Background: Frostbite is defined as tissue damage that is sustained as a result of prolonged exposures to less than 0°C resulting in ice crystallisation, microvascular occlusion and subsequently thrombosis.
Case: A 33-year-old mountaineer with cold burn over 20% of the total body surface area with eschar formation, acute renal failure, upper limb venous thrombosis and bilateral pleural effusion. We hereby report a successful anaesthetic management of this patient undergoing debridement and escharotomy for frostbite injuries and review its perioperative concerns.
Conclusion: Frostbite injuries pose a challenge to the anaesthetic team due to the multi-systemic nature of its involvement.
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http://dx.doi.org/10.1177/17504589241268657 | DOI Listing |
Can Vet J
January 2025
Guardian Veterinary Centre, 5620 99th Street NW, Edmonton, Alberta T6E 1V2 (Cormillot); VCA Canada, Guardian Veterinary Centre, 5620 99th Street NW, Edmonton, Alberta T6E 1V2 (Fowler).
This case report describes metacarpophalangeal (MCP)- and metatarsophalangeal (MTP)-level amputation and reconstruction of all 4 paws of a young female domestic shorthair cat. All 4 paws, the ears, and the distal portion of the tail underwent severe frostbite injury resulting in tissue death. Following MCP and MTP amputation, weight-bearing surface reconstruction was achieved using metacarpal and metatarsal paw-pad advancement flaps.
View Article and Find Full Text PDFAcad Emerg Med
December 2024
Department of Emergency Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
J Wound Care
December 2024
MedStar Georgetown University Hospital, Washington, DC, US.
MSMR
November 2024
Disease Epidemiology Program, Defense Centers for Public Health-Aberdeen, Defense Health Agency, U.S. Department of Defense.
Over the 5-year surveillance period, from July 2019 through June 2024, the crude incidence rate of any cold weather injury was 31.1 per 100,000 person-years (p-yrs) for the active component and 6.4 per 100,000 persons for the reserve component of the U.
View Article and Find Full Text PDFCodeveloped by the American Heart Association and the American Red Cross, these guidelines represent the first comprehensive update of first aid treatment recommendations since 2010. Incorporating the results of structured evidence reviews from the International Liaison Committee on Resuscitation, these guidelines cover first aid treatment for critical and common medical, traumatic, environmental, and toxicological conditions. This update emphasizes the continuous evolution of evidence evaluation and the necessity of adapting educational strategies to local needs and diverse community demographics.
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