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  • Title: [Management of frostbite in and outside of the doctor's surgery].
    Author: Durrer B.
    Journal: Ther Umsch; 2015 Jan; 72(1):55-7. PubMed ID: 25533258.
    Abstract:
    Frostbite is most likely to happen in combination with accidents, intoxications or psychiatric emergencies and typically affects smaller, more exposed areas of the body, such as fingers, toes, nose, ears, cheeks and chin. The preclinical treatment consists of rapid rewarming of the injured tissue in a water-bath that is held between 38 - 42 °C (hand-hot) in a stable, warm environment. A new clssification allows a faster assessment of the outcome. New retrospective studies suggest the efficacy of thrombolysis or prostacyclin analogues against spasm and thrombosis for a better outcome. Lokale Erfrierungen treten meist in Kombination mit Unfällen, Intoxikationen oder psychiatrischen Notfällen auf. Präklinisch steht die rasche Aufwärmung des erfrorenen Körperteils in einem handwarmen Wasserbad und die Gabe von Aspirin® im Vordergrund. Neue Beurteilungskriterien erlauben eine raschere Prognosestellung. Für die klinische Behandlung scheint aktuell die Gabe von Prostatglandinen und Thrombolytika vielversprechend zu sein.
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