A Frostbite Treatment Guideline for Pediatric Patients.

Summary

This paper describes a single-centre multidisciplinary consensus guideline for managing paediatric frostbite, developed by PICU, interventional radiology, general surgery and emergency medicine at a tertiary children's hospital. It is accompanied by a retrospective review of children presenting with frostbite over a twelve-year period, comparing management before and after guideline implementation. Themes include grading of frostbite injury, wound care, criteria for admission, and consideration of thrombolysis for severe injury with amputation as an outcome measure. Relevant to PICU teams who may receive children with severe cold injury, though it is local institutional guidance rather than national consensus.

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