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Thermal Injuries
Dr.Prasanna. P
Assistant Professor
Cold
•Local effects
i. Vascular spasm – blanching and paleness of skin
ii. Vascular dilation – erythema, oedema and swelling
iii. Blister formation
iv. Necrosis
•Localized effects
1. Frost bite
2. Trench foot
3. Immersion foot
•Trench foot & Immersion Foot
 Prolonged exposure to cold (5 to 80 c)
Soldiers
Trenches
Prolonged immersion or exposure at sea.
• Extremities are affected
• Blister formation with ulceration
• Localized gangrene occurs
•Frost bite
• Infarction of peripheral digits - edema, redness and later necrosis
• May affect only skin and extend deep.
• Due to exposure cold – (-2.50 c )
• Blister formation and gangrene occurs.
• It affects - nose, ears and face.
• Reciprocal or Paradoxical undressing
• The Hide- and – Die syndrome (Terminal Burrowing behavior)

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Thermal Injuries: Frost Bite, Trench Foot, Immersion Foot

  • 3. •Local effects i. Vascular spasm – blanching and paleness of skin ii. Vascular dilation – erythema, oedema and swelling iii. Blister formation iv. Necrosis
  • 4. •Localized effects 1. Frost bite 2. Trench foot 3. Immersion foot
  • 5. •Trench foot & Immersion Foot  Prolonged exposure to cold (5 to 80 c) Soldiers Trenches Prolonged immersion or exposure at sea. • Extremities are affected • Blister formation with ulceration • Localized gangrene occurs
  • 6. •Frost bite • Infarction of peripheral digits - edema, redness and later necrosis • May affect only skin and extend deep. • Due to exposure cold – (-2.50 c ) • Blister formation and gangrene occurs. • It affects - nose, ears and face.
  • 7. • Reciprocal or Paradoxical undressing • The Hide- and – Die syndrome (Terminal Burrowing behavior)