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Dermatology · Dermatology: frostbite management
Sample itemA trekker arrives with frozen, waxy, numb toes. What is the correct initial treatment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Rapid rewarming in water at 37 to 39 degrees C
Frostbite is treated by rapid rewarming in circulating water at 37 to 39 degrees C once refreezing can be avoided, with analgesia and tetanus prophylaxis. Rubbing and dry heat cause further tissue damage. Amputation is delayed until demarcation is clear.
Option by option
A. Rubbing the toes with snow
Rubbing with snow damages tissue.
B. Immediate amputation
Early amputation is avoided until demarcation.
C. Rapid rewarming in water at 37 to 39 degrees C (correct)
Correct. Rapid warm water rewarming is standard.
D. Rewarming near an open fire
Dry heat risks burns on numb skin.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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