Prehospital hypothermia

Prehospital Therapeutic Hypothermia for Cardiac Arrest

Prehospital hypothermia is associated with increased mortality.

Introduction Trauma is leading cause of death among people under the age of 40.[1] Accidental hypothermia, acidosis, and coagulopathy represent the lethal triad in severely injured patients. [2] There is good evidence that unintended hypothermia worsens outcomes after major trauma.[3] We aimed to audit the frequency of hypothermia among seriously injured patients presenting to a UK major trauma...

Prehospital resuscitated cardiac arrest patients: role for induced hypothermia.

This article is a support paper for the National Association of EMS Physicians' position paper on induced therapeutic hypothermia in resuscitated cardiac arrest patients. Induced hypothermia is one of the newest treatments aimed at increasing the dismal neurologically intact survival rate for out-of-hospital cardiac arrest patients. Two landmark studies published in 2002 by the New England Jour...

Prehospital therapeutic hypothermia after cardiac arrest - from current concepts to a future standard

Therapeutic hypothermia has been shown to improve survival and neurological outcome after prehospital cardiac arrest. Existing experimental and clinical evidence supports the notion that delayed cooling results in lesser benefit compared to early induction of mild hypothermia soon after return of spontaneous circulation. Therefore a practical approach would be to initiate cooling already in the...

Efficacy and safety of prehospital rewarming techniques to treat accidental hypothermia.

STUDY OBJECTIVE Evaluation of inhalation rewarming and peripheral rewarming for reducing the body core temperature afterdrop and accelerating rewarming rates. DESIGN Prospective, randomized human experimentation. SETTING Physiology laboratory with cooling during ice water immersion and rewarming in rescue sleeping bags in a windy, cold (2 C) air environment. TYPE OF PARTICIPANTS Eight exp...