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Non-freezing cold injuries (NFCI) is a class of tissue damage caused by sustained exposure to low temperature without actual freezing. [1] There are several forms of NFCI, and the common names may refer to the circumstances in which they commonly occur or were first described, such as trench foot, which was named after its association with trench warfare.
Trench foot. Trench foot frequently begins with the feeling of tingling and an itch in affected feet, and subsequently progresses to numbness or pain. [1] [2] The feet may become red or blue as a result of poor blood supply. [1] Later, as the condition worsens feet can start to swell and smell of decay as muscle and tissue become macerated.
If left untreated, trench foot usually results in gangrene, which can cause the need for amputation. If trench foot is treated properly, complete recovery is normal, though it is marked by severe short-term pain when feeling returns. As with other cold-related injuries, trench foot leaves those affected more susceptible to it in the future.
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The use of ibuprofen and tetanus toxoid is recommended for pain relief or to reduce swelling or inflammation. [1] For severe injuries, iloprost or thrombolytics may be used. [1] Surgery, including amputation, is sometimes necessary. [1] [2] Evidence of frostbite occurring in people dates back 5,000 years. [1]