Two men choose to go ice fishing toward the end of the winter season. They are dressed in light clothing, including rubber fishing boots, as the weather has been warming and they expected the cabin to be warm. They did not notice the weather report of high humidity and wind. They spend the day fishing on the ice without moving much. On exiting the ice, one man splashes into the lake up to his hip. The other man now presents to the ED for treatment of frostbite of his feet. His friend has been massaging them en route to the ED, and the patient insists that this makes his feet feel better. You tell them to cease massage. You also notice that the second man is wet up to the level of his hips and shivering. Describe the explanation you would give to these patients and the evidence base that guides your response regarding massage in frostbite cases. Describe how you would proceed with managing the care of the patient with frostbite. What would you do for the second patient regarding registration in the ED and management? What are your priority assessments for him?
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