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Frostbite can occur in minutes

DES PLAINES, Ill., Jan. 14 (UPI) -- As sub-zero temperatures are being reported across the United States, doctors warn of frostbite danger.

Exposure to very cold can cause the skin cells to become frozen and damaged -- sometimes permanently -- and bad cases may necessitate amputation. Signs that areas may be frostbitten include feeling numb or hard and frozen and appearing waxy, white, or grayish.

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"It takes only minutes for exposed skin to become frostbitten if the temperature falls below 20 degrees F and the wind is blowing at 20 miles per hour or more," Dr. Taizoon Baxamusa, a spokesperson for the American Academy of Orthopaedic Surgeons, said in a statement. "Your hands, fingers, feet, toes and ears are especially susceptible, so you need to take special care protecting them."

Baxamusa recommends taking the following precautions:

-- Dress in layered clothing that provides both ventilation and insulation -- topping off with a water-repellent, rather than waterproof fabric.

-- Check for and cover any areas that expose bare skin to the cold such as a gap between the glove and sleeve.

-- Say no to alcohol, caffeine and nicotine before going out for longer periods because these leave the skin more prone to thermal injury.

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-- Go inside quickly to remove any clothing that has gotten wet.

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