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Treatment of Frostbite

Hands being warmed near a radiator to treat frostbite

Gently warming hands to treat early-stage frostbite and restore blood flow

Treatment of Frostbite

The treatment of frostbite aims to rewarm the affected area, relieve pain, prevent infection, and preserve tissue. Frostbite treatment must begin as soon as possible, ideally under medical supervision. Delays can result in permanent tissue loss or severe complications.

Emergency First Aid

If frostbite is suspected:

Move the person to a warm, sheltered environment

Remove wet clothing and replace it with dry, insulated layers

Avoid walking on frostbitten feet or toes, as this may worsen the injury

Do not rub or massage the area, which can cause more damage

Begin gentle rewarming using warm (not hot) water—between 37–39°C—for 15–30 minutes

Avoid rewarming if there’s a risk of refreezing, as this can cause further injury.

Pain Management and Wound Care

Rewarming can be extremely painful—pain relief (e.g., ibuprofen or morphine) may be necessary

Blisters should not be burst, as they protect underlying tissue

Apply sterile, non-stick dressings, and keep affected areas elevated to reduce swelling

Antibiotics may be prescribed if there is a risk of infection

Medical and Surgical Interventions

Severe cases may require hospitalisation for monitoring and intravenous fluids

Surgeons often delay decisions for 1–3 weeks after injury to fully assess the extent of the damage

Surgery may be necessary in advanced frostbite:

Debridement to remove dead tissue

Amputation in cases of irreversible tissue death

Surgeons often delay decisions for 1–3 weeks after injury to fully assess the extent of the damage.

Long-Term Management

Physiotherapy to improve mobility and function

Treatment for chronic pain, cold sensitivity, or nerve damage

Psychological support, especially if frostbite leads to amputation or permanent disability

Treatment of Frostbite

The treatment of frostbite is most effective when started early. Fast intervention can save tissue and prevent lasting harm.

[Next: Complications of Frostbite →]

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