Evidence map›Paper›PMID 24764516›Full record

ReviewExtreme physiology & medicine2014

Frostbite: a practical approach to hospital management.

Charles Handford, Pauline Buxton, Katie Russell, Caitlin Ea Imray, Scott E McIntosh, Luanne Freer, Amalia Cochran, Christopher He Imray

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Extreme physiology & medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05555602 (Clinical Observation of the Comfort and Efficacy of Carbon Dioxide), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05555602 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Clinical Observation of the Comfort and Efficacy of Carbon Dioxide(CO2) Laser 10,600 nm Combined With Cold-air Cooling Device Zimmer Cryo 6 for Burn Scars or Linear Scars.

TypeinterventionalSponsorKaiyang Lv, MD-PhDRan2021 to 2023Enrolled40ConditionsCryotherapy Effect, Burn Scar, Scar, Previous Cesarean SectionArmsCold-air cooling
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 125 citations in OpenAlex.

  1. Interventions for frostbite injuries.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Trial
  3. Review
  4. Clinical course and management of extremity frostbite in populations under forced movement in border regions.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  5. Synthesis of Protocols for Frostbite Care From the FROST Study Sites.Journal of burn care & research : official publication of the American Burn Association · 2026
    Observational
  6. Article
  7. Time to Thrombolytics and Tissue Salvage: Assessing Response Following Severe Frostbite Injury.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  15. Long-Term Sequelae of Frostbite-A Scoping Review.International journal of environmental research and public health · 2021
    Article
  16. Use of fluorescence to visualize response to iloprost treatment for frostbite.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  17. Review
  18. BioMed research international · 2020
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 2 countries.

Charles HandfordQueen Elizabeth Hospital, Birmingham B15 2TH, UK.
Pauline BuxtonUniversity Hospital Coventry & Warwickshire, Coventry CV2 2DX, UK.
Katie RussellUniversity of Utah, Salt Lake City, UT 84112, USA.
Caitlin Ea ImraySheffield University Medical School, Sheffield S10 2TN, UK.
Scott E McIntoshDivision of Emergency Medicine, University of Utah Health Care, Salt Lake City, UT 84112, USA.
Luanne FreerFAWM, Yellowstone National Park, WY 82190, USA ; Everest ER, Himalayan Rescue Association, P.O. Box 4944, Kathmandu 44601, Nepal.
Amalia CochranUniversity of Utah School of Medicine, Salt Lake City, UT 84132, USA.
Christopher He ImrayWarwick Medical School, The University of Warwick, Coventry CV4 7AL, UK ; University Hospital Coventry and Warwickshire NHS Trust, Coventry CV2 2DX, UK.
University of Utah · USQueen Elizabeth Hospital Birmingham · GBUniversity Hospital Coventry · GBUniversity of Sheffield · GBUniversity of Utah Health Care · USUniversity of Warwick · GBYellowstone National Park

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Frostbite presentation to hospital is relatively infrequent, and the optimal management of the more severely injured patient requires a multidisciplinary integration of specialist care. Clinicians with an interest in wilderness medicine/freezing cold injury have the awareness of specific potential interventions but may lack the skill or experience to implement the knowledge. The on-call specialist clinician (vascular, general surgery, orthopaedic, plastic surgeon or interventional radiologist), who is likely to receive these patients, may have the skill and knowledge to administer potentially limb-saving intervention but may be unaware of the available treatment options for frostbite. Over the last 10 years, frostbite management has improved with clear guidelines and management protocols available for both the medically trained and winter sports enthusiasts. Many specialist surgeons are unaware that patients with severe frostbite injuries presenting within 24 h of the injury may be good candidates for treatment with either TPA or iloprost. In this review, we aim to give a brief overview of field frostbite care and a practical guide to the hospital management of frostbite with a stepwise approach to thrombolysis and prostacyclin administration for clinicians.

Indexed as

FrostbiteHeparinHypothermiaIloprostRewarmingThrombolysisTPA

Identifiers

PMID24764516
PMCPMC3994495
OpenAlexW2119462025

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.