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Frostbite.
Emerg Med Clin North Am. 2017 May; 35(2):281-299.EM

Abstract

Deep frostbite is a thermal injury associated with significant morbidity. Historically, this has been associated with military personnel; however, increasingly it is becoming an injury that afflicts the civilian population. The use of intravenous iloprost or intra-arterial thrombolytics has led to promising tissue salvage. This article provides an up-to-date understanding of frostbite pathophysiology, classification, prevention, and management. It also highlights the role of telemedicine in optimizing patient outcomes. To further the understanding of optimal frostbite management, larger, likely multicenter, high-quality trials are required. An international frostbite register would facilitate data gathering.

Authors+Show Affiliations

2 Medical Regiment, St George' s Barracks, North Luffenham, Oakham, Rutland, LE15 8RL, UK. Electronic address: charleshandford@hotmail.co.uk.Dept of Anaesthetics, Musgrove Park Hospital, Taunton, Somerset, UK.Department of Vascular Surgery, University Hospital Coventry and Warwickshire NHS Trust, Warwick Medical School and Coventry University, Coventry, UK.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

28411928

Citation

Handford, Charles, et al. "Frostbite." Emergency Medicine Clinics of North America, vol. 35, no. 2, 2017, pp. 281-299.
Handford C, Thomas O, Imray CHE. Frostbite. Emerg Med Clin North Am. 2017;35(2):281-299.
Handford, C., Thomas, O., & Imray, C. H. E. (2017). Frostbite. Emergency Medicine Clinics of North America, 35(2), 281-299. https://doi.org/10.1016/j.emc.2016.12.006
Handford C, Thomas O, Imray CHE. Frostbite. Emerg Med Clin North Am. 2017;35(2):281-299. PubMed PMID: 28411928.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Frostbite. AU - Handford,Charles, AU - Thomas,Owen, AU - Imray,Christopher H E, PY - 2017/4/17/entrez PY - 2017/4/17/pubmed PY - 2017/4/22/medline KW - Amputation KW - Frostbite KW - Gangrene KW - Prostacyclin KW - Rewarming KW - Telemedicine KW - Thrombolysis KW - rTPA SP - 281 EP - 299 JF - Emergency medicine clinics of North America JO - Emerg. Med. Clin. North Am. VL - 35 IS - 2 N2 - Deep frostbite is a thermal injury associated with significant morbidity. Historically, this has been associated with military personnel; however, increasingly it is becoming an injury that afflicts the civilian population. The use of intravenous iloprost or intra-arterial thrombolytics has led to promising tissue salvage. This article provides an up-to-date understanding of frostbite pathophysiology, classification, prevention, and management. It also highlights the role of telemedicine in optimizing patient outcomes. To further the understanding of optimal frostbite management, larger, likely multicenter, high-quality trials are required. An international frostbite register would facilitate data gathering. SN - 1558-0539 UR - https://www.unboundmedicine.com/medline/citation/28411928/Frostbite_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0733-8627(16)30120-1 DB - PRIME DP - Unbound Medicine ER -