Frostbite


  • Frostbite occurs when freezing injures the body tissue.  The degree of injury correlates to the depth of frozen tissue.

  • Mild cases -- numbness, prickling, and itching
  • Deeper tissues -- loss of sensation and stiffness
  • Severe -- skin becomes white or yellow and loses its elasticity; the extremity becomes swollen, blisters, forms dead/gangrenous (dark or black) tissue

  • Mild -- place warm hand on affected area. If the hands become affected, place them in the armpits.  If toes become affected, remove footwear, dry the feet, and replace with dry footwear.
  • More severe -- re-warming affected area in moving water bath at 104-107 degrees
  • Protect affected part
  • Protect skin blebs if they occur. Mild soaks with soapy water
  • Antibiotics for deep infections
  • Warmed intravenous fluids, gastric (stomach) lavage with warmed fluids, and oxygen may be needed in some cases.
  • Peritoneal or hemodialysis may be done in severe cases.
  • Physical therapy as needed
  • Surgical treatment, only if absolutely necessary.  Rarely, amputation is required as a last resort.

  • Warnings:
    1. Do not to re-warm frostbitten limbs with exercise or by rubbing with snow or ice water.
    2. Do not re-warm unless you are sure you can prevent re-freezing -- thawing and then re-freezing can cause worse damage to the tissues.
    3. Elderly, homeless, those with illnesses (e.g., psychiatric, vascular), smokers, drug abusers, and infants are at risk.