A number of followers of the Kansas Metropolis Chiefs who attended a playoff recreation on a bitterly chilly January day in Missouri suffered frostbite that required amputations, in accordance with the hospital that handled them.

Twelve individuals — together with some soccer followers who have been at Arrowhead Stadium on Jan. 13 — needed to bear amputations involving largely fingers and toes, the hospital, Analysis Medical Heart in Kansas Metropolis, mentioned in an announcement on Saturday.

The middle mentioned it handled dozens of sufferers who skilled frostbite throughout an 11-day chilly snap. Not the entire sufferers who had amputations attended the Chiefs recreation. Some have been individuals who labored outside within the excessive chilly, the hospital mentioned.

The precise variety of followers who attended the sport who had amputations was unclear. The hospital mentioned there was some overlap among the many followers and people who had additionally labored outside.

The hospital additionally famous that signs of frostbite can develop slowly, and that lots of the frostbite sufferers it handled couldn’t establish when their accidents occurred — when their ache, numbness and different signs started.

The hospital mentioned it was a file variety of frostbite sufferers because the burn heart opened 11 years in the past.

The Nationwide Climate Service had warned of harmful temperatures that week, beginning Jan. 6, with Arctic air spilling onto the Plains.

“Our specialised physicians and knowledgeable care staff proceed to deal with and monitor sufferers’ therapeutic to handle long-term wants, and we anticipate extra surgical procedures over the following two to 4 weeks as their accidents evolve,” the hospital mentioned.

At kickoff of the sport between the Kansas Metropolis Chiefs and the Miami Dolphins, temperatures hovered round minus 4 levels, with a windchill of minus 26 levels.

The helmet of Chiefs quarterback Patrick Mahomes cracked open throughout a deal with, a malfunction that the helmet’s producer mentioned was attributable to the intense chilly.

Dr. Megan Garcia, the medical director of the hospital’s Grossman Burn Heart, said in an interview with WDAF-TV that the Chiefs followers who got here in with frostbite accidents needed to schedule amputation surgical procedures after weeks of hospital therapy.

The therapy included rewarming the injured areas, making use of antibiotics and thrombolytic therapy to dissolve blood clots and restore circulation, and hyperbaric oxygen remedy to spice up oxygen to injured areas to scale back swelling.

Sufferers with frostbite expertise “lifelong sensitivity and ache,” Dr. Garcia mentioned, “and can all the time be extra inclined to frostbite sooner or later.”

In the course of the chilly snap in January, the medical heart’s guardian firm posted information about frostbite on its web site, warning that it may possibly occur inside minutes of pores and skin publicity in freezing air, and in much less time with wind chill.

Individuals who work exterior through the winter have been particularly weak, the hospital mentioned in its assertion, as have been individuals “attending soccer video games, the aged, pregnant ladies, and youngsters ready on the bus stops to return to highschool.”

Frostbite occurs in “extraordinarily chilly temperatures,” according to the Centers for Disease Control and Prevention, with damage usually taking place through the thawing course of as vessels grow to be broken by clots and irritation, strangling blood move.

Though frostbite can occur anyplace on the physique, it usually impacts uncovered areas just like the nostril, ears, cheeks, chin, fingers and toes.

Julie Loving, a doctor assistant within the emergency division at Adirondack Medical Heart in Saranac Lake, N.Y., mentioned the hospital treats three to 5 sufferers for frostbite each winter.

After administering treatment to increase blood vessels and generate new tissue, sufferers bear a bone scan, she mentioned.

“Typically it may possibly take days, generally weeks, to decide that somebody wants an amputation,” she mentioned. “When somebody presents on the E.R. that first day, there’s no solution to predict.”

As an alternative, she added, members of the medical employees monitor how the tissue evolves. If the tissue doesn’t regenerate, it turns into contaminated, and that’s when amputation is important, she mentioned.

Extended publicity to chilly climate additionally places individuals liable to hypothermia, a sudden drop of physique temperature, and lung ailments, resembling pneumonia.

A consultant for the Kansas Metropolis Chiefs didn’t instantly reply to a request for touch upon Saturday.

Chilly climate is commonly a characteristic at N.F.L. video games, the place followers bundle up however generally strip down, going shirtless to face out in a crowd.

The coldest recreation recorded in N.F.L. historical past was the Ice Bowl of 1967, when the Inexperienced Bay Packers defeated the Dallas Cowboys in a New 12 months’s Eve recreation. Temperatures in Wisconsin have been at minus 13 levels at kickoff.

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