Severe Accidental Hypothermia Center

Darocha, Tomasz; Kosiński, Sylweriusz; Jarosz, Anna; Gałązkowski, Robert; Sadowski, Jerzy; Drwiła, Rafał

doi:10.1097/mej.0000000000000213

Cited by 42 publications

(29 citation statements)

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“…To increase the robustness of data in the future it would be important to have more complete data collection from various regions, inclusion of cases of mild/moderate hypothermia and improved reporting of temperature data. Recent initiatives are working in this direction, for example, the International Hypothermia Registry (https://www.hypothermia-registry.org), an online, prospective multi‐center registry, and the Severe Accidental Hypothermia Center in Cracow, a national network of all pre‐hospital medical services with call to consult services …”

Section: Perspectivementioning

confidence: 99%

Accidental hypothermia in recreational activities in the mountains: A narrative review

Procter

Brugger

Burtscher

2018

Scandinavian Med Sci Sports

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The popularity of recreational activities in the mountains worldwide has led to an increase in the total number of persons exposed to cold and extreme environments through recreation. There is little conclusive evidence about the risk of hypothermia for specific activities or populations, nor is it clear which activities are represented in the literature. This is a non-systematic review of accidental hypothermia in different recreational activities in the mountains, with a specific focus on outdoor or winter activities that potentially involve cold exposure. Cases of hypothermia have been reported in the literature in mountaineering, trekking, hiking, skiing, activities performed in the backcountry, ultra-endurance events, and databases from search and rescue services that include various types of recreation. Of these activities, hypothermia as a primary illness occurs most commonly during mountaineering in the highest elevation areas in the world and during recreation practiced in more northern or remote areas. Hypothermia in skiers, snowboarders, and glacier-based activities is most often associated with accidents occurring off-piste or in the backcountry (crevasse, avalanche). Organizers of outdoor events also have a role in reducing the incidence of hypothermia through medical screening and other preparedness measures. More complete collection and reporting of data on mild hypothermia and temperature measurement would improve our understanding of the incidence of hypothermia in outdoor recreation in future.

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Section: Perspectivementioning

confidence: 99%

Accidental hypothermia in recreational activities in the mountains: A narrative review

Procter

Brugger

Burtscher

2018

Scandinavian Med Sci Sports

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“…hipotermia.edu.pl). System potwierdził już swą skuteczność, ale jest stale poddawany modyfikacjom [26].…”

Section: Zasady Działania Centrum Hipotermii Głębokiejunclassified

Management of hypothermia — Severe Accidental Hypothermia Centre in Krakow

et al. 2015

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“…One of the few such centers is Severe Hypothermia Treatment Center (SHTC) established in Cracow, Poland. Since all stages of diagnostics and treatment have been based on the same original protocol, there is a unique opportunity to conduct an initial comparative data analysis of patients treated under the same conditions in one center in a relatively short period of time [9]. …”

Section: Introductionmentioning

confidence: 99%

Clinical course and prognostic factors of patients in severe accidental hypothermia with circulatory instability rewarmed with veno-arterial ECMO - an observational case series study

Kosiński

Darocha

Jarosz

et al. 2017

Scand J Trauma Resusc Emerg Med

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BackgroundRecently, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has become the rewarming treatment of choice in hypothermic cardiac arrest. The detailed indications for extracorporeal rewarming in non-arrested, severely hypothermic patients with circulatory instability have not been established yet. The primary purpose of the study was a preliminary analysis of all aspects of the treatment process, as well as initial identification of mortality risk factors within the group of severely hypothermic patients, treated with arteriovenous extracorporeal membrane oxygenation (VA-ECMO). The secondary aim of the study was to evaluate efficacy of VA-ECMO in initial 6-h period of treatmentMethodsFrom July 2013 to June 2016, thirty one hypothermic patients were accepted for extracorporeal rewarming at Severe Accidental Hypothermia Center, Cracow. Thirteen patients were identified with circulatory instability and were enrolled in the study. The evaluation took into account patients’ condition on admission, the course of therapy, and changes in laboratory and hemodynamic parameters.ResultsNine out of 13 analyzed patients survived (69%). Patients who died were older, had lower both systolic and diastolic pressure, and had increased creatinine an potassium levels on admission. In surviving patients, arterial blood gases parameters (pH, BE, HCO3) and lactates would normalize more quickly. Their potassium level was lower on admission as well. The values of the core temperature on admission were comparable. Although normothermia was achieved in 92% of patients, none of them had been weaned-off VA-ECMO in the first 6 h of treatment.Discussion and ConclusionsIn our preliminary study more pronounced markers of cardiocirculatory instability and organ hypoperfusion were observed in non-survivors. Future studies on indications to extracorporeal rewarming in severely hypothermic, non-arrested patients should focus on the extent of hemodynamic disturbances. Short term (<6 h) treatment in severe hypothermic, non-arrested patients seems to be not clinically appropriate.

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Severe Accidental Hypothermia Center

Cited by 42 publications

References 0 publications

Accidental hypothermia in recreational activities in the mountains: A narrative review

Accidental hypothermia in recreational activities in the mountains: A narrative review

Management of hypothermia — Severe Accidental Hypothermia Centre in Krakow

Clinical course and prognostic factors of patients in severe accidental hypothermia with circulatory instability rewarmed with veno-arterial ECMO - an observational case series study

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