Layering clothing 725: 644:and tissue death. 570:, which involves 351:, a physician in 212: 211: 143:Based on symptoms 139:Diagnostic method 108:Superficial, deep 26:Medical condition 3978: 3926: 3914: 3913: 3902: 3901: 3890: 3889: 3878: 3877: 3714:physical factors 3710:skin conditions 3642:Hypersensitivity 3359:Cold intolerance 3276: 3263:Consequences of 3257: 3250: 3243: 3234: 3222:Abdominal trauma 3130:Ballistic trauma 3017:Friction blister 3012:Fracture blister 2941: 2934: 2927: 2918: 2767: 2755: 2754: 2726: 2720: 2719: 2713: 2705: 2703: 2701: 2665: 2659: 2658: 2652: 2644: 2642: 2640: 2620: 2614: 2613: 2585: 2579: 2578: 2568: 2544: 2538: 2537: 2517: 2511: 2506: 2500: 2499: 2497: 2495: 2468: 2462: 2461: 2459: 2457: 2438: 2432: 2431: 2429: 2427: 2408: 2402: 2401: 2399: 2397: 2378: 2372: 2371: 2356: 2350: 2349: 2331: 2322: 2321: 2285: 2279: 2278: 2268: 2243:(12): CD012980. 2228: 2222: 2221: 2211: 2179: 2173: 2172: 2170: 2168: 2157:www.uptodate.com 2149: 2140: 2139: 2137: 2135: 2120: 2114: 2113: 2095: 2089: 2088: 2078: 2054: 2048: 2047: 2037: 2008:Fudge J (2016). 2005: 1999: 1998: 1996: 1994: 1975: 1969: 1968: 1966: 1964: 1945: 1936: 1935: 1895: 1889: 1888: 1878: 1853: 1838: 1837: 1827: 1787: 1781: 1780: 1778: 1776: 1765: 1759: 1758: 1722: 1716: 1715: 1713: 1711: 1699: 1693: 1692: 1656: 1637: 1636: 1634: 1632: 1613: 1596: 1595: 1593: 1591: 1577: 1571: 1570: 1560: 1535:(7): 2154–2169. 1520: 1514: 1513: 1503: 1485: 1461: 1426: 1425: 1423: 1421: 1407: 1401: 1400: 1380: 1371: 1370: 1350: 1341: 1340: 1320: 1311: 1310: 1292: 1268: 1237: 1236: 1208: 968:Tissue loss and 914:vasoconstriction 802:intravenous (IV) 798:core temperature 726: 697:People who have 593:vasoconstriction 556:vasoconstriction 316:core temperature 49: 29: 3986: 3985: 3981: 3980: 3979: 3977: 3976: 3975: 3941: 3940: 3939: 3934: 3866: 3756:Electrical burn 3713: 3712:resulting from 3711: 3709: 3703: 3675: 3662:Arthus reaction 3630: 3611:Motion sickness 3599: 3573: 3557: 3473: 3469:Oxygen toxicity 3448: 3373: 3300: 3267: 3265:external causes 3261: 3231: 3226: 3195: 3118: 3085: 3026: 3022:Sucking blister 3002:Delayed blister 2978: 2955: 2945: 2903: 2898: 2897: 2843: 2842: 2778: 2764: 2759: 2758: 2728: 2727: 2723: 2706: 2699: 2697: 2667: 2666: 2662: 2645: 2638: 2636: 2622: 2621: 2617: 2587: 2586: 2582: 2546: 2545: 2541: 2519: 2518: 2514: 2507: 2503: 2493: 2491: 2470: 2469: 2465: 2455: 2453: 2440: 2439: 2435: 2425: 2423: 2416:Boston Magazine 2410: 2409: 2405: 2395: 2393: 2380: 2379: 2375: 2358: 2357: 2353: 2346: 2333: 2332: 2325: 2287: 2286: 2282: 2230: 2229: 2225: 2181: 2180: 2176: 2166: 2164: 2151: 2150: 2143: 2133: 2131: 2122: 2121: 2117: 2110: 2097: 2096: 2092: 2056: 2055: 2051: 2007: 2006: 2002: 1992: 1990: 1977: 1976: 1972: 1962: 1960: 1947: 1946: 1939: 1897: 1896: 1892: 1855: 1854: 1841: 1802:(44): 741–747. 