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Deep frostbite — RCPSC EM MCQ

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ModerateEnvironmental emergenciesDeep frostbiteRCPSC EM

A 29-year-old skier presents after cold exposure with numb, waxy, pale toes. The toes are firm, capillary refill is absent, and there are no blisters yet. Core temperature is 36.5°C and pain increases as rewarming starts. What is the most likely diagnosis?

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Correct answer: ADeep frostbite

Waxy, hard, insensate distal tissue after freezing exposure is deep frostbite. Management includes rapid rewarming when refreezing risk is absent and specialist advice.

Reference: ACLS/ATLS/PALS principles adapted to Canadian ED practice