Presentation
The purpose of this case report is to present trench foot in a way that is relevant to emergency physicians and to provide an up-to-date summary of the history, case reports, physiology, clinical presentation, and treatment of this injury. [ncbi.nlm.nih.gov]
A swab should be taken and P aeruginosa infection should be considered when patients present with these symptoms. [bjsm.bmj.com]
Often they may both be present at the same time. [neilhopkins.us]
The painful trench foot of World War I has reappeared in the present comparatively trenchless war. In World War I, soldiers got trench foot from sitting for hours with their feet in mud or cold water. [content.time.com]
Entire Body System
-
Outdoor Worker
The Occupational Safety and Health Administration ( OSHA ) publishes OSHA Quick Card, Protecting Workers from Cold Stress for outdoor workers, including construction workers and trade craft. [weatherbuild.co]
-
Sepsis
This is called “Sepsis” and is life-threatening. Immersion foot causes damage to nerves and small blood vessels due to prolonged immersion in cold water. [doomandbloom.net]
Respiratoric
-
Chronic Cough
Your recognised location is United States (US) Chronic cough in a child This article is freely available only to users in the UK. [evidence.nhs.uk]
Musculoskeletal
-
Muscular Atrophy
Objective disturbances of sensation and sweating and muscular atrophy and paralysis now become apparent. These findings are correlated with damage to the peripheral nerves. 6. [ncbi.nlm.nih.gov]
Urogenital
-
Dark Urine
• Dark urine with a very strong odor. b) Prevention. Prevention is the key to prevent dehydration. The following are basic guidelines for the prevention of dehydration: • Always drink water when eating. [neilhopkins.us]
Neurologic
-
Clumsiness
It can make you sleepy, confused, and clumsy. Because it happens gradually and affects your thinking, you may not realize you need help. That makes it especially dangerous. [icdlist.com]
However the symptoms progress to also include worsening clumsiness of the hands (if they are the affected site) and loss of fine motor control. The effects are deeper as well, and the affected skin may appear waxy and firm. [firerescue1.com]
-
Neglect
However, this topic is neglected in the emergency medicine literature. [ncbi.nlm.nih.gov]
Workup
Microbiology
-
Pseudomonas
An infection caused by Pseudomonas aeruginosa, which commonly affects the 2rd, 3rd, and 4th toe webs Predisposing factors High temperatures and humidity, physical stress, tight interdigital spaces, pre-existing tinea pedis Management Local measures; systemic [medical-dictionary.thefreedictionary.com]
WWIF, warm water immersion foot cast foot green infection pseudomonas Statistics from Altmetric.com WWIF, warm water immersion foot cast foot green infection pseudomonas Trench foot 1 and warm water immersion foot (WWIF) 2 have been reported in soldiers [bjsm.bmj.com]
Treatment
Most importantly, the appropriate treatment for immersion foot is different than the treatment for other freezing cold injuries. [ncbi.nlm.nih.gov]
TREATMENT. The objectives of treatment are to protect the frozen area from further injury, to thaw the affected area rapidly, and to be prepared to respond to circulatory or respiratory difficulties. Carefully assess and treat other injuries first. [tpub.com]
Treatment for immersion foot is similar to the treatment for frostbite. Take the following steps: Thoroughly clean and air dry your feet. Do not rub vigorously or towel dry. [tspwiki.com]
Treatment for trench foot is similar to the treatment for frostbite. Take the following steps: Thoroughly clean and dry your feet. Put on clean, dry socks daily. [cdc.gov]
Prognosis
Prognosis depends upon severity. The extent of anaesthesia at 7-10 days has been found a useful guide to the latter, and has formed a basis of a method of classification. 10. Rapid warming of chilled tissues is condemned. [ncbi.nlm.nih.gov]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Prevention
Prevention: Trench foot is easily prevented by keeping the feet warm and dry, and changing socks frequently when the feet cannot be kept dry. [swordofsurvival.com]
Prevention is the key to prevent dehydration. The following are basic guidelines for the prevention of dehydration: • Always drink water when eating. Water is used and consumed as a part of the digestion process. [neilhopkins.us]
The OSHA Quick Card highlights the following five areas about cold stress during cold weather and low temperature events, for safety and health on the construction site: Common types of cold stress; Risk factors; Prevention by the employer; Prevention [weatherbuild.co]
We present this report as a reminder that effective preventive measures should be taken prior to field exercises and deployments. [ncbi.nlm.nih.gov]