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Frostbite on Denali: a case series and review of treatment options.
J Wound Care
December 2024
MedStar Georgetown University Hospital, Washington, DC, US.
Article Synopsis
- Frostbite is a serious risk in mountaineering, especially in cold climates, leading to significant injuries like those seen in three climbers on Denali in 2021.
- All affected climbers, healthy men in their 30s to 60s, suffered frostbite primarily on their fingers, with one requiring medical evacuation due to severity.
- Key prevention strategies and awareness of frostbite risks are crucial for mountaineers, especially considering factors like altitude, cold exposure, and potential psychological effects from the COVID-19 pandemic.
Case report: New perspectives on gait initiation strategies from a case of full toes amputation in a professional mountain climber.
Front Hum Neurosci
September 2024
Human Physiology Section of the Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milano, Italy.
Article Synopsis
- A study on a 52-year-old mountain climber, who had all five toes amputated due to frostbite, investigated how his posture and movement changed under different conditions.
- Researchers performed two tasks: static posturography (measuring body sway and pressure distribution) and gait initiation (observing walking patterns), comparing performance barefoot versus with prosthetic shoes.
- Results showed that barefoot conditions led to a more cautious body position, with specific muscle patterns indicating different strategies for maintaining balance and initiating movement.
A bite of death: Anaesthetic challenges in frostbite.
J Perioper Pract
October 2024
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Article Synopsis
- Frostbite is serious tissue damage caused by prolonged exposure to temperatures below 0°C, leading to ice formation and blood vessel blockages.
- A 33-year-old mountaineer experienced severe frostbite affecting 20% of his body, along with complications like renal failure and blood clots.
- Managing anesthesia for frostbite patients is complex due to the involvement of multiple bodily systems and associated health issues.
Proximal phalanx flexor tendon tenodesis after severe frostbite in a rock climber.
Hand Surg Rehabil
June 2024
Hand Surgery Department, Universitätsklinik Balgrist, Forchstrasse 340, CH-8008 Zürich, Switzerland. Electronic address:
A 32 year-old climber sustained a grade IV frostbite injury to the right hand which required amputation at the neck of the proximal phalanges of all the long fingers. To increase range of motion and strength in the remaining metacarpophalangeal joints, tenodesis of the flexor digitalis superficialis and profundus tendons onto the proximal phalanges was performed. Several revisions for removal of bony spurs, dorsal skin advancement flaps and web space deepening were necessary.
View Article and Find Full Text PDFProlonged critical avalanche burial for nearly 23 h with severe hypothermia and severe frostbite with good recovery: a case report.
Scand J Trauma Resusc Emerg Med
February 2024
Department of Emergency Medicine, Anaesthesia and Intensive Care, Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of Paracelsus Medical University, Via Lorenz Boehler 5, 39100, Bolzano-Bozen, Italy.
Background: Accidental hypothermia with severe frostbite is a rare combination of injuries with a high risk for long-term sequelae. There are widely accepted recommendations for the management of avalanche victims and for frostbite treatment, but no recommendation exists for the treatment of frostbite in severe hypothermic patients, specifically for the management of hypothermic avalanche victims presenting with frostbite.
Case Presentation: We present a case of a previously healthy, 53-year-old male skier who was critically buried by an avalanche at 2300 m of altitude at an ambient temperature of - 8 °C for nearly 23 h.
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