04:08pm Monday 21 August 2017

Fashion isn't cool when cold can freeze fingers, nose, ears, Loyola burn expert says

The popular half-gloves that leave fingers uncovered for texting may be good for communicating electronically, but they may also lead to permanent loss of fingers caused by exposure to the cold.

“Fingers are one of the first body parts to feel the effects of the cold and damp, and along with toes, ears and the nose, are frequently subjected to frostbite and even amputation,” said Arthur Sanford, MD, division of trauma, surgical critical care and burns, Loyola University Health System. “Better to fat-finger a text due to winter gloves than to lose a finger due to the cold.”

Frostbite is most likely to happen in body parts farthest from the heart and those with large exposed areas. “Blood vessels start to constrict at or below 90 degrees Fahrenheit to preserve body temperature,” Sanford said. “The lack of blood in these areas of the body can lead to freezing and the death of skin tissue.”

Sanford said he treats frostbite in people of all ages. “The young man who insists on wearing tennis shoes that get soggy and freeze. The teenaged girl with cotton leggings. The younger person who goes on a drinking bender and walks home in the snow and damp is also a familiar sight at Loyola trauma,” he said. “The senior citizen who goes out in the snow to get her mail, falls, breaks a hip and lies in the cold and wet until being discovered is a typical victim of frostbite and what most people imagine.”

Here are winter wellness tips from Dr. Sanford and Loyola:

  • Dress in layers. “If a sweater, pair of socks or other article of clothing gets wet, you can quickly remove it and still be protected from the cold and wet,” he said. 
  • Wear a hat, gloves or mittens and proper footwear, including socks and boots. “Texting gloves may look cool and be handy for communicating or may show off your polished nails, but it is better to wear full gloves or mittens and save your fingers,” Sanford said. “And cover your ears and the top of your head with a snug hat.”
  • Stay dry. “Wet socks are especially dangerous and can lead to a condition called trench foot, which results in poor blood circulation, tissue decay, infections and even amputation,” he said.
  • When suffering from prolonged exposure to cold, use room temperature or slightly warm water to gently revitalize the body. “Do not use hot water, do not rub with handfuls of snow and do not vigorously massage the frozen area,” Sanford warned. Overstimulation can actually worsen the situation.
    If the affected area becomes numb, turns red or blue, swells or feels hot, go to the Emergency Department.”An emergency physician will assess the tissue and take the proper steps to save the body part,” Sanford said.

The historically cold and snowy winter in 2014 saw an increase in frostbite cases at Loyola. ” ‘Frostbite in January, operate in July,’ is a common mantra here at Loyola,” Sanford said. “Bundling up for winter may take you out of media circulation temporarily or flatten your hair, but better that than to permanently lose the ability to text or the tips of your ears due to frostbite.”

Loyola’s Burn Center is one of the busiest in the Midwest, treating nearly 600 patients annually in the hospital and another 3,500 patients each year in its clinic. Dr. Sanford and the medical team join with scientists to conduct ongoing research at the Stritch School of Medicine’s Burn & Shock Trauma Institute devoted to the study of traumatic injury and burns.

Loyola University Health System (LUHS) is a member of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. The medical center campus is conveniently located in Maywood, 13 miles west of the Chicago Loop and 8 miles east of Oak Brook, Ill. The heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children’s Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as the LUC Stritch School of Medicine, the LUC Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola’s Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.


Share on:
or:

MORE FROM Public Health and Safety

Health news