1789: 1788: 1784: 1774: 1772: 1767: 1766: 1762: 1724: 1723: 1719: 1709: 1707: 1701: 1700: 1696: 1658: 1657: 1640: 1630: 1628: 1615: 1614: 1599: 1589: 1587: 1579: 1578: 1574: 1522: 1521: 1517: 1463: 1462: 1429: 1419: 1417: 1409: 1408: 1404: 1397: 1382: 1381: 1374: 1367: 1352: 1351: 1344: 1337: 1322: 1321: 1314: 1270: 1269: 1240: 1210: 1209: 1160: 1155: 1124: 1033: 1024: 1007: 979: 958: 926: 883: 868:povidone iodine 864: 774: 717: 715: 655:patient history 651: 621: 619:Pathophysiology 588: 564: 552: 547: 522: 517: 465: 434: 406: 382: 365: 191:tetanus vaccine 27: 24: 17: 12: 11: 5: 3984: 3982: 3974: 3973: 3968: 3963: 3958: 3953: 3943: 3942: 3936: 3935: 3933: 3932: 3920: 3908: 3896: 3884: 3871: 3868: 3867: 3865: 3864: 3863: 3862: 3857: 3852: 3847: 3842: 3832: 3827: 3826: 3825: 3820: 3815: 3813:Wrestler's ear 3810: 3805: 3800: 3795: 3793:Surfer's knots 3790: 3785: 3780: 3775: 3770: 3760: 3759: 3758: 3748: 3743: 3738: 3733: 3728: 3723: 3717: 3715: 3705: 3704: 3702: 3701: 3696: 3695: 3694: 3683: 3681: 3677: 3676: 3674: 3673: 3667: 3666: 3665: 3664: 3659: 3654: 3649: 3638: 3636: 3635:Adverse effect 3632: 3631: 3629: 3628: 3623: 3618: 3613: 3607: 3605: 3601: 3600: 3598: 3597: 3592: 3587: 3585:Physical abuse 3581: 3579: 3575: 3574: 3572: 3571: 3565: 3563: 3559: 3558: 3556: 3555: 3554: 3553: 3547: 3541: 3536: 3531: 3521: 3520: 3519: 3509: 3508: 3507: 3502: 3497: 3492: 3481: 3479: 3475: 3474: 3472: 3471: 3466: 3456: 3454: 3450: 3449: 3447: 3446: 3441: 3436: 3431: 3426: 3421: 3416: 3411: 3406: 3404:Radiation burn 3401: 3399:Radiation acne 3396: 3391: 3385: 3383: 3379: 3378: 3375: 3374: 3372: 3371: 3366: 3361: 3356: 3351: 3346: 3341: 3336: 3335: 3334: 3329: 3324: 3314: 3308: 3306: 3302: 3301: 3299: 3298: 3293: 3288: 3282: 3280: 3273: 3269: 3268: 3262: 3260: 3259: 3252: 3245: 3237: 3228: 3227: 3225: 3224: 3219: 3214: 3209: 3203: 3201: 3197: 3196: 3194: 3193: 3188: 3183: 3178: 3165: 3160: 3151: 3142: 3137: 3132: 3126: 3124: 3120: 3119: 3117: 3116: 3111: 3106: 3101: 3095: 3093: 3087: 3086: 3084: 3083: 3082: 3081: 3076: 3071: 3066: 3061: 3056: 3051: 3036: 3034: 3028: 3027: 3025: 3024: 3019: 3014: 3009: 3004: 2999: 2994: 2988: 2986: 2980: 2979: 2977: 2976: 2975: 2974: 2963: 2961: 2957: 2956: 2946: 2944: 2943: 2936: 2929: 2921: 2915: 2914: 2909: 2900: 2899: 2896: 2895: 2884: 2864: 2852: 2851: 2849: 2845: 2844: 2841: 2840: 2829: 2818: 2799: 2779: 2774: 2773: 2771: 2770:Classification 2763: 2762:External links 2760: 2757: 2756: 2721: 2660: 2615: 2580: 2539: 2512: 2501: 2463: 2433: 2403: 2373: 2351: 2344: 2323: 2296:(12): 704–15. 