Guidelines for Thrombolytic Therapy for Frostbite
Sean Hickey, Amy Whitson, Larry M. Jones, Lucy Wibbenmeyer, Colleen M. Ryan, Ryan Fey, Jeffrey Litt, Renata Fabia, L.C. Cancio, W Möhr, John Twomey, Anne L Lambert Wagner, Amalia Cochran, J. Kevin Bailey
Abstract
The data are insufficient to support standardized treatment of all patients with frostbite with thrombolytic therapy. The following guidelines, however, should be applied to all patients with cyanosis persisting proximal to the distal phalanx (Grade 3 or 4 frostbite injury) and demonstrated loss of perfusion at or proximal to the middle phalanx immediately after rewarming.
Topics & Concepts
FrostbiteMedicinePhalanxSurgeryBurn Injury Management and OutcomesTraumatic Ocular and Foreign Body InjuriesRestraint-Related Deaths