Accidental hypothermia—Update 2023
نویسندگان
چکیده
Akzidentelle Hypothermie ist ein unwillkürlicher Abfall der Körperkerntemperatur (KKT) < 35 °C. Vasokonstriktion und Muskelzittern sind wichtige gegenregulatorische Mechanismen; versagen diese, sinkt die KKT weiter ab, das sistiert, Patient verliert zunehmend Bewusstsein; Risiko eines Herz-Kreislauf-Stillstands steigt 32 °C an. Eine kann ganzjährig auch in geschlossenen Räumen auftreten. Die primäre wird durch Kälteeinwirkung auf einen gesunden Organismus ausgelöst. Bei sekundären induzieren andere pathologische Zustände Störung Thermoregulation Temperaturabfall. sollte als Vitalparameter bei jedem Notfallpatienten gemessen werden. Patienten mit milder (> °C) können aktive Bewegung, trockene Kleidung warme Getränke wiedererwärmt KKT< stehen Sicherung Vitalfunktionen, bewegungsarme Versorgung Ganzkörperisolation im Vordergrund. einem hypothermiebedingten Herz-Kreislauf-Stillstand sollten extrakorporal werden; Prognose günstig.
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ژورنال
عنوان ژورنال: Notfall & Rettungsmedizin
سال: 2023
ISSN: ['1434-6222', '1436-0578']
DOI: https://doi.org/10.1007/s10049-023-01180-7