title: Hypothermia and localized cold injuries.
abstract: Hypothermia and localized cold injuries are largely preventable with proper preparation for activities in cold environments. Proficient field management is crucial to the final outcome in terms of function and viability because proper care is vital to preventing exacerbation of the initial exposure and injury. Rapid rewarming is optimal when further cold exposure can be avoided reliably. Repetitive freeze-thaw cycles are associated with increased morbidity and tissue loss caused by progressive microvascular injury and thrombosis. The subsequent care is largely supportive and consists of wound care and physical and hydrotherapy to promote optimal functional recovery.
authors.affiliation: Department of Emergency Medicine, Boston University School of Medicine, One Boston Medical Center Place, Boston, MA 02118, USA. aulrich@bu.edu
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Ulrich
authors.forename: Niels K
authors.initials: NK
authors.lastname: Rathlev
mesh_terms: D001833:Body Temperature Regulation; D002319:Cardiovascular System / Q000503:physiopathology; D003080:Cold Temperature / Q000009:adverse effects*; D004562:Electrocardiography; D004632:Emergency Medical Services; D005296:Ferrous Compounds; D006801:Humans; D007035:Hypothermia / Q000503:physiopathology / Q000628:therapy; D010808:Physical Examination; D011379:Prognosis; D017694:Rewarming
chemical_list: D005296:Ferrous Compounds; C020748:ferrous sulfate