Similar to frostbite, re-warming of the extremity is required. This is done by air drying at room temperature. Pain control may be required along with debridement. Prophylactic antibiotics have not been shown to result in improved outcomes, but if concerned that infection is present, treatment should target streptococcal, staphylococcal, and P aeruginosa based on local antibiogram while awaiting any available cultures.9 Similar to other cold injuries, persistent life altering symptoms can persist.