Management of severe accidental hypothermia

Avellanas, M.L.; Ricart, Antoni; Botella, J.; Mengelle, F.; Soteras, Íñigo; Vereš, Tomo; Vidal, M. A.

doi:10.1016/j.medine.2011.12.002

Cited by 13 publications

(16 citation statements)

References 45 publications

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“…This division seems to be more appropriate because it emphasizes on the effect of the temperature to the outcome of the patient, as this is along with acidosis and coagulopathy a part of the lethal triad in trauma (5). Another possible division is the UIAA MEDDCOM scale designed for the fi rst-contact medicine and for the use of an untrained rescuer: 1st grade -the patient is conscious and shakes (35-32 °C); 2nd grade -the affected person is sleepy and does not tremble (32-28 °C), 3rd grade -the affected person is unconscious, but has vital functions (28-24 °C), 4th grade -absence of vital functions, apparent death (24-13.7 °C), and 5th grade -secondary death for irreversible hypothermia (<13 °C) (6).…”

Section: Hypothermiamentioning

confidence: 99%

Influence of perioperative hypothermia on blood clotting in children

Trčková¹,

Štourač²

2018

BLL

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Section: Hypothermiamentioning

confidence: 99%

Influence of perioperative hypothermia on blood clotting in children

Trčková¹,

Štourač²

2018

BLL

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“…In the pre-hospital setting, prevention of hypothermia or limitation of the progression of hypothermia is often unrecognised or not well managed during treatment of a severely injured trauma patient. Those particularly at risk of developing hypothermia are patients with head injuries, moderate to severe burns, upper spinal cord injuries, penetrating injuries, the elderly, and patients under the influence of alcohol and/or drugs (2,14). Children have an inherently higher metabolic rate than adults and their body surface area to weight ratio is also higher which makes them more vulnerable to heat loss and subsequent hypothermia (15).…”

Section: Discussionmentioning

confidence: 99%

Pre-Hospital Use of Intravenous In-Line Fluid Warmers to Reduce Morbidity and Mortality for Major Trauma Patients: A Review of the Current Literature

Collins

Daly

Johnson

et al. 2015

Australasian Journal of Paramedicine

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IntroductionIn-line fluid warmers are an established treatment for delivering warmed intravenous (IV) fluid in the hospital setting. Recently their potential application within the pre-hospital setting has been highlighted to potentially reduce mortality and morbidity. Currently ambulance paramedics only administer warmed fluid to patients assessed as hypothermic, and this fluid is subject to further cooling on exposure to ambient environmental conditions. This review examined the peer-reviewed literature to determine the available evidence for in-line fluid warmer effectiveness and potential inclusion in pre-hospital emergency care.MethodsA review of the electronic literature, including the Medline and Ebscohost databases was conducted using the terms “intravenous fluid warmers” “hypothermia”, “ trauma”, “ fluid”, “coagulopathy”, “ acidosis”, “hypothermia and trauma patients”, “accidental hypothermia”, “lethal triad” and “trauma care”. Articles were included if they represented a study of in-line fluid warmers within the surgical, general hospital or pre-hospital emergency care settings. Articles not available in English or as full text were excluded.ResultsThe review identified 23 relevant articles for analysis. Of note, up to 40% of trauma patients with signs of hypoperfusion were reported to arrive at hospital in a hypothermic state post-incident. Hypothermia plays a significant role in contributing to the ‘triad of death’- a condition that results in poor patient outcomes and high mortality rates.ConclusionThis review identified that current pre-hospital practice does not prescribe warmed fluid to the normothermic trauma patient. The review also identified that there is a need for in-line fluid warmers in ambulance practice to prevent or limit hypothermia and reduce patient morbidity and mortality associated with trauma.

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“…The condition is classified as mild when CBT is from 35°C to 32°C, moderate when it is from 32°C to 30°C, and acute when it is below 30°C 7. In the cases above mentioned, allowing the correlation between the drug and CT taken, it would be mild hypothermia cases.…”

Section: Discussionmentioning

confidence: 99%

What about temperature? Haloperidol-induced hypotermia

et al. 2013

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The use of treatment with antipsychotic drugs highlights the difficulty of finding the right balance between the benefit on psychotic symptoms and the risk of the occurrence of adverse reactions. There is a strong genetic and pharmacological evidence supporting the hypothesis that activation of D2 receptors could lead to hypothermia and that the treatment haloperidol is capable of inducing hypothermia apomorfino similarily in laboratory animals. It also seems that, haloperidol is not the only antipsychotic able to determine this type of reaction, as some evidence suggests that other drugs such as reserpine, chlorpromazine would be capable of inducing hypothermia. Finally, while some studies suggest the possible occurrence of haloperidol-induced hypothermia only in laboratory animals, other authors argue that this same reaction can occur in humans as well. In this report, we describe the cases, rarely witnessed in the literature, of three patients in whom the administration of haloperidol caused hypothermia.

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Management of severe accidental hypothermia

Cited by 13 publications

References 45 publications

Influence of perioperative hypothermia on blood clotting in children

Influence of perioperative hypothermia on blood clotting in children

Pre-Hospital Use of Intravenous In-Line Fluid Warmers to Reduce Morbidity and Mortality for Major Trauma Patients: A Review of the Current Literature

What about temperature? Haloperidol-induced hypotermia

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