[Treating frostbite injuries]. / Behandeling van bevriezingsletsels.
Ned Tijdschr Geneeskd
; 156(25): A4702, 2012.
Article
em Nl
| MEDLINE
| ID: mdl-22748369
ABSTRACT
Frostbite injuries rarely occur in healthy Dutch persons. However, as the number of people engaging in winter and outdoor activities and travelling to high altitudes increases, the risk of frostbite also increases. Frostbite is a cold-induced injury which results from two processes freezing and microvascular occlusion. Adequate first aid, which focuses on the prevention of refreezing and mechanical injury, and rapid rewarming together with the administration of ibuprofen, are of the greatest importance for limiting eventual tissue damage. Iloprost infusion and possibly (r)tPA are indicated if a patient presents within 24 hours after the tissue has thawed and the injury is such that severe morbidity can be expected. If the patient presents after this time period, hyperbaric oxygen therapy may be considered; however, the evidence available on this type of treatment is limited.
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Base de dados:
MEDLINE
Assunto principal:
Temperatura Baixa
/
Congelamento das Extremidades
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Nl
Ano de publicação:
2012
Tipo de documento:
Article