If someone suffers frostbite, you need to act quickly but carefully to prevent permanent tissue damage:
1. Move to safety
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Take the person indoors or to a warmer place as soon as possible.
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Protect them from wind and further cold exposure.
2. Remove wet or tight clothing
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Gently remove gloves, boots, and any wet or tight clothing that can restrict blood flow.
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Replace with warm, dry coverings (blankets, hats, mittens).
3. Rewarm the affected area gradually
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Use warm (not hot) water, ideally around 37–39°C (98–102°F), to soak the affected skin for 15–30 minutes.
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If water is not available, use body heat (e.g., placing frostbitten fingers in armpits).
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Do not use direct dry heat (fires, stoves, heating pads) as numb skin can burn easily.
4. Protect from further injury
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Avoid rubbing or massaging the frostbitten area, as this can worsen tissue damage.
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Keep the affected area elevated to reduce swelling.
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If toes or fingers are frostbitten, place clean gauze between them to prevent sticking.
5. Pain management
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Rewarming can be very painful; over-the-counter pain relievers (ibuprofen or acetaminophen) may be used if available and appropriate.
6. Hydration and warmth
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Encourage the person to drink warm fluids (not alcohol or caffeine).
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Wrap them in blankets to maintain body warmth.
7. Seek medical help immediately
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Frostbite is a medical emergency. Severe cases can lead to blisters, tissue death, or even amputation.
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Transport to a hospital as soon as possible, especially if large areas, deep tissues, or the face are involved.
Important:
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If there is a chance the affected area will refreeze before reaching help, do not rewarm it. Refreezing causes far more severe tissue injury.
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