By Prof. Dr. Hans Killian (auth.)
This first manuscript on chilly accidents was once written within the interval 1945-1946 because the results of own adventure received within the iciness months of the years 1941-1943 at the Northern entrance in Russia and next experimental paintings on the "Chirurgische Uni versitatsklinik" in Breslau (Wroclav) among 1943 and 1945. The goal on the time of writing used to be to offer a precis of our stories, in order that they may possibly function a foundation for additional medical and medical paintings. The manuscript has continuously been revised and taken brand new. For merely exterior purposes booklet has been not on time until eventually this present day. Our event of chilly protection and of elevated resistance to oxygen deficiency in chilled tissue, bought through the wintry weather classes of the second one global warfare in Russia, served as a foundation for the advance of neighborhood cryanaesthesia and hibernation, which retroactively furthered to a substantial measure our wisdom of chilly and frost accidents. See my monograph at the biology and scientific remedy of the chilly harm and common lack of temperature, which seemed individually in 1966 and discusses all organic adjustments. A accomplished document on chilly accidents was once written in English in 1952 on the instigation of Captain A. R. Behnke jr. united states (M.C.), (not to be had commercially).
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Extra info for Cold and Frost Injuries — Rewarming Damages Biological, Angiological and Clinical Aspects
According to Sapin-Jaloustre (1956) not even frost damage changes essentially the appearance of frostbite, so that it does not seem wise to make a distinction between frostbite with and without freezing of the tissue. Sapin-Jaloustre (1956) quotes in this context the wellknown experiments of Smith et al. (1954), on golden hamsters (hibernators), which after exposure to temperatures between minus 15 0 and minus 3SoC in SO % of the cases apparently survived total freezing easily and without damage.
1940) 1940-1941 Albanian-Italian Greek war Of 400,000 Greek soldiers 28,000 cold injuries apparently occurred. A. (Navy and Air Force): 60,000 cold injuries. Many occurred in Iceland and the Aleutians. In Alsace in 1939/40: 10,000 cold injuries among French troops Mikat (1951) Killian (1966) Webster et al. (1942) Schumaker et al. (1947) Lesser (1945) Harris and Maltby (1944) 41 Historical and Statistical Data on Frostbite Table 5. 9 % of total losses with 10 % extensive loss of tissue Of 10,172 prisoners of war 720 cold injuries Blair (1951) Orr and Fainer (1952) de Bakey (1951) The reports on winter campaigns are, however, of far greater significance.
If the entire hand including the main arteries is damaged by cold, then the area of cold injury generally extends to the end joints of the bones of the fore-arm, since the small wrist bones are supplied by fine retrograde branches from the arcus profundus (Figs. 8 and 9). This is known as "glove frostbite", because it extends as far as that part of the limb covered by a glove. e. where the insulating warming muscular coat and the fatty tissue are minimal or non-existant and those areas over which the skin is taut.