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Frostbite: a practical approach to hospital management
Charles Handford1, Pauline Buxton2, Katie Russell3
1Queen Elizabeth Hospital, Birmingham B15 2TH, UK.
Extreme Physiology & Medicine
|April 26, 2014
Summary
Optimal frostbite management requires multidisciplinary care. Severe injuries may benefit from timely thrombolysis (tissue plasminogen activator) or iloprost, though awareness among specialists is limited.
Area of Science:
- Emergency Medicine
- Wilderness Medicine
- Trauma Surgery
Background:
- Frostbite management is infrequent but requires specialized care.
- Clinicians may lack experience in implementing frostbite interventions.
- On-call specialists might be unaware of advanced frostbite treatment options.
Purpose of the Study:
- To provide an overview of field frostbite care.
- To offer a practical guide for hospital frostbite management.
- To detail a stepwise approach for thrombolysis and prostacyclin administration.
Main Methods:
- Review of current frostbite management guidelines and protocols.
- Stepwise approach to hospital management of severe frostbite.
- Focus on timely administration of thrombolysis and prostacyclin.
Main Results:
- Frostbite management has improved over the last decade.
- Severe frostbite patients presenting within 24 hours may be candidates for TPA or iloprost.
- Many specialist surgeons are unaware of these advanced treatment options.
Conclusions:
- Multidisciplinary care is crucial for severe frostbite.
- Timely thrombolysis (TPA) and iloprost can be limb-saving interventions.
- Increased awareness and education on advanced treatments are needed for clinicians.
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