Accidental hypothermia is generally manifested as progression from an initial state of catecholamine release and stimulation (mild hypothermia) to one marked by a predictable slowing of metabolism and all critical body functions to the extent that patients may appear dead. The profound physiologic changes and metabolic slowing all reverse with rapid rewarming, and reports of remarkable neurolog...

Thomas E. Starzl is Professor of Surgery at the University of Colorado School of Medicine and Chief of Surgery a t Denver V.A. Hospital. He is also a member of the staff of Colorado General (University] Hospital in Denver. He received his M.D. and Ph.D. from Northwestern University and his surgical training at Johns Hopkins Hospital, Jackson Memorial Hospital in Miami, and the V.A. Research Hos...

There are many over-the-counter (OTC) patients may seek when treating tinea pedis. very few side effects from topical medications since sprays, lotions and or creams. Frostbite OTC antifungal medication is a rare but possible adverse reaction that we should be aware of. We present case study of patient who developed frostbite after using an over the counter Miconazole nitrate powder spray for T...

A rare case of grade IV frostbite is presented resulting in bilateral below knee amputations. This case highlights the importance of early versus late amputation as well as the importance of close collaboration between the rehabilitation, surgical, psychosocial, and public health disciplines in this rare and challenging problem that still may be encountered in the United Kingdom.

Frostbite is a local freezing injury that can cause tissue loss. Historically, it has been a disease of wars, but it is a hazard for anyone who ventures outdoors in cold weather. Frozen tissue is damaged both during freezing and rewarming. Frozen tissue is numb. Rewarming causes hyperemia and is often painful. Blisters and edema develop after rewarming. Hard eschar may form with healthy tissue ...

BACKGROUND Cold injuries are rare but important causes of hospitalization. We aimed to identify the magnitude of cold injury hospitalization, and assess causes, associated factors and treatment routines in a subarctic region. METHODS In this retrospective analysis of hospital records from the 4 northernmost counties in Sweden, cases from 2000-2007 were identified from the hospital registry by...