Frostbite and Cold Weather-Related Injuries

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Frostbite and Cold Weather-Related Injuries Facts

  • Cold weather-related injuries occur with and without freezing of body tissues.

  • Cold weather-related injuries include chilblains, trench foot, frostnip, and frostbite.

  • Signs and symptoms may include tingling, numbness, and changes in the color and texture of the skin.

  • Treatment generally includes moving out of the cold environment, removing wet clothing, and re-warming the affected area.

  • Frostbite is a serious cold weather-related injury that requires immediate medical attention and rapid re-warming. Do not thaw the affected area if there is the risk of refreezing.

  • Certain individuals, such as the elderly, children, alcoholics, and the homeless, are at increased risk of developing cold weather-related injuries.

  • Prevention of cold weather-related injuries is best accomplished through proper planning and preparation for cold weather.

Introduction to frostbite and cold weather-related injuries

Winter cold and snow provide a number of opportunities to get outside and participate in activities such as skiing, sledding, and snowmobiling. However, without proper protection, cold weather-related injuries can occur even when temperatures are above freezing (32 F, 0 C). This is especially true if there are high winds or if clothing is wet. In general, however, it is both the temperature and the duration of exposure that play a role in determining the extent and severity of cold weather-related injuries. This information describes the different types of cold weather-related injuries, as well as what to do to prevent and treat them prior to reaching a health care practitioner.



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Frostbite - Experience Question: What was your experience with frostbite?
Winter is the prime time for cold weather-related injuries like frostbite, chilblains, and trench foot

Frostbite Symptoms and Signs

Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: Dennis Lee, MD

Frostbite is an injury resulting from freezing of the tissues in the body. The hands and feet are most commonly affected by frostbite, but the nose, cheeks, shins, ears, and even the corneas of the eyes may be affected by frostbite.

Frostbite typically occurs in soldiers or others who work outdoors, or in outdoor winter sports enthusiasts. People who become stranded outdoors can also become victims of frostbite. Nicotineand other drugs that reduce blood circulation to the extremities (called vasoconstrictive drugs) can increase a person's chances of developing frostbite. There is no official reporting system for frostbite cases in the U.S., but it is known to affect predominantly residents of the northern states, including Alaska. Research has shown that African American men and women are slightly more prone to develop frostbite than Caucasians. Other people who may be more predisposed to frostbite are those of Arabic descent and those who reside in warm climates. Men develop frostbite more often than women, but this may reflect a greater participation in sports and outdoor activities.

The areas of the body affected by frostbite feel cold and firm. Burning, tingling, stinging, or numbing sensations may be present...

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