Barriers to frostbite treatment at an academic medical center.
Cold injury
Epoprostenol
Frostbite
Prostacyclin
Journal
The American journal of emergency medicine
ISSN: 1532-8171
Titre abrégé: Am J Emerg Med
Pays: United States
ID NLM: 8309942
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
12
04
2019
accepted:
05
05
2019
pubmed:
16
5
2019
medline:
15
2
2020
entrez:
16
5
2019
Statut:
ppublish
Résumé
The treatment of frostbite injuries has undergone a radical change over the past decade with a shift from supportive therapy and observation towards early and aggressive medical intervention with thrombolytics and vasodilators. Institutions that have implemented evidence-based protocols have significantly decreased their amputation rates (Bruen et al., 2007; Lindford et al., 2017a; Twomey et al., 2005). We present the case of a middle-aged male treated for frostbite of multiple fingers on both hands. Because there was no treatment protocol at our institution, there were multiple delays in the patient's care including imaging and initiation of intravenous (IV) prostanoids. This case illustrates the deleterious effects of delays in treatment and strongly suggests that all facilities located in areas of cold exposure should have protocols in place for such an occurrence.
Identifiants
pubmed: 31088748
pii: S0735-6757(19)30306-7
doi: 10.1016/j.ajem.2019.05.012
pii:
doi:
Substances chimiques
Prostaglandins
0
Vasodilator Agents
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1601.e3-1601.e5Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.