Emergency Medicine Book

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Frostbite

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  1. Locations
    1. Hands
    2. Feet
    3. Ears
    4. Nose
    5. Penis
  2. Signs
    1. Superficial frostbite
      1. White color
      2. Frozen exterior
      3. Blisters developing into eschar
    2. Deep frostbite
      1. Woody-feel to skin
      2. No Blisters
      3. Mummification or amputation
  3. Management
    1. Rapid rewarming in warm bath
    2. Do not rub skin
    3. Narcotic pain medication
    4. Elevate involved area
    5. Oxygen or hyperbaric oxygen
    6. Tetanus prophylaxis
    7. Penicillin G
    8. Daily Hydrotherapy
    9. Do not rewarm if chance of refreezing
  4. Sequelae
    1. Excessive sweating
    2. Cool extremities
    3. Numbness
    4. Abnormal color
    5. Nail disorder
    6. Skin Pigment Changes
    7. More susceptible to second injury
  5. Prevention
    1. Never ignore numbness in a cold extremity

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