Body temperature measurement in ambulance: a challenge of 21-st century?

Podsiadło, Paweł; Darocha, Tomasz; Kosiński, Sylweriusz; Sanak, Tomasz; Gałązkowski, Robert

doi:10.1186/s12873-019-0261-2

Cited by 14 publications

(17 citation statements)

References 16 publications

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“…To our knowledge, this is the first report to describe experiences using a forehead continuous deep temperature monitoring system during air evacuation. Podsiad»o et al 4 reported the results of a questionnaire for all 180 operators of the emergency medical system in Poland concerning the number and models of thermometers. There were 1,582 thermometers, and only 3.28% of ground ambulances were able to follow international guidelines regarding a patient's core body temperature precisely.…”

Section: Discussionmentioning

confidence: 99%

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Experience Using a Forehead Continuous Deep Temperature Monitoring System During Air Evacuation

Jitsuiki

Omori

Muramatsu

et al. 2021

Air Medical Journal

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The present study describes the utility of a forehead continuous deep temperature monitoring system by the staff members of a doctor helicopter (DH). Methods: A questionnaire survey was performed for all flight doctors who had used this system during transportation by the DH to assess its merits and demerits. Results: The major benefits of this system were its easy usability, disposable nature, low labor cost, continuous demonstration of the deep temperature in a prehospital setting, and low invasiveness. However, drawbacks of this system include its cost; need for a power supply; need for a few minutes for calibration to obtain stable results of temperature, making it impossible to verify the effects of intervention for body temperature during a short flight; and lack of a detachable measuring pad for the forehead when a patient has an injury on the face or head and hyperhidrosis. In addition, the system's attached cables may hamper medical interventions. Conclusion:We reported the experience of DH staff using a forehead continuous deep temperature monitoring system in the prehospital setting. Further studies will be required to determine the indications for using such a system in the prehospital setting.

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Section: Discussionmentioning

confidence: 99%

“…[1][2][3] However, it is not easy to measure the deep temperature in a prehospital setting because suitable equipment is lacking. 4 Recently, a forehead continuous deep temperature monitoring system was developed (3M Bair Hugger; 3M, St. Paul, MN) (Fig. 1).…”

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confidence: 99%

Experience Using a Forehead Continuous Deep Temperature Monitoring System During Air Evacuation

Jitsuiki

Omori

Muramatsu

et al. 2021

Air Medical Journal

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“…Because there is no legal provision to equip ambulances with Tc-reading thermometers, it is likely that pre-hospital services are equipped with muchless-expensive, standard medical thermometers able to measure the temperature of the body surface [5]. However, it must be strongly stressed that the temperature of the body surface, mouth, or even that of the auditory canal (especially measured with an infra-red sensor), does not reflect the core temperature [6][7][8].…”

Section: Discussionmentioning

confidence: 99%

Implementation of European Resuscitation Council guidelines: measurement of core body temperature in Emergency Medical Services in Europe

