Abstract

Hypothermia is defined as a core temperature below 35°C (95°F). Frostbite involves tissue freezing with formation of ice crystals in the tissues. Immersion injury (trench foot) is a nonfreezing injury that results from exposure to wet cold. Pernio (chilblains) is a nonfreezing injury that occurs in susceptible individuals, usually after repetitive exposure to dry or damp cold. We discuss the physiology, pathophysiology, clinical features, differential diagnosis, evaluation and management of hypothermia, frostbite and nonfreezing cold injuries.

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