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Frostbite
Frostbite is, literally, frozen body
tissue - usually skin but sometimes deeper - and must be
handled carefully to prevent permanent tissue damage or
loss. Children are at greater risk for frostbite than
adults, both because they lose heat from their skin more
rapidly than adults and because they may be reluctant to
leave their winter fun to go inside and warm up. You can
help prevent frostbite in cold weather by dressing your
child in layers, making sure he comes indoors at regular
intervals, and watching for frostnip, frostbite's early
warning signal.
Frostnip usually affects areas
that are exposed to the cold, such as the cheeks, nose,
ears, fingers, and toes, leaving them white and numb.
Frostnip can be treated at
home.
What to
Do:
- Bring your child indoors immediately.
- Remove all wet clothing. Wet clothes
draw heat from the body.
- Immerse chilled body parts in warm (not
hot) water until all sensation returns.
- Don't let your child control the water
temperature during rewarming. Numb hands won't feel
the heat and can be severely burned by water that is
too hot.
Frostbite is characterized by
white, waxy skin that feels numb and hard. It requires
immediate emergency medical
attention.
What to
Do:
- Get your child into dry clothing, then
take him to a hospital emergency room. If feet are
affected, carry him.
- If
you cannot get him to a hospital right away or must
wait for an ambulance, give him a warm drink and begin
first-aid treatment:
- Immerse frozen areas in warm water
(around 100 degrees Fahrenheit) or apply warm
compresses for 30 minutes. If warm water is not
available, wrap gently in warm blankets.
- Do
not use direct heat such as a fire or heating pad.
- Do
not thaw the area if it is at risk for refreezing,
which may cause severe tissue damage.
- Do
not rub frostbitten skin or rub snow on it.
- Rewarming will be accompanied by a
burning sensation. Skin may blister and swell and may
turn red, blue, or purple. When skin is pink and no
longer numb, the area is thawed.
- Apply sterile dressing to the area,
placing it between fingers and toes if they are
affected. Try not to disturb any blisters.
- Wrap rewarmed areas to prevent
refreezing, and have your child keep thawed areas as
still as possible.
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