@article{ref1,
title="Mount Everest and Makalu cold injury amputation: 40 years on",
journal="High altitude medicine and biology",
year="2014",
author="Morrison, Shawnda A. and Gorjanc, Jurij and Mekjavić, Igor B.",
volume="15",
number="1",
pages="78-83",
abstract="Freezing cold injuries (frostbite) of the extremities are a common injury among alpinists participating in high altitude expeditions, particularly during inclement weather conditions. Anecdotally, a digit that has suffered frostbite may be at greater risk to future cold injuries. In this case study, we profile a 62-year-old elite alpinist who suffered multiple digit amputations on both his hands and foot after historic summit attempts on Makalu (8481 m) and Mt. Everest (8848 m) in 1974-1979. We describe the clinical treatment he received at that time, and follow up his case 40 years after the first incidence of frostbite utilizing a noninvasive evaluation of hand and foot function to a cold stress test, including rates of re-warming to both injured and non-injured digits. Finger rates of recovery to the cold stress test were not different (0.8 vs. 1.0°C·min(-1)) except one (injured, left middle finger, distal phalanx; 0.4°C·min(-1)). Toe recovery rates after cold-water immersion were identical between previously injured and non-injured toes (0.2°C·min(-1)). Thermocouple data indicate that this alpinist's previous frostbite injuries may not have significantly altered his digit rates of re-warming during passive recovery compared to his non-injured digits.<p /> <p>Language: en</p>",
language="en",
issn="1527-0297",
doi="10.1089/ham.2013.1069",
url="http://dx.doi.org/10.1089/ham.2013.1069"
}