2280: 2223: 2174: 2141: 2115: 2108: 2090: 2049: 2000: 1970: 1937: 1890: 1839: 1782: 1760: 1733:(4): 123–135. 1717: 1694: 1638: 1597: 1572: 1515: 1427: 1402: 1396:978-1455733569 1395: 1372: 1365: 1342: 1335: 1312: 1238: 1219:(2): 281–299. 1157: 1156: 1154: 1151: 1123: 1120: 1119: 1118: 1104: 1094: 1083: 1063: 1032: 1029: 1023: 1020: 1006: 1003: 978: 975: 970:autoamputation 957: 954: 925: 922: 899:CT angiography 882: 879: 863: 860: 859: 858: 849:pain control: 847: 844:tetanus toxoid 841: 831: 787:prostaglandins 773: 770: 769: 768: 765: 762: 759: 756: 746: 714: 711: 695: 694: 680: 674: 668: 662: 650: 647: 646: 645: 638: 631: 628: 620: 617: 613:prostaglandins 587: 584: 563: 560: 551: 548: 546: 543: 521: 518: 516: 513: 512: 511: 488:Autoamputation 480: 477: 464: 461: 460: 459: 454:and damage to 448: 441: 438: 433: 430: 421: 420: 417: 414: 405: 402: 393: 392: 389: 386: 381: 378: 364: 361: 329:tetanus toxoid 210: 209: 206: 202: 201: 184: 178: 177: 174: 170: 169: 166: 162: 161: 151: 145: 144: 141: 135: 134: 124: 118: 117: 114: 110: 109: 106: 102: 101: 92: 86: 85: 82: 76: 75: 62: 56: 55: 51: 50: 42: 41: 38: 34: 33: 25: 15: 13: 10: 9: 6: 4: 3: 2: 3983: 3972: 3969: 3967: 3964: 3962: 3959: 3957: 3954: 3952: 3949: 3948: 3946: 3931: 3930: 3925: 3921: 3919: 3918: 3909: 3907: 3906: 3897: 3895: 3894: 3885: 3883: 3882: 3873: 3872: 3869: 3861: 3858: 3856: 3853: 3851: 3848: 3846: 3843: 3841: 3840:Skin pop scar 3838: 3837: 3836: 3833: 3831: 3828: 3824: 3821: 3819: 3816: 3814: 3811: 3809: 3806: 3804: 3801: 3799: 3796: 3794: 3791: 3789: 3788:Runner's rump 3786: 3784: 3781: 3779: 3776: 3774: 3771: 3769: 3766: 3765: 3764: 3761: 3757: 3754: 3753: 3752: 3749: 3747: 3744: 3742: 3739: 3737: 3734: 3732: 3729: 3727: 3724: 3722: 3719: 3718: 3716: 3706: 3700: 3697: 3693: 3690: 3689: 3688: 3685: 3684: 3682: 3678: 3672: 3669: 3668: 3663: 3660: 3658: 3655: 3653: 3650: 3648: 3645: 3644: 3643: 3640: 3639: 3637: 3633: 3627: 3624: 3622: 3619: 3617: 3614: 3612: 3609: 3608: 3606: 3602: 3596: 3593: 3591: 3588: 3586: 3583: 3582: 3580: 3576: 3570: 3567: 3566: 3564: 3560: 3551: 3548: 3545: 3542: 3540: 3537: 3535: 3532: 3530: 3527: 3526: 3525: 3524:High altitude 