\nIn the peri-injury period, the primary care goal is rapid rewarming. However, this should only be initiated if the warming can be rapidly and completely done as partial rewarming with subsequent re-exposure to cold exacerbates tissue injury.<\/p>\n
The current standard of care is immersion in a warm water bath at 40 to 42 degrees C until sensation returns. If possible, the bath should be circulating water to provide a constant temperature.<\/p>\n
After warming, clear blisters should be gently unroofed to prevent local thromboxane-mediated injury. Hemorrhagic blisters are generally left undisturbed.<\/p>\n
On no account should any major debridement be done in the peri-injury period, even in the setting of what appears to be frank gangrene.
\n<\/p>\n","protected":false},"excerpt":{"rendered":"
In the peri-injury period, the primary care goal is rapid rewarming. However, this should only be initiated if the warming can be rapidly and completely done as partial rewarming with subsequent re-exposure to cold exacerbates tissue injury. The current standard of care is immersion in a warm water bath at 40 to 42 degrees C […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[13],"tags":[3472,3473,3474],"yoast_head":"\n