Page 389 - 2021 IDMT Digital

FROSTBITE
Introduction:
• $ WUXH IUHH]LQJ LQMXU\ ZKHUH LFH FU\VWDOV WHQG WR IRUP LQ GHHS RU VXSHUILFLDO WLVVXHV
GHSHQGLQJ RQ WKH VHYHULW\
Subjective:
• 6LJQV DQG 6\PSWRPV
o FRPSODLQ RI QXPEQHVV RI WKH LQMXUHG SDUW SDWLHQW PD\ FRPSODLQ RI
FOXPVLQHVV GXH WR LVFKHPLD of the ERG\ SDUW
Objective:
• 3K\VLFDO ([DP
o &ROGQHVV RI WKH LQMXUHG SDUW \HOORZLVK ZKLWH RU PRWWOHG EOXH DSSHDUDQFH RI WKH
VNLQ
Assessment:
• 'LIIHUHQWLDO
o *DQJUHQH LVFKHPLD EXUQV DQG VHYHUH LQIHFWLRQ ± PD\ SUHVHQW VLPLODUO\ EXW WKH
KLVWRU\ RI FROG H[SRVXUH VKRXOG FODULI\ WKH GLDJQRVLV
Plan:
• 5HPRYH IURP WKH FROG HQYLURQPHQW UHPRYH ZHW FORWKLQJ GR QRW DSSO\ GLUHFW dry
KHDW EXW H[WUHPLW\ FDQ EH ZDUPHG E\ SODFLQJ LQ FRPSDQLRQ'V JURLQ RU D[LOOD IRU PD[LPXP
RI PLQXWHV. Best if the extremity can be rewarmed by totally immersing the affected
area in water that is 40-42° C (104-107.6° F). Thawing will be painful.
• 'R QRW WKDZ LI WKHUH LV DQ\ WKUHDW RI UH IUHH]LQJ GXULQJ HYDFXDWLRQ or if the individual must
walk to safety (this could worsen the damage to the tissue).
• $SSO\ D ORRVH GU\ GUHVVLQJ DQG VSOLQW SULRU WR WUDQVSRUW

Patient Education:
• )ROORZ SUHYHQWDWLYH PHDVXUHV LQFOXGLQJ SURSHU XVH RI FROG ZHDWKHU FORWKLQJ VWD\LQJ
GU\ JHWWLQJ RXW RI WKH ZLQG DQG PRQLWRULQJ EXGGLHV
• (DW D KLJK FDORULH KLJK IDW GLHW WR LQFUHDVH KHDW SURGXFWLRQ DQG LPSURYH SHUIRUPDQFH LQ
WKH FROG
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP

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