3522: 3518: 3515: 3514: 3513: 3510: 3506: 3503: 3501: 3498: 3496: 3495:Aerosinusitis 3493: 3491: 3488: 3487: 3486: 3483: 3482: 3480: 3476: 3470: 3467: 3465: 3461: 3458: 3457: 3455: 3451: 3445: 3442: 3440: 3437: 3435: 3432: 3430: 3427: 3425: 3422: 3420: 3417: 3415: 3412: 3410: 3407: 3405: 3402: 3400: 3397: 3395: 3392: 3390: 3387: 3386: 3384: 3380: 3370: 3367: 3365: 3362: 3360: 3357: 3355: 3352: 3350: 3347: 3345: 3342: 3340: 3337: 3333: 3330: 3328: 3325: 3323: 3320: 3319: 3318: 3315: 3313: 3310: 3309: 3307: 3303: 3297: 3294: 3292: 3289: 3287: 3284: 3283: 3281: 3277: 3274: 3270: 3266: 3258: 3253: 3251: 3246: 3244: 3239: 3238: 3235: 3223: 3220: 3218: 3215: 3213: 3210: 3208: 3205: 3204: 3202: 3198: 3192: 3189: 3187: 3184: 3182: 3179: 3177: 3176:Chemical burn 3173: 3169: 3166: 3164: 3161: 3159: 3155: 3152: 3150: 3147:/superficial/ 3146: 3143: 3141: 3138: 3136: 3133: 3131: 3128: 3127: 3125: 3121: 3115: 3112: 3110: 3107: 3105: 3102: 3100: 3097: 3096: 3094: 3092: 3088: 3080: 3077: 3075: 3072: 3070: 3069:Cullen's sign 3067: 3065: 3062: 3060: 3057: 3055: 3052: 3050: 3049:Battle's sign 3047: 3046: 3045: 3041: 3038: 3037: 3035: 3033: 3029: 3023: 3020: 3018: 3015: 3013: 3010: 3008: 3007:Edema blister 3005: 3003: 3000: 2998: 2995: 2993: 2992:Blood blister 2990: 2989: 2987: 2985: 2981: 2973: 2970: 2969: 2968: 2965: 2964: 2962: 2958: 2954: 2950: 2942: 2937: 2935: 2930: 2928: 2923: 2922: 2919: 2913: 2910: 2908: 2905: 2904: 2894: 2890: 2889: 2885: 2883: 2880: 2877: 2874: 2870: 2869: 2865: 2863: 2859: 2858: 2854: 2853: 2850: 2846: 2839: 2835: 2834: 2830: 2828: 2824: 2823: 2819: 2817: 2813: 2809: 2808: 2804: 2800: 2798: 2794: 2790: 2789: 2785: 2781: 2780: 2777: 2772: 2768: 2761: 2752: 2748: 2744: 2740: 2737:(6): 546–51. 2736: 2732: 2725: 2722: 2717: 2711: 2695: 2691: 2687: 2683: 2679: 2675: 2671: 2664: 2661: 2656: 2650: 2634: 2630: 2626: 2619: 2616: 2611: 2607: 2603: 2599: 2595: 2591: 2584: 2581: 2576: 2572: 2567: 2562: 2558: 2554: 2550: 2543: 2540: 2535: 2531: 2527: 2523: 2516: 2513: 2510: 2505: 2502: 2489: 2485: 2481: 2477: 2474: 2467: 2464: 2451: 2447: 2443: 2437: 2434: 2421: 2417: 2413: 2407: 2404: 2391: 2387: 2386:BBC - History 2383: 2377: 2374: 2369: 2365: 2361: 2355: 2352: 2347: 2341: 2337: 2330: 2328: 2324: 2319: 2315: 2311: 2307: 2303: 2299: 2295: 2291: 2284: 2281: 2276: 2272: 2267: 2262: 2258: 2254: 2250: 2246: 2242: 2238: 2234: 2227: 2224: 2219: 2215: 2210: 2205: 2201: 2197: 2194:(44): 741–7. 