Frostbite

This article is about a medical condition. For other uses, see Frostbite (disambiguation).

Frostbite (congelatio in medical terminology) is the medical condition whereby damage is caused to skin and other tissues due to extreme cold. At or below 0° C (32° F), blood vessels close to the skin start to narrow (constrict). This helps to preserve core body temperature. In extreme cold or when the body is exposed to cold for long periods, this protective strategy can reduce blood flow in some areas of the body to dangerously low levels. The combination of cold temperature and poor blood flow can cause severe tissue injury by freezing the tissue. Frostbite is most likely to happen in body parts farthest from the heart, and those with a lot of surface area exposed to cold. The initial stages of frostbite are sometimes called "frostnip". Mountains or high altitudes with snow are most dangerous to cause frostbite.

Risk factors

Risk factors for frostbite include using beta-blockers and having conditions such as diabetes and peripheral neuropathy.

Frostbitten hands

Symptoms

Generally, frostbite is accompanied by discoloration of the skin, along with burning and/or tingling sensations, partial or complete numbness, and possibly intense pain. If the affected areas and blood vessels have been severely damaged, gangrene may follow, and amputation may eventually be required. If left untreated, frostbitten skin gradually darkens after a few hours. Skin destroyed by frostbite is completely black, and looks loose, flayed and "flexible. The black skin looks burnt.

Treatment

To treat frostbite, move the victim to a warm location and seek medical help. Soak frostbitten areas in warm (not hot) water, or, if in wilderness, warm by contact with the skin of a non-frostbitten person. Continue until the victim has regained sensation and movement in the afflicted region; this often follows great pain as the nerves thaw. Never rub, slap or shake the stricken region as ice crystals in the frostbitten skin will damage surrounding tissue. Follow the treatment with a period of constant warmth: refreezing following thawing exacerbates the damage.

Prevention

Factors that contribute to frostbite include extreme cold, wet clothes, wind chill, and poor circulation. This can be caused by tight clothing or boots, cramped positions, fatigue, certain medications, smoking, alcohol use, or diseases that affect the blood vessels, such as diabetes.

Moreover employees working in chemical laboratories should take precautions to wear gloves and other safety equipment as liquid Nitrogen and other crysogenic liquids can cause frostbite even with brief exposure.

If caught in a severe snowstorm, one should find shelter early or increase physical activity to maintain body warmth.

"Prevention is better than cure"...people susceptible to frostbites should wear woolen socks/gloves/caps in extreme cold. For frostbites in the feet, keeping feet in warm saline water will provide relief. Diabetes can also sometimes lead to frostbite, so diabetics should take precautions as to avoid trips to ice cold places (consult your physician).

Eric Perez, MD. National Institute of Health. Retrieved May 18, 2006.

References

See Also

• Hypothermia
• Epidermis
• Wilderness first aid

External links

• NIH
• eMedicine
• Mayo Clinic
• DDB 31167
• CRISP Thesaurus 00001790

This article is licensed under the GNU Free Documentation License. It uses material from Wikipedia