title: Severe frostbite injury in a 19-year-old patient requiring amputation of both distal forearms and lower legs due to delayed rescue: a need for advanced accident collision notification systems?
abstract: Frostbite injury is a rare but severe injury especially when rescue triage is prolonged. We here report the case of a 19-year-old male patient with severe frostbite injuries requiring amputation of both distal forearms and both lower legs due to delayed admission to medical care. This case demonstrates that even mild ambient temperatures can cause deleterious injuries if the exposure time is long enough paralleling our knowledge of burn trauma. Immediate admission to medical care is, therefore, paramount and GPS-based automated accident collision notification systems would therefore be of great benefit especially in rural areas.
authors.affiliation: Department of Hand, Plastic and Reconstructive Surgery, BG-Burn and Trauma Center Ludwigshafen, University of Heidelberg, Ludwigshafen, Germany. okloeters@yahoo.de
authors.forename: Oliver
authors.initials: O
authors.lastname: Kloeters
authors.forename: Henning
authors.initials: H
authors.lastname: Ryssel
authors.forename: Arnold J
authors.initials: AJ
authors.lastname: Suda
authors.forename: Marcus
authors.initials: M
authors.lastname: Lehnhardt
mesh_terms: D000063:Accidents, Traffic; D000671:Amputation, Surgical; D001336:Automobiles; D005542:Forearm / Q000601:surgery*; D005627:Frostbite / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000601:surgery*; D008297:Male; D013686:Telemetry; D055815:Young Adult