- Thrombolytic Salvage of Threatened Frostbitten Extremities and Digits: A Systematic Review. [Journal Article]
- JBJ Burn Care Res 2019 Jun 11
- CONCLUSIONS: Thrombolytics are a safe and effective treatment of severe frostbite. They represent the first significant advancement in frostbite treatment by preventing otherwise inevitable amputations warranting both greater utilization and further research to clarify the ideal thrombolytic protocol.
- Petrified pinna and pericarditis in autoimmune polyendocrine syndrome. [Journal Article]
- BCBMJ Case Rep 2019 Jun 04; 12(6)
- Petrified pinna refers to the calcification or ossification of the external auricular cartilage. It is an uncommon clinical entity and is most often associated with local trauma, frostbite or inflamm…
Petrified pinna refers to the calcification or ossification of the external auricular cartilage. It is an uncommon clinical entity and is most often associated with local trauma, frostbite or inflammation. Auricular calcification may be the exclusive cutaneous marker of underlying endocrinopathy. It has been most commonly associated with adrenal insufficiency and other endocrine conditions like diabetes mellitus, hypothyroidism and acromegaly. We present a 47-year-old Caucasian manwho presented with acute pericarditis with tamponade physiology, who was found to have petrified pinnae as a telltale sign of the underlying autoimmune polyendocrine syndrome type 2.
- Comments on "The Use of tPA in the Treatment of Frostbite: A Systematic Review". [Journal Article]
- HHand (N Y) 2019 Jun 05; :1558944719850629
- The Use of tPA in the Treatment of Frostbite: A Systematic Review. [Journal Article]
- HHand (N Y) 2019 Jun 05; :1558944719850631
- Protective Effect of Extract of Ginkgo biloba 761 against Frostbite Injury in Rats. [Journal Article]
- PRPlast Reconstr Surg 2019; 143(6):1657-1664
- CONCLUSIONS: Extract of Ginkgo biloba 761 demonstrated a protective effect against frostbite in the present model and probably alleviated reperfusion injury by reducing tissue peroxidation.
- Barriers to frostbite treatment at an academic medical center. [Journal Article]
- AJAm J Emerg Med 2019 May 06
- The treatment of frostbite injuries has undergone a radical change over the past decade with a shift from supportive therapy and observation towards early and aggressive medical intervention with thr…
The treatment of frostbite injuries has undergone a radical change over the past decade with a shift from supportive therapy and observation towards early and aggressive medical intervention with thrombolytics and vasodilators. Institutions that have implemented evidence-based protocols have significantly decreased their amputation rates (Bruen et al., 2007; Lindford et al., 2017a; Twomey et al., 2005). We present the case of a middle-aged male treated for frostbite of multiple fingers on both hands. Because there was no treatment protocol at our institution, there were multiple delays in the patient's care including imaging and initiation of intravenous (IV) prostanoids. This case illustrates the deleterious effects of delays in treatment and strongly suggests that all facilities located in areas of cold exposure should have protocols in place for such an occurrence.
- A novel approach to rapid rewarming of a frostbitten extremity: The sous vide method. [Journal Article]
- AJAm J Emerg Med 2019 May 06
- CONCLUSIONS: Sous vide rewarming is a novel method that easily creates and maintains a warm water bath ideal for rapid rewarming of a frostbitten extremity.
- Causal effects of challenge and threat appraisals on pain self-efficacy, pain coping, and tolerance for laboratory pain: An experimental path analysis study. [Journal Article]
- PlosPLoS One 2019; 14(4):e0215087
- CONCLUSIONS: Initial appraisals about the nature of pain influence, not only pain tolerance and coping, but also perceived coping capacities.Through examining particular theory-based pain appraisal and coping processes, this experiment is the first to identify both perceived coping capacities (pain self-efficacy) and coping responses as factors that explain why appraisals of pain as a challenge or threat have differential effects on pain tolerance.
- Amputation Risk Factors in Severely Frostbitten Patients. [Journal Article]
- IJInt J Environ Res Public Health 2019 Apr 15; 16(8)
- In recent years, the incidence of frostbite has increased among healthy young adults who practice winter sports (skiing, mountaineering, ice climbing and technical climbing/alpinism) at both the prof…
In recent years, the incidence of frostbite has increased among healthy young adults who practice winter sports (skiing, mountaineering, ice climbing and technical climbing/alpinism) at both the professional and amateur levels. Moreover, given that the population most frequently affected is healthy and active, frostbite supposes a substantial interruption of their normal activity and in most cases is associated with long-term sequelae. It particularly has a higher impact when the affected person's daily activities require exposure to cold environments, as either sports practices or work activities in which low temperatures are a constant (ski patrols, mountain guides, avalanche forecasters, workers in the cold chain, etc.). Clinical experience with humans shows a limited reversibility of injuries via potential tissue regeneration, which can be fostered with optimal medical management. Data were collected from 92 frostbitten patients in order to evaluate factors that represent a risk of amputation after severe frostbite. Mountain range, years of expertise in winter mountaineering, time elapsed before rewarming and especially altitude were the most important factors for a poor prognosis.
New Search Next
- Urban Frostbite: Strategies for Limb Salvage. [Journal Article]
- JBJ Burn Care Res 2019 Apr 16
- CONCLUSIONS: While tPA has been successful in reducing the need for digital amputation following frostbite injuries, in our experience, this treatment modality is not applicable to the urban patient population who often present late and after cycles of re-injury. Therefore, our approach focused on salvaging limb length with durable coverage, as the injuries were unable to be reversed.