Cauchy Frostbite Classification

Cauchy frostbite classification (Cauchy 2001): grades day-of-injury frostbite 1–4 from lesion topography, the day-2 bone-scan uptake, and blister character, predicting amputation risk and sequelae.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Lesion topography at day 0
Distal phalanx
Bone-scan uptake
Absent uptake in the carpal / tarsal area

Result: Cauchy grade 4 (set by bone scan): bone amputation of the limb, functional sequelae.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Grades 1-2
grade 1 (no lesion) -- no amputation, no sequela; grade 2 (distal phalanx, clear blisters) -- soft-tissue (nail) amputation.
Grades 3-4
grade 3 (intermediate-proximal phalanx, hemorrhagic blisters, absent digit uptake) -- bone amputation of the digit; grade 4 (carpal-tarsal) -- bone amputation of the limb. Functional sequelae.

What you enter

  • Lesion topography at day 0
  • Bone-scan uptake (day 2)
  • Blister character
How this is calculated

Cauchy E, Chetaille E, Marchand V, Marsigny B. Retrospective study of 70 cases of severe frostbite lesions: a proposed new classification scheme. Wilderness Environ Med. 2001;12(4):248-255. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

Browse all tools

Built by Clay Good. Source on GitHub.