When Rescuers Become Patients

This scenario explores the management of nonfreezing cold immersion injury (NFCI) in a Disaster Medical Assistance Team (DMAT) field hospital setting. The scenario involves a 38-year-old firefighter/EMT who, after prolonged exposure to cold floodwaters, presents with severe pain and swelling in his lower extremities. The case highlights the clinical presentation, diagnostic challenges, and treatment strategies for NFCI, emphasizing the importance of timely intervention and appropriate care in austere environments. Key teaching points include the recognition and management of mild hypothermia, differential diagnosis of cold and wet exposure, and effective communication and teamwork in a field hospital context. The case also discusses the logistical considerations for patient transfer and the critical actions required to stabilize and manage NFCI in a resource-limited setting. This study serves as a valuable educational tool for medical professionals working in disaster response and emergency medicine.