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Fort St. John doctor brings new frostbite treatment to Northern BC


Dr. Jamie Wilkie and a woman stand beside each other outdoors. Dr. Wilkie holds a toddler.
Thanks to Dr. Wilkie (left), there should be less amputations due to frostbite this winter.

Few things can put an end to winter activities as fast as frostbite, but thanks to one Fort St. John doctor, Northern Health may soon have a better way of treating it.

Dr. Jamie Wilkie, a recent graduate of the UBC Family Medicine residency program, saw a need during his residency in Fort St. John to improve how we are dealing with frostbite.

“I previously lived and worked in Hay River [in the Northwest Territories], have dogsledded in the Yukon, and guided canoe trips in all three territories,” says Dr. Wilkie. “I have personally and professionally seen the impacts of frostbite and related exposure injuries.”

Frostbite treatment became the focus of Dr. Wilkie’s resident scholar project. He collaborated with Jessica Brecknock, Regional Medication Use Management Pharmacist, and Kendra Clary, Med Systems Pharmacy Technician, to create a prepackaged treatment plan (order set) for use of the drug iloprost in severe frostbite cases.

“The literature for the use of iloprost in severe frostbite shows a significant decrease in the need for amputations,” says Dr. Wilkie. “The goal of this project is to improve access to the best evidence-based treatments for severe frostbite in Northern BC.”

Northern Health approved this protocol, and it will be available for use this winter. Dr. Wilkie believes this is the first frostbite order set for iloprost in BC.

Dr. Wilkie moved to Fort St. John in June 2017 and is enjoying all the outdoor opportunities the area has to offer. He and his wife have been hiking around places such as Tumbler Ridge, Hudson Hope, and in Stone Mountain Provincial Park to name a few. They have canoed on the Peace River, and done lots of fishing.

“I knew that I loved the North and the access to fishing, hunting, hiking, and sledding,” says Dr. Wilkie. “I wanted to be in a small town and I wanted to practice full-scope family medicine. I looked at residencies all over the US and Canada, and only Fort St. John checked all those boxes.

“I also really like the people. They are hard working, generous, and generally very appreciative of having physicians in town.”