Thermoregulation after Injury

Stoner, H. B.

doi:10.1007/978-1-4684-3228-2_52

Cited by 7 publications

(4 citation statements)

References 10 publications

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“…Heated humidified oxygen is not effective as a solitary rewarming method, 30 –32 but it can be used as an adjunct to other methods. 26 Heated humidified oxygen has the potential to cause facial burns. 32…”

Section: Methodsmentioning

confidence: 99%

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Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Dow

Giesbrecht

Danzl

et al. 2019

Wilderness & Environmental Medicine

121

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To provide guidance to clinicians, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and a balance between benefits and risks/burdens according to the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is

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Section: Methodsmentioning

confidence: 99%

“…Conditions such as sepsis and severe trauma can decrease physiologic reserves and may decrease or abolish shivering. 26 Many drugs and medications 27 suppress shivering. 28 Recommendation.…”

Section: Associated Conditions Complicating the Field Classification ...mentioning

confidence: 99%

Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Dow

Giesbrecht

Danzl

et al. 2019

Wilderness & Environmental Medicine

121

View full text Add to dashboard Cite

show abstract

“…Conditions, such as sepsis and severe trauma, that decrease physiologic reserves decrease or abolish shivering. 23 Many drugs and medications also suppress shivering. 24 Recommendation.…”

Section: Associated Conditions Complicating the Field Classification ...mentioning

confidence: 99%

Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2014 Update

Zafren

Giesbrecht

Danzl

et al. 2014

Wilderness & Environmental Medicine

130

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To provide guidance to clinicians, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia published in Wilderness & Environmental Medicine 2014;25(4):425-445.

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“…Thermostability is challenged in traumatized patients due to several factors. The body may lose both central thermoregulation and peripheral shivering after traumatic injury [ 4 , 5 ]. Anaesthesia, which redistributes heat through vasodilatation, combined with a low ambient temperature, infusion of cold fluids, exposure of the skin and organs, blood loss and the altered distribution of body heat contributes to the development of hypothermia [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Temperature measurements in trauma patients: is the ear the key to the core?

Uleberg

Eidstuen

Vangberg

et al. 2015

Scand J Trauma Resusc Emerg Med

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IntroductionIt is important to monitor the core temperature in a severely injured patient. The choice of method is controversial, and different thermometers and sites for measurement are used. The aim of this study was to investigate continuous epitympanic temperature measurement using an auditory canal sensor in potentially severely injured patients and to compare this method with other commonly used devices.MethodsIn this cohort of potentially severely injured patients, the core temperature was registered continuously using an epitympanic sensor in the auditory canal, beginning at the accident scene through the first hours after admittance to the hospital. According to clinical practice, other methods of measurement were employed during pre- and in-hospital diagnostics and therapeutics. The consistency between different methods was analysed using Bland-Altman plots, and the limits of agreement (LOA) and bias between methods was estimated.ResultsDuring the study period, 18 patients were included. A total of 393 temperature measurements were obtained using seven different methods. We found that temperature measurements in the auditory canal agreed satisfactorily with most other types of measurements. The most consistent measurement was observed with bladder measurements (bias 0.43 °C, LOA −0.47, 1.33 °C), which was constant over the temperature range investigated (30.0 - 38.3 °C).ConclusionEpitympanic temperature measurement in potentially severely injured patients was consistent with other methods that were commonly used to measure core temperature. The difference between measurement methods appeared to be constant over the relevant temperature range. Continuous epitympanic thermometry can be considered a reliable, cost-effective and simple alternative compared with more invasive methods of thermometry.

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Thermoregulation after Injury

Cited by 7 publications

References 10 publications

Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2014 Update

Temperature measurements in trauma patients: is the ear the key to the core?

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