2193: 2189: 2185: 2178: 2175: 2162: 2158: 2154: 2148: 2146: 2142: 2130: 2126: 2119: 2116: 2111: 2109:0-13-049288-4 2105: 2101: 2094: 2091: 2086: 2082: 2077: 2072: 2068: 2064: 2060: 2053: 2050: 2045: 2041: 2036: 2031: 2027: 2023: 2019: 2015: 2014:Sports Health 2011: 2004: 2001: 1988: 1984: 1980: 1974: 1971: 1958: 1954: 1950: 1944: 1942: 1938: 1933: 1929: 1925: 1921: 1917: 1913: 1909: 1905: 1901: 1894: 1891: 1886: 1882: 1877: 1872: 1868: 1864: 1860: 1852: 1850: 1848: 1846: 1844: 1840: 1835: 1831: 1826: 1821: 1817: 1813: 1809: 1805: 1801: 1797: 1793: 1786: 1783: 1770: 1764: 1761: 1756: 1752: 1748: 1744: 1740: 1736: 1732: 1728: 1721: 1718: 1705: 1698: 1695: 1690: 1686: 1682: 1678: 1674: 1670: 1666: 1662: 1655: 1653: 1651: 1649: 1647: 1645: 1643: 1639: 1626: 1622: 1618: 1612: 1610: 1608: 1606: 1604: 1602: 1598: 1586: 1582: 1576: 1573: 1568: 1564: 1559: 1554: 1550: 1546: 1542: 1538: 1534: 1530: 1529:Radiographics 1526: 1519: 1516: 1511: 1507: 1502: 1497: 1493: 1489: 1484: 1479: 1475: 1471: 1467: 1460: 1458: 1456: 1454: 1452: 1450: 1448: 1446: 1444: 1442: 1440: 1438: 1436: 1434: 1432: 1428: 1416: 1412: 1406: 1403: 1398: 1392: 1388: 1387: 1379: 1377: 1373: 1368: 1366:9780323529570 1362: 1358: 1357: 1349: 1347: 1343: 1338: 1336:9780826171474 1332: 1328: 1327: 1319: 1317: 1313: 1308: 1304: 1300: 1296: 1291: 1286: 1282: 1278: 1274: 1267: 1265: 1263: 1261: 1259: 1257: 1255: 1253: 1251: 1249: 1247: 1245: 1243: 1239: 1234: 1230: 1226: 1222: 1218: 1214: 1207: 1205: 1203: 1201: 1199: 1197: 1195: 1193: 1191: 1189: 1187: 1185: 1183: 1181: 1179: 1177: 1175: 1173: 1171: 1169: 1167: 1165: 1163: 1159: 1152: 1150: 1148: 1144: 1140: 1139:sympathectomy 1135: 1133: 1129: 1121: 1117: 1113: 1109: 1105: 1102: 1098: 1097:Beck Weathers 1095: 1093:in a blizzard 1092: 1088: 1084: 1081: 1080: 1074: 1073: 1067: 1064: 1061: 1057: 1054: 1053: 1052: 1046: 1042: 1037: 1030: 1028: 1021: 1019: 1016: 1012: 1004: 1002: 1000: 996: 991: 988: 985: 982: 976: 974: 971: 962: 955: 953: 951: 947: 943: 939: 935: 931: 923: 921: 917: 915: 911: 910:sympatholytic 907: 902: 900: 896: 892: 888: 880: 878: 876: 873: 872:chlorhexidine 869: 861: 856: 852: 848: 845: 842: 839: 835: 832: 829: 825: 821: 817: 813: 810: 809: 808: 805: 803: 799: 795: 790: 788: 784: 780: 771: 766: 763: 760: 757: 755: 751: 747: 744: 743: 742: 739: 731: 712: 710: 708: 704: 703:Technetium-99 700: 692: 688: 684: 681: 678: 675: 672: 669: 666: 663: 660: 659: 658: 656: 648: 643: 639: 636: 632: 629: 626: 625: 624: 618: 616: 614: 610: 606: 602: 598: 594: 585: 583: 581: 577: 573: 569: 561: 559: 557: 549: 544: 542: 540: 536: 532: 528: 519: 514: 