Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26575137
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Dtsch+Arztebl+Int
2015 ; 112
(44
): 741-7
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The Triaging and Treatment of Cold-Induced Injuries
#MMPMID26575137
Sachs C
; Lehnhardt M
; Daigeler A
; Goertz O
Dtsch Arztebl Int
2015[Oct]; 112
(44
): 741-7
PMID26575137
show ga
BACKGROUND: In Central Europe, cold-induced injuries are much less common than
burns. In a burn center in western Germany, the mean ratio of these two types of
injury over the past 10 years was 1 to 35. Because cold-induced injuries are so
rare, physicians often do not know how to deal with them. METHODS: This article
is based on a review of publications (up to December 2014) retrieved by a
selective search in PubMed using the terms "freezing," "frostbite injury,"
"non-freezing cold injury," and "frostbite review," as well as on the authors'
clinical experience. RESULTS: Freezing and cold-induced trauma are part of the
treatment spectrum in burn centers. The treatment of cold-induced injuries is not
standardized and is based largely on case reports and observations of use.
distinction is drawn between non-freezing injuries, in which there is a slow
temperature drop in tissue without freezing, and freezing injuries in which ice
crystals form in tissue. In all cases of cold-induced injury, the patient should
be slowly warmed to 22°-27°C to prevent reperfusion injury. Freezing injuries are
treated with warming of the body's core temperature and with the bathing of the
affected body parts in warm water with added antiseptic agents. Any large or open
vesicles that are already apparent should be debrided. To inhibit
prostaglandin-mediated thrombosis, ibuprofen is given (12 mg/kg body weight
b.i.d.). CONCLUSION: The treatment of cold-induced injuries is based on their
type, severity, and timing. The recommendations above are grade C
recommendations. The current approach to reperfusion has yielded promising
initial results and should be further investigated in prospective studies.
free
free
free
