Frostbite

Frostbite - a Preventable Disease

Frostbite

Frostbite occurs when your tissue freezes at 28°F.  Ice crystals are formed, circulation is disrupted and tissue dies.  

We generally don't travel to places where frostbite is a concern, but Leaders should familiarize themselves with this topic. 

Exposed Skin

Exposed skin is at highest risk:


Wind Chill

Our bodies are surrounded by warmed air.  When the wind blows, it blows away this warm air.  Heat is lost through warming of the cooler air next to your skin.

Wind doesn’t lower air temperature.  It just hastens cooling.  

The faster the wind, the less time it takes to cool your body or cause tissue freezing. 

Chart Source: weather.gov

Signs and Symptoms of Frostbite

Frostbite can appear black and mummified in late stages, but generally doesn't look this way in the field. 

There are more than one way to categorize the levels of Frostbite.  In a hospital, they may use a 1st-4th degree rating system.  In the field, we generally use a 2-tierd system:


Superficial 


Deep

Deep Frostbite

Treatment of Frostbite

Frostbite is generally preventable and Prevention is far better than Treatment!  Frostbite is often not improved with treatment.

Treatment


Delayed Evacuation

If evacuation is delayed greater than two hours, consider rewarming.


Do NOT Rewarm If:

Water needs to feel nice and warm to the Rescuer.  Not Lukewarm and Not Burning HOT!  You are gong for the nice hot tub feel. 

NOTE: Use the Rescuer's Hand and not a frostbitten hand to test for heat.  A frostbitten hand may not feel anything and get burned in hot water.