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Show Notes
Author: Aaron Lessen, MD
Educational Pearls:
- Several studies have shown administration of tPA can improve outcomes and reduce need for amputation
- tPA is considered in grade III and IV frostbite
- tPA cannot be given until after the warming process
- Administration is systemically, not catheter directed or intra-arterial
References:
Jones LM, Coffey RA, Natwa MP, Bailey JK. The use of intravenous tPA for the treatment of severe frostbite. Burns. 2017 Aug;43(5):1088-1096. doi: 10.1016/j.burns.2017.01.013. Epub 2017 Jan 31. PubMed PMID: 28159151.
Wexler A, Zavala S. The Use of Thrombolytic Therapy in the Treatment of Frostbite Injury. J Burn Care Res. 2017 Sep/Oct;38(5):e877-e881. doi: 10.1097/BCR.0000000000000512. PubMed PMID: 28296671.
Summarized by Travis Barlock, MS4 | Edited by Erik Verzemnieks, MD