Podsiadło¹,

Darocha²,

Kosiński³

et al. 2020

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Introduction: Precise assessment of core body temperature is required for the optimal treatment of hypothermic patients according to European Resuscitation Council (ERC) guidelines. Core temperature is the cutoff criterion for some crucial therapeutic decisions in the treatment of severe hypothermia. Because the medical equipment is expensive, it is likely that pre-hospital services are equipped according to the minimal legal requirements. Aim of the research: To identify the legal provisions for suitable equipment and staff eligibility for core temperature measurement in European emergency medical services. Material and methods: The questionnaires that consisted of two questions pertaining to legal regulations were distributed among Ministries of Health and ERC representatives in every country of the European Union. Results: Eighteen out of 28 countries returned completed questionnaires. None of the analysed countries have official legal requirements regarding ambulance equipment with thermometers suitable for measuring core temperature. Most of the analysed countries have no legal provisions pertaining to the eligibility of medical staff to measure core temperature in ambulances. Conclusions: Official regulations in European countries do not require emergency medical services to be equipped with thermometers suitable for measuring core temperature. Medical staff eligibility in this field has not been established in most countries. This may limit the possibilities for pre-hospital management of hypothermic patients according to ERC guidelines. Streszczenie Wprowadzenie: Prawidłowe postępowanie z pacjentem w hipotermii opisane w wytycznych Europejskiej Rady Resuscytacji (ERC) wymaga dokładnego pomiaru temperatury głębokiej ciała. Zgodnie z tymi wytycznymi temperatura głęboka jest punktem odcięcia dla szeregu kluczowych decyzji terapeutycznych, takich jak wstrzymanie podawania leków lub ograniczenie liczby prób defibrylacji elektrycznej. Również decyzja o transporcie pacjenta do ośrodka, który posiada ogrzewanie pozaustrojowe, ściśle zależy od temperatury. Ze względu na koszty sprzętu medycznego można się spodziewać, że służby ratownicze otrzymują wyposażenie na minimalnym poziomie wymaganym przez przepisy prawa. Cel pracy: Ocena uregulowań prawnych dotyczących wyposażenia ambulansów i uprawnień personelu medycznego w zakresie pomiaru temperatury głębokiej na etapie przedszpitalnym w krajach Unii Europejskiej. Implementation of European Resuscitation Council guidelines: measurement of core body temperature in Emergency Medical Services in Europe Medical Studies/Studia Medyczne 2020; 36/1 Materiał i metody: Przeprowadzono badanie ankietowe. Ankietą objęto ministerstwa zdrowia oraz lokalne przedstawicielstwa ERC we wszystkich krajach Unii Europejskiej. Wyniki: Odpowiedzi uzyskano z 18 spośród 28 krajów. W żadnym z państw nie ma oficjalnych wymagań dotyczących wyposażenia ambulansów w termometry przystosowane do pomiaru temperatury głębokiej. Większość krajów nie zdefiniowała uprawnień personelu medycznego do takiego...

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“…Therefore, the patient's BT can be used to guide the selection of an appropriate medical facility [1,4]. However, measuring core BT such as the esophageal temperature is generally unavailable in pre-hospital settings [5]. Axillary temperature is typically used in the out-of-hospital setting; however, this temperature does not necessarily accurately re ect the core BT [6].…”

Section: Introductionmentioning

confidence: 99%

Clinical relevance of impaired consciousness in accidental hypothermia: A Japanese multicenter retrospective study

Fukuda

Nozawa

Okada

et al. 2021

Preprint

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Background This study aimed to investigate the association between level of impaired consciousness and severe hypothermia less than 28°C among accidental hypothermia. Severe accidental hypothermia (AH) is a life-threatening condition, and early identification can enable transport to an appropriate medical facility. The Swiss staging system has been used to classify patients with AH, but little is known regarding the association between the level of impaired consciousness and core body temperature (BT) in AH. This study aimed to clarify the association between level of impaired consciousness and core BT and determine whether the level of impaired consciousness could be used to predict severe hypothermia and in-hospital mortality among patients with AH. Results The study included 505 of 572 patients in the J-point registry. Relative to mildly impaired consciousness (Glasgow coma scale (GCS) 13–15), the adjusted odds ratios for severe hypothermia were moderate (GCS9-12) 3.26 (95% CI: 1.69–6.25) and severe (GCS < 9) 4.68 (95% CI: 2.40–9.14) for severely impaired consciousness. Relative to mildly impaired consciousness (GCS 13–15), the adjusted odds ratios for in-hospital mortality were moderate (GCS9-12) 1.65 (95% CI: 0.95–2.88) and severe (GCS < 9) 2.10 (95% CI: 1.17–3.78). Conclusions The level of impaired consciousness in patients with accidental hypothermia may predict severe hypothermia and in-hospital mortality.

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Body temperature measurement in ambulance: a challenge of 21-st century?

Cited by 14 publications

References 16 publications

Experience Using a Forehead Continuous Deep Temperature Monitoring System During Air Evacuation

Experience Using a Forehead Continuous Deep Temperature Monitoring System During Air Evacuation

Implementation of European Resuscitation Council guidelines: measurement of core body temperature in Emergency Medical Services in Europe

Clinical relevance of impaired consciousness in accidental hypothermia: A Japanese multicenter retrospective study

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