Cold Injury Research Paper

I was just two weeks into my internal medicine rotation at Suez Canal University in Egypt, when I encountered a case that I still remember to this day. Ms. Rafat was an elderly diabetic patient that came into our clinic complaining of a persistent wound on the sole of her foot. Upon removing her boots, her complaint turned out to be a foot ulcer with an infection extending to the first and second metatarsal bones .Unfortunately for her, we had to break the news to her and her family that her foot would need amputation. Ms. Rafat was understandably upset but took the news in stride. Following up on her case, I learned that after the surgery, the blood flow to her leg became increasingly poor and she had to return to have a below the knee amputation. Ms. Rafat ended up dying of pulmonary embolism as a complication of her second surgery. This case stayed with me not only because it

Starting with trench foot, trench foot was a condition caused by the water in the trenches. This happened because the poorly built trenches caused water to stay in the area.The water started to get muddy and since they had no bathroom, the area would just flood with muck. As you would walk back and forth through the water your feet could start to decompose and rot, it could cause hypothermia and many other medical conditions. Another danger was raids and gun fire, The raid would last for a long time . The soldiers would aim to kill the enemy, they would open fire and carry knives , they would try to kill as many on the opposing side as possible. This excerpt from ‘Neath a Foreign sky’ written by paul allen says “men are being evacuated with frostbite and exhaustion by the hundred. Today four men were dug out of the mud who had been unable to move for three days. The conditions were so bad that we were unable to see the actual trenches” this is showing the sickness and dangers of the trenches this shows how terrible the trenches were and how they caused sickness and cold greatly affected the way the soldiers

Objective: To evaluate the bio-debridement effect of maggot therapy for treating chronically infected lesions. Methods: A retrospective study was conducted of 25 patients with diabetic foot ulcers and 18 patients with pressure ulcers after spinal

It was poorly constructed, polluted with human excrement and contained pools of water. Buried about a foot deep, hundreds of Germans and French lied in the trench since last October. Mud was my best friend, and sleep was interrupted by the booming of German shells. There was infection everywhere. Men were blown or shot to pieces, and their bodily fluids fed the rats. Those malicious critters were immense, crawling on and eating the decaying bodies. Some of the men had gotten a nasty disease that ate away at their feet. Trench foot, they called it. Unless we could dry our feet, our feet began to rot. Making up the majority of our diets were stale bread. With no appetite, I starved for most days. And containing no proper washrooms, we had areas in the trench where we relieved ourselves. Oh how the banging never ceased for sixty seconds! Some men were terrified of fighting, mama. Their minds went crooked, and their bodies twitched and trembled constantly. They wouldn't fight, or listen to orders. Most of them were executed, unless they had an injury that could send them home. Mama, Riley was shot in the heart yesterday. But, he died grateful. "It's an end to those shells, bombs, rats, lice and mud," he spoke his last

If the frigid temperatures this winter are causing your feet to burn, itch and you begin to experience painful blisters, then you should know that these problems may be caused by a condition called Chilblains or pernio. This condition is more common than most may believe. Its so common that when one of our patients came in to the office complaining of foot pain we were able to properly diagnose his condition. The patient that came to us recently, had no clue what was causing his foot pain. The toe pain was so intense that he thought his toe was going to fall off over the weekend. To which Dr.Freels explained to him was indeed a real possibility if the condition progressed. The patient has had this issue for several years but only complained of pain during the winter. This year due to a mild winter he was hesitant to go see a specialist because he had not experienced severe pain…yet. Last week during a cold front the patient was in extreme pain and was desperate for help. The patient asked us to share his story so that others are able to get the help they need for their Chilblains.

Gentle active movement of the ankle, circulatory exercise of the foot and knee flexion/extension with straight leg raises (repeat 5-10 times for each exercise)

The soldiers encountered rats and mud filled trenches daily, along with the high possibility of getting trench foot or shell shock. These trenches were rat-infested. Sometimes growing as large as a cat, these rats would scavenge on the dead corpses and spread disease throughout the soldiers and their food supply. This alone put the soldiers at high risk of disease, but the damp, muddy conditions caused an even more dangerous infection called trench foot. Trench foot is when the feet are exposed to the wet, unhygienic environment within the trenches, causing the foot to deform greatly, and turn red or blue, which would finally end in death. As it was common for the soldiers to be standing in water, mud or sludge, trench foot was not rare and effected at one point 80,000 soldiers within a period of two years. Another serious issue during the war was shell shock, which effected at least 80,000 soldiers during the entirety or the war. Unlike rat infestation and trench foot, shell shock was the psychological trauma the men who served of the front line suffered from. They suffered from panic attacks, loss of memory, ringing of the ears and more during the fighting, and for some was still reality years after returning from the battlefields. Medical aid during World War One was at low standard and often said the sufferers of shell shock were cowards and could not handle the brutality of war. Near the ending of the war

When the outside temperature drops you want to make sure you are wearing warm socks and shoes so they are getting adequate protection from the cold weather. A shoe which is encased all around and has a good sole is best. Socks which are made out of wool will give you extra warmth and protection. This is especially important for people who suffer from Diabetes, damaged nerves or poor circulation because they are more likely to experience problems with their feet during cold weather. Chiblains are one example, which appear on the toes as small painful or itchy red lumps and are an abnormal reaction to the

While on tour in Iraq I felt my boots congeal on the hot desert sand.

Oh, Ken! I’m so sorry to hear about your foot and leg are infected again, especially your leg, Ken, because I thought it was getting better. But, when was the last time you saw your doctor, Ken? Didn't he detect that your foot and leg were getting worse when he saw them? I wish I could help you but I can only say you that don't give up and that think that all is going to be well... oh, and send you a giant bear hug.

Some doctors have advised our army that more protective foot wear can help prevent this from happening. They also said that in early stages penicillin or other antibiotics can help, elevation to limbs. But if all else fails amputation is necessary, but only in extreme cases. If you you want to learn more

Cryotherapy is a medical procedure that involves the utilization of extreme cold to destroy any abnormal growth on the skin. It is used to alleviate skin disease such as warts, moles, skin tags, and solar keratoses. Cryotherapy is considered one of the most effective treatments for genital warts. The said procedure can only be done at a doctor's office.

Foot injuries are very common in athletics as well as in everyday life. It’s very debilitating to have a foot injury since we use our feet in all of our daily activities. Research published in "Medicine and Science in Sports and Exercise” indicates that the average adult takes between 5,000 to 7,000 steps a day. Some sports require the most dedicated athletes spend multiple hours a day pounding their feet on the turf or pavement. Most injuries that occur in the foot require a person to try and stay off of it or completely immobilize it. Since this is very difficult for a person to do, a large percentage of foot injuries often have a very high chance of reoccurring. The severity of some injuries that can be deceiving as well. Often times a nagging pain is ignored and eventually becomes a much bigger problem.

This is done when the foot is inverted most of the time. This happens when the foot is awkwardly planted or is stepped upon during activities. Stepping in a surface that is irregular, such as in an athletic event when one player steps on another player foot a sprain can result.

About 6 percent who develop the foot ulcer will be hospitalized due to infection or other ulcer-related complication (APMA, 2014).