Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Objective:: Frostbite is a localized cold-thermal injury resulting from prolonged exposure of flesh to freezing and near freezing temperatures. The depth and extent of frostbite injuries are not easily assessed, from a clinical standpoint, at the time of injury making it challenging to plan appropriate management and treatment.
Methods:: A review of the literature of management of cold-related injuries and retrospective case review of the imaging and clinical course of frostbite injury.
Results:: Bone scintigraphy with single photon emission computed tomography (SPECT)/CT was performed in the acute and subacute course of frostbite injuries, subsequently leading to earlier definitive management and shorter hospital stay.
Conclusion:: Multiphase technetium-99m-methylenediphosphonate (mTc-MDP) bone scintigraphy with SPECT/CT can expedite clinical management of frostbite injuries by determining the extent of injury and can accurately predict the level of amputation if needed.
Advances In Knowledge:: SPECT/CT is underutilized at many facilities but can have a profound and immediate impact on clinical management of patients with frostbite when used in combination with physiological bone scan imaging.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404829 | PMC |
| http://dx.doi.org/10.1259/bjr.20180545 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Does Facial Hair Provide Significant Thermoregulatory Advantage and Protection in the Arctic? A Case for Bearded Arctic Warriors.
Mil Med
September 2025
Office of the Senior Scientist, United States Army Research Institute of Environmental Medicine (USARIEM), Natick, MA 01760, United States.
Introduction: Military standards favor clean shaven faces in soldiers to reinforce daily disciplinary habits and uniformity and ensure a proper seal of gas masks. In recent years, military beard policies have provided medical and religious exceptions. It has been anecdotally observed that Arctic warriors grow out their beards for added advantage in the extreme cold, but this has not been previously investigated from a thermoregulatory or frostbite injury protection perspective.
View Article and Find Full Text PDFA Frostbite Treatment Guideline for Pediatric Patients.
J Burn Care Res
August 2025
Medical College of Wisconsin, Department of Surgery, Division of Pediatric Surgery, Milwaukee, WI, United States.
Despite the existence of guidelines for frostbite management in adults, there are no published attempts to standardize the treatment of pediatric frostbite. The purpose of this study is to describe a single institution multidisciplinary consensus guideline for the management of pediatric frostbite patients and review cases treated at our institution. The pediatric intensive care, interventional radiology, general surgery, and emergency medicine departments at a 300 bed tertiary referral children's hospital developed and applied the proposed guideline for frostbite management in 2019.
View Article and Find Full Text PDFThe Role of Hyperbaric Oxygen Therapy for Severe Frostbite Injury: Insights from a Retrospective Cohort at a High Volume Burn Center.
Undersea Hyperb Med
August 2025
Department of Surgery, Hennepin County Medical Center, Hennepin Healthcare, Minneapolis, MN, USA.
This retrospective study examines the effectiveness of Hyperbaric oxygen therapy in treating severe frostbite injuries. From October 2013 to March 2020, the study analyzed 214 patients, including 62 treated with HBO₂ therapy. This study aims to describe the impact of HBO₂ therapy on improving tissue salvage and reducing amputation rates in severe frostbite-injured patients.
View Article and Find Full Text PDFAvoiding harm in pediatric heatstroke: Lessons from a case of ice-related frostbite.
JPRAS Open
September 2025
Section of Pediatric Critical Care, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Background: Heatstroke is a life-threatening medical emergency characterized by a core body temperature exceeding 40 °C (104°F). Prompt and effective cooling is critical to prevent multiorgan failure and death. However, aggressive cooling techniques, if improperly applied, may lead to iatrogenic complications.
View Article and Find Full Text PDFPrehospital Frostbite Management With Iloprost: Case Reports of Two Helicopter Evacuations in Northern Canada.
Wilderness Environ Med
August 2025
Yukon Surgical Clinic, Whitehorse, Yukon, Department of Surgery University of Calgary, Alberta, Calgary, Canada.
This case report describes iloprost infusion initiated in the prehospital setting to treat frostbite. Two cases were managed under a structured helicopter emergency medical services (HEMS) protocol during an extreme cold weather endurance race in the Yukon Territory in northern Canada. These cases demonstrate that intravenous iloprost delivery is operationally feasible in the prehospital setting.
View Article and Find Full Text PDF