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Frostbite : a practical approach to hospital management
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Handford, Charles, Buxton, Pauline, Russell, Katie White, Imray, Caitlin E. A., McIntosh, Scott E., Freer, Luanne, Cochran, Amalia and Imray, C. (Chris) (2014) Frostbite : a practical approach to hospital management. Extreme Physiology & Medicine, Volume 3 (Number 1). Article number 7. doi:10.1186/2046-7648-3-7
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Official URL: http://dx.doi.org/10.1186/2046-7648-3-7
Abstract
Frostbite presentation to hospital is relatively infrequent, and the optimal management of the more severely injured patient requires a multidisciplinary integration of specialist care. Clinicians with an interest in wilderness medicine/freezing cold injury have the awareness of specific potential interventions but may lack the skill or experience to implement the knowledge. The on-call specialist clinician (vascular, general surgery, orthopaedic, plastic surgeon or interventional radiologist), who is likely to receive these patients, may have the skill and knowledge to administer potentially limb-saving intervention but may be unaware of the available treatment options for frostbite. Over the last 10 years, frostbite management has improved with clear guidelines and management protocols available for both the medically trained and winter sports enthusiasts. Many specialist surgeons are unaware that patients with severe frostbite injuries presenting within 24 h of the injury may be good candidates for treatment with either TPA or iloprost. In this review, we aim to give a brief overview of field frostbite care and a practical guide to the hospital management of frostbite with a stepwise approach to thrombolysis and prostacyclin administration for clinicians.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Frostbite -- Treatment | ||||||||
| Journal or Publication Title: | Extreme Physiology & Medicine | ||||||||
| Publisher: | BioMed Central Ltd. | ||||||||
| ISSN: | 2046-7648 | ||||||||
| Official Date: | 22 April 2014 | ||||||||
| Dates: |
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| Volume: | Volume 3 | ||||||||
| Number: | Number 1 | ||||||||
| Article Number: | Article number 7 | ||||||||
| DOI: | 10.1186/2046-7648-3-7 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access |
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