2012
DOI: 10.1016/j.medine.2011.12.002
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Management of severe accidental hypothermia

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Cited by 13 publications
(16 citation statements)
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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%
“…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%
“…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%
“…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%