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may be useful as in field adjunct Other Avoid tobacco use, smoking Pharmacological Analgesia Rewarming is often a painful process Enteral and parenteral analgesia should be administered, including opioids NSAIDS All patients should be started on Ibuprofen for its anti-inflammatory affects in addition to analgesic 400 mg two or three times a day is a practical dose Oxygen Supplemental oxygen in theory increases tissue oxygenation Oxygen supplementation at lower altitudes is debated Maintain at least 90% saturations Tetanus Follow standard tetanus guidelines Antibiotics Controversial

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