What is the treatment for frostbite? How to deal with frostbite

Frostbite is a localized inflammatory disease of the cold that can worsen damage or cause infection if not treated properly. Let's take a look at what the right way is.

1 First Aid and ** Principles:

Quickly get out of the cold environment to prevent further freezing;

Hurry up and rewarm quickly as soon as possible;

Topical application of frostbite cream;

Improves local microcirculation;

anti-shock, anti-infection and warmth;

The application of internal drugs such as blood circulation and blood stasis removal;

If the second and third degree frostbite cannot be distinguished, it will be treated as third-degree frostbite**;

Surgical management of frostbite should minimize disability and preserve viable limb function to the greatest extent.

2. Rapid rewarming: After getting the wounded out of the cold environment as soon as possible, if possible, they should be immediately rewarmed with warm water, and escorted under the condition of sufficient warmth after rewarming. If there is no rapid rewarming condition, the escort should be carried out as soon as possible, and attention should be paid to keeping warm during the escort to prevent trauma.

Rapid rewarming with warm water should be performed immediately upon arrival at the medical unit. Especially for those whose treatment is still frozen.

Second, third, and full-thickness burns, rapid rewarming is always a significant and critical measure.

Specific method: soak the frozen limb in warm water at 42 degrees Celsius (not too high) until the frozen area turns red, especially the nail bed flushes and the tissue becomes soft, and the time should not be too long. For facial frostbite, a towel can be soaked in warm water at 42 degrees Celsius and a local warm compress can be applied.

In the absence of warm water, the frozen limb can be immediately placed on a warm part of the body of the self or the rescuer, such as the armpit, abdomen, or chest, for the purpose of rewarming. During treatment, it is strictly forbidden to roast, snow rub, soak in cold water or beat the affected part violently.

3 To improve local microcirculation, low-molecular-weight (molecular weight below 40,000) dextran can be applied in the early stage of third-degree frostbite, intravenous infusion, and daily administration of 500 1000 ml for 7 10 days to reduce blood viscosity and improve microcirculation. Anticoagulants (eg, heparin) or vasodilators (papaverine, benzylaminezoline, etc.) may also be used as needed.

4 Local treatment.

1) Topical medication: apply topical ointment for frostbite immediately after rewarming, which can be appropriately thicker, and need to be applied between the fingers (toes), and bandaged with sterile dressings, and change dressings 1 2 times a day, with a small area.

First- and second-degree frostbite can be bandaged, but pay attention to keeping warm. The frostbite creams that can be used are nitrofuracillin cream: nitrofuracilin, codipine cream: nitrofuracilin, dextran cream, etc.

2) The treatment of blisters should be to aspirate the blister fluid under sterile conditions, and if the blisters are large, they can also be drained through a low incision.

3) For the treatment of infected wounds and necrotic scabs, the infected wounds should be drained in time to prevent pus under the scabs, and the necrotic scabs should be eaten and removed in time.

4) Timely removal of necrotic scabs, and skin grafting as soon as possible after the granulation wound is fresh to eliminate the wound. After the early ** necrosis forms a dry scab, it is often difficult to judge the ability of deep tissue life, sometimes it seems that the extremities have been necrotic, but after the scab is removed, the granulation wound is exposed (indicating that the deep tissue is not necrosis), and it heals after skin grafting. Therefore, a cautious attitude should be taken towards amputation after frostbite, and it is generally believed that it separates and falls off on its own, and viable tissue is preserved as much as possible, and arteriography can be performed if necessary to understand the blood circulation of the acral ends.

5 Prevention of infection, severe frostbite should be oral or injection of antibiotics: tetanus prophylaxis injection is routinely administered.

In the case of chilblains, it is best to pay attention to keeping warm, properly use chilblain cream**, if there is ulceration, it is best to actively debridement**, as long as the weather is cooler, start to use chilblain cream, until the weather warms, continuous use for 2-3 years will not **.

Frostbite **, a good way to cure the root I forgot, this method I got when I got shrimp in the south, an old Chinese medicine doctor didn't ask for money to give us a prescription, the hand was frozen and cracked, bleeding, and the root could be made, I remember part of it, I hope to help friends with frostbite, "Mountain Spicy {Yellow Little Mountain Pepper} 10-20, orange peel 10-20, ginger one, "Baijiu I forgot", these few together boiled with water, morning, noon and evening. My friend's hands are frozen and bleeding and cracked, and they are all done, and they are not frozen this year, and they don't even have scars. . .

It is better to prescribe some chilblain medicine, just reduce the cold, and often soak it in warm water.