- DR. ALLAN SPREEN “DEAD ON ARRIVAL” HOW TO
- DR. ALLAN SPREEN “DEAD ON ARRIVAL” SKIN
- DR. ALLAN SPREEN “DEAD ON ARRIVAL” FULL
Patients and their caregivers must be educated about how to properly use cooling devices. To our knowledge, no case of vascular compromise from the blister constriction of digits has been reported. Fingers are commonly injured extremities that are particularly susceptible to frostbite and compression injuries. Frostbite injuries can occur iatrogenically because of inappropriate use of cooling devices or gel packs.
Emergency surgical decompression and occupational therapy. Frostbite and constriction injury to the index finger. He developed a prolonged sensory deficit from thermal injury, as well as acute vascular compromise requiring urgent operative intervention. A 17-year-old male football player presented with a frostbite and constriction injury to the index finger secondary to prolonged use of a cooling pack after a mild traumatic injury to the digit. To present the case of vascular compromise of a finger from a confluent circumferential blister due to an inappropriately applied commercial cold pack in a high school athlete and to describe the mechanism of iatrogenic injury, acute surgical management, rehabilitation, and pathophysiology of frostbite and constriction injuries. Rivlin, Michael King, Marnie Kruse, Richard Ilyas, Asif M ©RSNA, 2016 PMID:27494386įrostbite in an adolescent football player: a case report. Appropriate use of imaging to direct frostbite care can help limit the effects that these injuries have on limb function and mobility. Multiphase bone scintigraphy with SPECT/CT is the modality of choice for prognostication and planning of definitive surgical care of affected limbs. The addition of SPECT/CT to multiphase bone scintigraphy enables precise anatomic localization of the level and depth of tissue necrosis before its appearance at physical examination and can help uncover subtle findings that may remain occult at scintigraphy alone.
Multiphase bone scintigraphy with technetium 99m–labeled diphosphonate provides valuable information regarding the status of tissue viability after initial treatment. Angiography-directed thrombolysis plays an essential role in tissue preservation and salvage in deep frostbite injuries. DSA is used to evaluate perfusion of affected soft tissues and identify potential targets for therapeutic intervention. Radiographs serve as an initial survey of the affected limb and may demonstrate characteristic findings, depending on the time course and severity of injury. A multimodality approach involving radiography, digital subtraction angiography (DSA), and/or multiphase bone scintigraphy with hybrid single photon emission computed tomography (SPECT)/computed tomography (CT) is often necessary for optimal guidance of frostbite care. Imaging plays a critical role in initial evaluation of frostbite injuries and in monitoring response to treatment. Frostbite injuries can have a substantial effect on long-term limb function and mobility if not promptly evaluated and treated. Wong, Ka Kitįrostbite is a localized cold thermal injury that results from tissue freezing. All rights reserved.įrostbite: Spectrum of Imaging Findings and Guidelines for Managementīrown, Richard K. Copyright © 2012 Wilderness Medical Society. Nonfreezing cold injury probably also occurred but was not differentiated from frostbite, and chilblains were also described. This paper explains how frostbite was described, prevented, and treated on the Antarctic expeditions of the heroic age, comparing them with modern recommendations.
DR. ALLAN SPREEN “DEAD ON ARRIVAL” SKIN
Key Words: cold injury frostbite ice pack skin necrosis PMID:11049150įrostbite and other cold injuries in the heroic age of Antarctic exploration.įrostbite and other cold injuries on the early polar expeditions were common. The need for education to prevent similar future injuries is discussed. The danger of inappropriate overenthusiastic use of ice packs or other frozen material to treat soft tissue injuries is emphasised.
DR. ALLAN SPREEN “DEAD ON ARRIVAL” FULL
Full recovery ensued after surgical excision of necrotic tissue and split skin grafting. As the patient was a teacher of physical education, the pain had initially been assumed to originate from a minor musculoskeletal injury. No specific acute traumatic injury was identified. This was caused by the inappropriate application of a bag of frozen chips to the foot in an attempt to ease non-specific pain. Frozen chips: an unusual cause of severe frostbite injuryĪ case of severe frostbite injury to the right foot is presented.
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