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Pernille Linde Jellestad1, Morten Olskjær Holm2

  • 1Forsvarets Sanitetskommando, Brabrand.

Ugeskrift for Laeger
|April 28, 2023
PubMed
Summary

A skier experienced severe frostbite in Alaska. Early hyperbaric oxygen therapy (HBOT) may have reduced the need for amputation, showing promising results for frostbite treatment.

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Area of Science:

  • Frostbite injury management
  • Hyperbaric oxygen therapy applications
  • Extreme environment medicine

Background:

  • Case report detailing a frostbite injury sustained during an Alaskan cross-country ski race.
  • Delayed medical intervention and initial treatment with enoxaparin.
  • Subsequent experimental treatment with hyperbaric oxygen therapy (HBOT) initiated internationally.

Observation:

  • A 39-year-old male developed frostbite on a glove-free hand during a ski race.
  • Medical aid was received 24 hours post-injury, followed by enoxaparin administration.
  • Hyperbaric oxygen therapy (HBOT) commenced seven days after the initial injury.

Findings:

  • The distal portion of the second finger required amputation after 90 days due to mummification.
  • The final amputated segment was notably smaller than the initial injury extent.
  • Hyperbaric oxygen therapy (HBOT) demonstrated a potential positive effect in limiting tissue loss.

Implications:

  • This case highlights the potential benefit of HBOT in managing severe frostbite injuries.
  • HBOT is an experimental treatment for frostbite, with limited documented use globally.
  • Further research is warranted to establish the efficacy and protocols for HBOT in frostbite treatment, particularly in regions like Denmark where it is not standard practice.

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