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Treatment: Of course the best treatment is prevention with adequate clothing, gloves, boots, oxygenation, food, fluid intake, and minimizing of fatigue and perspiration. Military experiences in the Korean War and research have resulted in the modern concept of rapid thawing of frozen tissue and abstinence from incurring further tissue injury by brisk rubbing or prolonging the thawing process. Large damaging crystals are prevented from forming in the tissues by rapid thawing, and a marked vaso-dilatation in the extremity is demonstrated proximal to the injury. This method is carried out by immersing the affected area in a water bath of 45 degrees Centigrade, or 115 degrees Fahrenheit. This procedure can usually be performed without difficulty at a high camp with the available equipment of cooking pots and Primus stoves. It should be done promptly. |
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