Improving Care: Frostbite

Comparison of management strategies and amputation rates in high grade frostbite injuries in two Canadian Cities

Domhnall O’Dochartaigh, RN, Clinical Nurse Specialist and
Scott MacLean, Assistant Clinical Professor

I still remember the bitter cold of that day, the kind that bites deep no matter how many layers you wear. My gloves were thin, and I ignored the stinging in my fingers, thinking it would pass. Hours later, my fingertips turned pale, then bluish, and went numb. Frostbite is a chilling reminder of the fragility of the human body in the face of nature's relentless cold. It occurs when skin and underlying tissues freeze due to prolonged exposure to frigid temperatures, often without proper protection. Frostbite cases and resulting digit, hand, foot, and leg amputation have increased significantly over the last few years in Alberta. Current levels are around four times higher than historic baselines. Initial care of severe frostbite occurs in Emergency Departments with additional support from plastic surgery and burn units if needed. There were recent differences identified in the clinical practice between Calgary and Edmonton regarding frostbite care.

This ARNET funded study seeks to compare outcomes of Albertans with frostbite that receive care in Calgary compared to Edmonton as well as examine impacts of specific aspects of care. Factors considered include precipitating events and temperatures, community response, patient characteristics, and treatments received and their impacts. This study will answer important scientific questions and support ongoing work towards improved community response, and a single provincial standard, where patients presenting anywhere in Alberta will receive the same standard of equitable care. Please join us in supporting the important ongoing work and research of ARNET funded nurses like Domhnall.

Domhnall O’Dochartaigh, RN, Clinical Nurse Specialist