Managing frostbite

Prevention, using a combination of appropriate behaviour and equipment, is key Rewarm frostbite as soon as the risk of refreezing is minimal Seek advice from a specialist unit if the injury is potentially severe Consider thrombolysis (with tissue plasminogen activator) in severe injuries presenting within 24 hours of exposure Delay surgery unless there is evidence of compartment syndrome or overwhelming sepsis People who have sustained a cold injury are more susceptible to a future cold injur