Prevention and Treatment of Nonfreezing Cold Injuries and Warm Water Immersion Tissue Injuries: A Supplement to the Wilderness Medical Society Clinical Practice Guidelines

We convened an expert panel to develop evidence-based guidelines for the evaluation, treatment, and prevention of nonfreezing cold injuries (NFCIs; trench foot and immersion foot) and warm water immersion injuries (warm water immersion foot and tropical immersion foot) in prehospital and hospital se...

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Veröffentlicht in:Wilderness & environmental medicine 2023-06, Vol.34 (2), p.172-181
Hauptverfasser: Zafren, Ken, Hollis, Sarah, Weiss, Eric A., Danzl, Daniel, Wilburn, Jessie, Kimmel, Nadia, Imray, Chris, Giesbrecht, Gordon, Tipton, Mike
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container_end_page 181
container_issue 2
container_start_page 172
container_title Wilderness & environmental medicine
container_volume 34
creator Zafren, Ken
Hollis, Sarah
Weiss, Eric A.
Danzl, Daniel
Wilburn, Jessie
Kimmel, Nadia
Imray, Chris
Giesbrecht, Gordon
Tipton, Mike
description We convened an expert panel to develop evidence-based guidelines for the evaluation, treatment, and prevention of nonfreezing cold injuries (NFCIs; trench foot and immersion foot) and warm water immersion injuries (warm water immersion foot and tropical immersion foot) in prehospital and hospital settings. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according to the criteria published by the American College of Chest Physicians. Treatment is more difficult with NFCIs than with warm water immersion injuries. In contrast to warm water immersion injuries that usually resolve without sequelae, NFCIs may cause prolonged debilitating symptoms, including neuropathic pain and cold sensitivity.
doi_str_mv 10.1016/j.wem.2023.02.006
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title Prevention and Treatment of Nonfreezing Cold Injuries and Warm Water Immersion Tissue Injuries: A Supplement to the Wilderness Medical Society Clinical Practice Guidelines
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