{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T19:25:27Z","timestamp":1748114727431,"version":"3.38.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p> To assess whether previous freezing cold injuries (FCI) would affect digit skin temperatures and rewarming rates during a follow-up cold stress test protocol. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p> Nonrandomized control trial. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Twenty elite alpinists participated; alpinists with previous FCI requiring digit amputations (injured, INJ: n = 10 total, n = 8 male) were compared with ability-matched, uninjured alpinists (control, CON: n = 10, all male). Digit skin temperature was measured using infrared thermography as an index of peripheral digit perfusion after a cold stress test, which consisted of 30 minutes of immersion in 8\u00b0C water. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The INJ alpinists\u2019 injured toes were warmer (approximately 6%) than their uninjured toes immediately after cold immersion (95% CI, 0.01\u00b0C to 1.00\u00b0C; P = .05); there were no differences between the rates of rewarming of injured and uninjured toes (INJ, 0.5\u00b0 \u00b1 0.1\u00b0C\/min; CON, 0.7\u00b0 \u00b1 0.3\u00b0C\/min; P = .16). Although the INJ alpinists had colder injured fingers immediately after the 35\u00b0C warm bath compared with their own uninjured fingers (32.2\u00b0 \u00b1 2.0\u00b0C vs 34.5\u00b0 \u00b1 0.5\u00b0C; P = .02), there were no differences observed between the rates of rewarming of injured and uninjured fingers after cold exposure (INJ, 1.1\u00b0 \u00b1 0.2\u00b0C\/min; CON, 1.3\u00b0 \u00b1 0.5\u00b0C\/min; P = .22). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Even after FCI that requires digit amputation, there is no evidence of different tissue rates of rewarming between the injured and uninjured fingers or toes of elite alpinists. <\/jats:p><\/jats:sec>","DOI":"10.1016\/j.wem.2014.12.026","type":"journal-article","created":{"date-parts":[[2015,3,6]],"date-time":"2015-03-06T01:45:18Z","timestamp":1425606318000},"page":"295-304","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Finger and Toe Temperature Responses to Cold After Freezing Cold Injury in Elite Alpinists"],"prefix":"10.1177","volume":"26","author":[{"given":"Shawnda A.","family":"Morrison","sequence":"first","affiliation":[{"name":"Environmental Physiology and Ergonomics Laboratory, Department of Automation, Biocybernetics and Robotics, Jo\u017eef Stefan Institute, Ljubljana, Slovenia (Drs Morrison and Mekjavic)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jurij","family":"Gorjanc","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hospital of the Brothers of St. John of God, St.Veit\/Glan, Austria (Dr 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