Skip to main content

Frostbite

  • Chapter
  • First Online:
Skin Necrosis

Abstract

Frostbite is defined as the injury sustained by tissues subjected to temperatures below their physiological freezing point (−0.55 C). The severity of a frostbite injury is related to the temperature, wind chill and the duration of exposure to that temperature, as well as the volume of tissue subjected to cooling. As a result a description of a frostbite injury is somewhat of an umbrella term used to describe wounds ranging from those with minimal tissue damage over small areas to substantial necrosis of entire limbs, necessitating amputation. Advances in frostbite management have improved the potential outcome in frozen injuries, and thus it is important that front-line medical staff can recognise and treat frostbite effectively [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hallam M-J, Cubison T, Dheansa B, Imray C. Managing frostbite. BMJ [Internet]. 2010 Jan [cited 2012 Sep 27];341:c5864. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21097571

  2. Grieve AW, Davis P, Dhillon S, Richards P, Hillebrandt D, Imray CHE. A clinical review of the management of frostbite. J R Army Med Corps [Internet]. 2011 Mar [cited 2012 Sep 27];157(1):73–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21465915

  3. Cauchy E, Chetaille E, Marchand V, Marsigny B. Retrospective study of 70 cases of severe frostbite lesions: a proposed new classification scheme. Wild Environ Med [Internet]. 2001 Jan [cited 2012 Sep 27];12(4):248–55. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11769921

  4. Cauchy E, Marsigny B, Allamel G, Verhellen R, Chetaille E. The value of technetium 99 scintigraphy in the prognosis of amputation in severe frostbite injuries of the extremities: A retrospective study of 92 severe frostbite injuries. J Hand Surg [Internet]. 2000 Sep [cited 2012 Oct 1];25(5):969–78. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11040315

  5. State of Alaska Cold-Injury Guidelines. [Internet]. 2003:1–60. Available from: www.chems.alaska.gov

  6. Imray C, Grieve A, Dhillon S. Cold damage to the extremities: frostbite and non-freezing cold injuries. Postgrad Med J [Internet]. 2009 Sep [cited 2012 Oct 1];85(1007):481–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19734516

  7. Bruen KJ, Ballard JR, Morris SE, Cochran A, Edelman LS, Saffle JR. Reduction of the incidence of amputation in frostbite injury with thrombolytic therapy. Arch Surg (Chicago, Ill. : 1960) [Internet]. 2007 Jun [cited 2012 Oct 1];142(6):546–51; discussion 551–3. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17576891

  8. Cauchy E, Cheguillaume B, Chetaille E. A controlled trial of a prostacyclin and rt-PA in the treatment of severe frostbite. N Engl J Med [Internet]. 2011 Jan 13 [cited 2012 Oct 1];364(2):189–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21226604

  9. Robson MC, Heggers JP. Evaluation of hand frostbite blister fluid as a clue to pathogenesis. J Hand Surg [Internet]. 1981 Jan [cited 2012 Oct 1];6(1):43–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7204918

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marc-James Hallam MRCS, BM, BSc (hons) .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Wien

About this chapter

Cite this chapter

Hallam, MJ., Lo, S., Imray, C. (2015). Frostbite. In: Téot, L., Meaume, S., Akita, S., Ennis, W.J., del Marmol, V. (eds) Skin Necrosis. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1241-0_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-1241-0_9

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1240-3

  • Online ISBN: 978-3-7091-1241-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics