Dale Winick: Severe Frostbite, Infection, and Bilateral Hand Amputation

Dale is rescued with severe frostbite after being stranded. The team warms his fingers and treats infection, but both hands ultimately have to be amputated.

Dale Winick is documented in the episode medical notes with diagnosis: Frostbite, Infection. Treatment listed for the case includes Cefazolin, Bilateral hand amputation. *Diagnosis: **Frostbite **Infection *Doctors: **Derek Shepherd (neurosurgeon) **Preston Burke (cardiothoracic surgeon) **Richard Webber (general surgeon) **Mark Sloan (plastic surgeon) **Callie Torres (orthopedic surgery resident) **Izzie Stevens (surgical intern) *Treatment: **Cefazolin **Bilateral hand amputation Dale, 32, was brought into the hospital with injuries related to being stranded while hiking. He had frostbite on his fingers, which they treated with warm water, but unfortunately, both of his hands had to be amputated.

Severe Frostbite, Infection, Cefazolin, and Bilateral Hand Amputation

A real team would assess cold-exposure duration, core temperature, tissue color and sensation, vascular status, infection signs, compartment or reperfusion concerns, imaging when needed, and response after rewarming.

Management may include controlled rewarming, pain control, wound care, tetanus and infection management, antibiotics when indicated, surgical consultation, and amputation when tissue is nonviable or infected.