Frostbite (original) (raw)

A 4-year-old boy was admitted to the emergency department because of color change and pain on fingers. Anamnesis revealed that on the previous day, he played snowball without using his gloves for approximately 1 hour with his friends. Physical examination showed a well-demarcated color change in both fingers with distal skins having milky brown color and edema (Figure 1 a, b, c). On the left hand, this demarcation was evident on the proximal interphalangeal joint (Figure 1 a, b, c). It was less evident but apparent on the distal interphalangeal joint of the right hand (Figure 1a). Doppler ultrasonography of the distal fingers showed normal arterial flow. Superficial ultrasonography presented subcutaneous edema. Burn dressings with silver sulfadiazine were applied to the fingers, and he was hospitalized in the burn unit for 3 days before discharge without any complications.

Deep Frostbite the Question of Treatment

2019

Within the spectrum of peripheral cold injuries, frostbite is the most serious lesion in many cases leading to the amputation of fingers or a limb. Frostbite is becoming increasingly prevalent due to an increase in outdoor activities such as skiing, hiking, and mountaineering, affecting fit, active individuals who are in the prime of their lives. The pathophysiology of frostbite is well characterized; it involves two main pathways: (a) intracellular changes that lead to cell death, (b) tissue ischemia and thrombus formation. Besides the recommendation of aggressive warming of the affected tissues, other adjuvant treatments administered in the post thawing stage have been suggested. Here we discuss the pathophysiology of frostbite, tools for assessment of injury severity and the current approaches on patient medical management in the field and during hospitalization.

Thermal injury to the hand: review of the literature

Annals of burns and fire disasters, 2011

This paper is a comprehensive review of hand burn injuries. The different classifications of thermal burns, out- and inpatient care, indications for escharotomies as well as surgical management, skin substitutes, and paediatric hand burns are thoroughly reviewed.

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