506: 499: 494: 489: 485: 481: 478: 475: 474: 469: 463:Fourth degree 462: 457: 456:growth plates 453: 449: 446: 442: 439: 436: 435: 431: 425: 418: 415: 412: 408: 407: 404:Second degree 403: 397: 390: 387: 384: 383: 379: 377: 369: 362: 360: 358: 354: 350: 346: 340: 338: 337:thrombolytics 334: 330: 326: 323:. The use of 322: 317: 313: 308: 306: 302: 298: 297:blood vessels 294: 290: 286: 282: 278: 273: 271: 267: 263: 259: 255: 251: 247: 243: 239: 235: 231: 227: 223: 220: 216: 207: 203: 200: 199:thrombolytics 196: 192: 188: 185: 183: 179: 175: 171: 167: 163: 160: 156: 152: 150: 146: 142: 140: 136: 132: 128: 125: 123: 119: 115: 111: 107: 103: 100: 96: 93: 91: 90:Complications 87: 83: 81: 77: 74: 70: 66: 63: 61: 57: 52: 48: 43: 39: 35: 30: 22: 3927: 3915: 3903: 3891: 3879: 3834: 3762: 3750: 3590:Sexual abuse 3578:Maltreatment 3505:Pneumothorax 3364:Acrocyanosis 3354:Aerosol burn 3348: 3296:Heat syncope 3291:Hyperthermia 3217:Chest trauma 3180: 3163:Aerosol burn 3145:Blunt trauma 3054:Raccoon eyes 2997:Coma blister 2886: 2866: 2855: 2831: 2820: 2801: 2782: 2734: 2730: 2724: 2710:cite journal 2698:. Retrieved 2677: 2673: 2663: 2649:cite journal 2637:. Retrieved 2632: 2628: 2618: 2593: 2589: 2583: 2559:(5): 560–3. 2556: 2552: 2542: 2528:(4): 392–4. 2525: 2521: 2515: 2504: 2492:. 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Medscape 1153:References 950:fasciotomy 895:Bone scans 875:antiseptic 838:cellulitis 812:wound care 754:emollients 713:Prevention 691:levamisole 687:vasculitis 601:mast cells 452:ulceration 262:blistering 182:Medication 165:Prevention 153:Frostnip, 3850:Slap mark 3818:Coral cut 3382:Radiation 3349:Frostbite 3200:By region 3181:Frostbite 3172:Corrosion 3059:Black eye 2960:Abrasions 2893:Frostbite 2873:emerg/209 2868:eMedicine 2686:1066-2936 2509:Marx 2010 2484:0261-3077 2257:1465-1858 1924:0039-6109 1816:1866-0452 1755:229171926 1549:0271-5333 1492:2046-7648 1299:1545-1534 1143:reserpine 1087:Hugh Herr 1079:Carpathia 1077:RMS  1070:RMS  1060:Antarctic 1015:incidence 999:arthritis 956:Prognosis 948:develop, 862:Rewarming 828:dressings 824:Aloe vera 783:ibuprofen 772:Treatment 649:Diagnosis 580:vasospasm 562:Rewarming 545:Mechanism 484:mummified 371:Frostbite 325:ibuprofen 321:abrasions 312:hydration 301:bone scan 295:in small 215:Frostbite 205:Frequency 187:Ibuprofen 173:Treatment 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Index

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
cheeks

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