{"id":5058,"date":"2011-07-14T20:23:02","date_gmt":"2011-07-14T20:23:02","guid":{"rendered":"http:\/\/crashtext.org\/misc\/5058.htm\/"},"modified":"2011-10-02T20:21:48","modified_gmt":"2011-10-02T20:21:48","slug":"frostbite-cold-injuries","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/environmental\/frostbite-cold-injuries.htm\/","title":{"rendered":"Frostbite and Cold Injuries"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Caused by vasoconstriction (blood is heat), Hunting response, impaired vasodilation secondary to hypoxia at altitude.\u00a0 Cover all exposed skin.\u00a0 Must stay hydrated or the body will constrict blood vessels.\u00a0 Trauma blocks distal blood flow.<\/p>\n<p>&nbsp;<\/p>\n<p>Frozen tissue is white, waxy and hard and becomes cyanotic and ecchymotic when thawing.\u00a0 Formation of blebs indicates living tissue underneath.<\/p>\n<p>&nbsp;<\/p>\n<p>Rapid rewarming with water 37-41\u00b0 C.\u00a0 Soak in hot water with small amount of betadine.\u00a0 Most important is to make sure part is not refrozen.<\/p>\n<p>&nbsp;<\/p>\n<p>ASA\/Topical Aloe Vera=excellent results.<\/p>\n<p>&nbsp;<\/p>\n<p>Parenteral Toradol if not thawed, Ibuprofen if thawed.\u00a0 NSAIDs work much better before thawing.<\/p>\n<p>&nbsp;<\/p>\n<p>MRI is good test to predict eventual tissue damage.<\/p>\n<p>(Audiodigest)<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"\/wp-content\/pdf\/emp-hypothermia%20and%20frostbite.pdf\">MY ARTICLE<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"\/wp-content\/pdf\/cold%20damage%20tot%20he%20extremities.pdf\"> Review on extremity frostbite<\/a><\/p>\n<h2>TPA and Heparin<\/h2>\n<p>Intravenous tPA and heparin after rapid rewarming is safe and reduced predicted digit amputations considerably. Patients with no response to thrombolytic therapy were those with more than 24 hours of cold exposure, warm ischemia times greater than 6 hours, or evidence of multiple freeze\u0096thaw cycles. Our algorithm for treatment of severe frostbite now includes use of i.v. tPA for patients without contraindications. (J Trauma 2005;59(6):1350)<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>|\u00a0\u00a0 \u00a0\u00a0 |\u00a0\u00a0 \u00a0\u00a0 |<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Array<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[9],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Frostbite and Cold Injuries - Crashing Patient<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/crashingpatient.com\/environmental\/frostbite-cold-injuries.htm\/\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"CrashMaster\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/crashingpatient.com\/environmental\/frostbite-cold-injuries.htm\/\",\"url\":\"https:\/\/crashingpatient.com\/environmental\/frostbite-cold-injuries.htm\/\",\"name\":\"Frostbite and Cold Injuries - 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