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Frostbite.

Frostbite.
Author Information (click to view)

Handford C, Thomas O, Imray CHE,


Handford C, Thomas O, Imray CHE, (click to view)

Handford C, Thomas O, Imray CHE,

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Emergency medicine clinics of North America 35(2) 281-299 pii S0733-8627(16)30120-1
Abstract

Deep frostbite is a thermal injury associated with significant morbidity. Historically, this has been associated with military personnel; however, increasingly it is becoming an injury that afflicts the civilian population. The use of intravenous iloprost or intra-arterial thrombolytics has led to promising tissue salvage. This article provides an up-to-date understanding of frostbite pathophysiology, classification, prevention, and management. It also highlights the role of telemedicine in optimizing patient outcomes. To further the understanding of optimal frostbite management, larger, likely multicenter, high-quality trials are required. An international frostbite register would facilitate data gathering.

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