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Frostbite — RCPSC EM MCQ

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ModerateEnvironmental emergenciesFrostbiteRCPSC EM

A 32-year-old climber has numb, waxy fingers after a winter ascent. Rewarming has not occurred. There are no signs of refreezing risk, and distal Doppler signals are present. What is the most appropriate initial management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: CRapid rewarming in circulating warm water with analgesia

Frostbite should be rewarmed rapidly in warm circulating water if refreezing risk has been removed. Rubbing and dry heat increase tissue injury.

Reference: Wilderness Medical Society frostbite guidance; Canadian emergency practice