Hypothermie en traumatologie

Rousseau, J; Marsigny, Bernard; Cauchy, Emmanuel; Jp, Bonsignour

doi:10.1016/s0750-7658(97)89838-3

Cited by 10 publications

(5 citation statements)

References 48 publications

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“…Overall, 132 victims were rescued in a state of hypothermia. Forty percent of them were under 32°C [7]. The common causes for hypothermia were isolation in bad weather (which delays the rescue) (48%), falls in narrow crevasses (40%), and (to a lesser extent) avalanches (12%).…”

Section: Epidemiologymentioning

confidence: 99%

Medical mountain rescue in the Mont-Blanc massif

Marsigny¹,

Lecoq-Jammes²,

Cauchy³

1999

Wilderness & Environmental Medicine

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Because of its peculiar geographic location beneath Mont-Blanc, the Chamonix Hospital plays an important role in the management of mountaineering- and skiing-related traumatic injuries. The authors, thanks to the study of 5200 mountain rescue medical reports, set out to explain the different aspects of this activity: epidemiology, specific equipment, care in the field, reception and primary survey, dispatching, common therapeutic attitudes, progress, and results. In the dangerous environment of the high mountains, emphasis is put on the physicians' experience, allowing an early evacuation in the best conditions to the hospital. Diagnosis at the scene of the accident is very basic, and the initial treatment is based on immobilization, analgesia, and sedating. In the case of resuscitation, only the vital maneuvers are performed; these actions are carried on during the short flight and improved in the crash rooms. Finally, different specific pathologies are mentioned, including cold- or heat-related injuries, exhaustion, lightning strikes, and mountain sickness.

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Section: Epidemiologymentioning

confidence: 99%

Medical mountain rescue in the Mont-Blanc massif

Marsigny¹,

Lecoq-Jammes²,

Cauchy³

1999

Wilderness & Environmental Medicine

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“…General treatment options for AH victims include removal from the cold environment, prevention of further heat loss and the commencement of rewarming [ 15 , 16 ]. Most importantly, the choice of the appropriate rewarming methods and its optimal timing are the key issues in the successful treatment of hypothermia.…”

Section: Discussionmentioning

confidence: 99%

A Survey of Accidental Hypothermia Knowledge among Navy Members in China and the Implications for Training

Qiu

Shi

et al. 2016

IJERPH

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Objectives: Accidental hypothermia (AH) is a potentially life-threatening condition that can lead to significant morbidity and life-long effects. Navy personnel are always at a greater risk of AH due to frequent outdoor work, wilderness exposure, prolonged immobility and exhaustion. The purpose of the survey was to assess Chinese Navy members’ awareness of AH and to make recommendations with regard to better measures for improving it. Methods: 111 Navy members completed a written questionnaire that was subsequently analyzed. Results: 30.6% of the respondents have experienced AH and 64.9% rated their knowledge of AH as “low” or “none”. Over half of them identified the initial symptom of AH as obvious shivering (69.4%) and apathy (45.0%). As for the aggravate symptoms, 60.9% chose the wrong answer of more obvious shivering instead of the right one—absence of shivering (5.4%). In the case of the treatment of mild AH, more than half of the respondents chose the wrong answers. Conclusions: This study suggests that the basic skills of recognition and treatment of AH are inadequate in the Chinese Navy. Further work is required to develop a systematical, comprehensive and corresponding education method that would promote correct actions during AH.

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“…La edad también influye, haciendo que sean más susceptibles tanto las víctimas muy jóvenes como las más ancianas por su escasa respuesta frente a la pérdida de calor. La prevención para minimizar la pérdida de calor y, cuando esté indicado, iniciar el recalentamiento activo, son dos componentes esenciales para una buena asistencia a las víctimas traumáticas 13 .…”

Section: Consecuencias De La Hipotermia En Las Víctimas Traumáticasunclassified

Manejo de la hipotermia accidental severa

Avellanas¹,

Ricart²,

Botella³

et al. 2012

Medicina Intensiva

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Resumen La hipotermia accidental es una patología ambiental con unos principios básicos de clasificación y reanimación que sirven tanto para el medio montañoso, marítimo o urbano. Esta patología ha formado parte, junto a la acidosis y la coagulopatía, de la famosa «tríada letal» de las víctimas traumáticas en situación crítica. En su manejo y asistencia está implicada toda una cadena asistencial que se extiende desde la medicina de urgencia prehospitalaria hasta la medicina intensiva, llegando incluso hasta la cirugía cardiaca y/o a los programas de circulación extracorpórea.Una buena clasificación prehospitalaria del grado de hipotermia facilitará su manejo inicial y evitará traslados interhospitalarios o secundarios innecesarios. Lo fundamental es trasladar, con la mayor urgencia posible, a las víctimas hipotérmicas en asistolia o fibrilación ventricular hasta aquellos hospitales que tengan la capacidad tecnológica adecuada para el tratamiento de estas especiales situaciones clínicas.Este artículo, trata de sentar las bases que faciliten un manejo adecuado de la hipotermia accidental desde la primera asistencia prehospitalaria hasta tratamiento final hospitalario, incluyendo la reanimación y el recalentamiento con circulación extracorpórea. © 2011 Elsevier España, S.L. y SEMICYUC. Todos los derechos reservados. KEYWORDSAccidental hypothermia; Classification of hypothermia; Cardiac arrest; Management of severe accidental hypothermiaAbstract Accidental hypothermia is an environmental condition with basic principles of classification and resuscitation that apply to mountain, sea or urban scenarios. Along with coagulopathy and acidosis, hypothermia belongs to the lethal triad of trauma victims requiring critical care. A customized healthcare chain is involved in its management, extending * Autor para correspondencia. Correo electrónico: mlavellanas@ono.com (M.L. Avellanas). 0210-5691/$ -see front matter

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Hypothermie en traumatologie

Cited by 10 publications

References 48 publications

Medical mountain rescue in the Mont-Blanc massif

Medical mountain rescue in the Mont-Blanc massif

A Survey of Accidental Hypothermia Knowledge among Navy Members in China and the Implications for Training

Manejo de la hipotermia accidental severa

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