How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

226 results for

Accidental Hypothermia Management

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. CRACKCast E140 – Accidental Hypothermia

airway management should be performed if indicated, since the risk of triggering a malignant arrhythmia is low. Highly recommend checking out this figure as it covers all priorities: If you want some excellent summaries of Dr. Doug Brown’s work regarding accidental hypothermia in the prehospital setting check out: This post was created and copyedited by Dillan Radomske ( ) (Visited 1,907 times, 1 visits today) Dillan Radomske Dillan Radomske is an Emergency Medicine resident at the University (...) CRACKCast E140 – Accidental Hypothermia CRACKCast E140 – Accidental Hypothermia - CanadiEM CRACKCast E140 – Accidental Hypothermia In , , by Dillan Radomske January 2, 2018 This episode of CRACKCast covers Rosen’s Chapter 132, Accidental Hypothermia. Hypothermic patients will appear in the ED at any time and in any season. After listening to this podcast, you will be able to systematically approach these patients with ease. Shownotes: Rosen’s in Perspective Accidental hypothermia has been

2018 CandiEM

2. Accidental Hypothermia Clinical Practice Guideline for British Columbia

Accidental Hypothermia Clinical Practice Guideline for British Columbia Version 1.03: December 9, 2016 Page 1 of 15 Accidental Hypothermia Clinical Practice Guideline for British Columbia Accidental Hypothermia – Evaluation, Triage & Management Version 1.03: December 9, 2016 Written by: Dr. Doug Brown & BC Accidental Hypothermia Working Group Scope The objective of this guideline is to improve the efficiency and effectiveness of the management of accidental hypothermia in British Columbia (...) . The use of simplified clinical staging, suggested treatment guidelines as well as triage and transportation algorithms has the potential to decrease morbidity and mortality of patients with accidental hypothermia in British Columbia. 1,2 Target Population Adults and children with a core temperature below 35 o C presenting to emergency departments, physicians’ offices, walk-in clinics, nursing stations and pre-hospital care providers. Applicable Diagnositic Codes: ICD 10 T68 Evaluation and Diagnosis

2016 Clinical Practice Guidelines and Protocols in British Columbia

3. Managing accidental hypothermia: a UK-wide survey of prehospital and search and rescue providers. (PubMed)

Managing accidental hypothermia: a UK-wide survey of prehospital and search and rescue providers. The management of hypothermic casualties is a challenge faced by all prehospital and search and rescue (SAR) teams. It is not known how the practice of these diverse teams compare. The aim of this study was to review prehospital hypothermia management across a wide range of SAR providers in the UK.A survey of ground ambulances (GAs), air ambulances (AAs), mountain rescue teams (MRTs, including (...) and GAs, 93% of LRTs, 80% of CRTs, 75% of MRTs and 31% of LLOs. The favoured anatomical site for temperature measurement was tympanic. Protocols for packaging hypothermic casualties were reported by 73% of services.This survey describes current practice in prehospital hypothermia management, comparing the various methods used by different teams, and provides a basis to direct further education and research.© Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions

2018 Emergency Medicine Journal

4. Accidental Hypothermia Management

Accidental Hypothermia Management Accidental Hypothermia Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Accidental (...) Hypothermia Management Accidental Hypothermia Management Aka: Accidental Hypothermia Management , Hypothermia Management From Related Chapters II. Precautions is preferred management for severe (<28 C) or severe cardiac dysrhythmia (e.g. ) See for related complications (e.g. ) Anticipate malignant arrhythmia on rewarming (rescue collapse) Avoid measures that provoke arrhythmias (e.g. jostling or moving patient) Be prepared for recurrent arrhythmia Continuous monitoring and pads kept in place Most non

2018 FP Notebook

5. Measurement of Serum Potassium Rate During Accidental Hypothermia.

Measurement of Serum Potassium Rate During Accidental Hypothermia. Measurement of Serum Potassium Rate During Accidental Hypothermia. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Measurement of Serum (...) : University Hospital, Grenoble Collaborators: University Grenoble Alps Emergency Department, University Hospital Vaudois, Lausanne Emergency Department, Hospital of Valais, Sion Information provided by (Responsible Party): University Hospital, Grenoble Study Details Study Description Go to Brief Summary: Serum Potassium Rate (PR) is a key indicator for medical management of patients with accidental hypothermia particularly for hypothermia related cardiac arrest (CA). Experts recommend a cut-off value

2017 Clinical Trials

6. Profound Accidental Hypothermia: Systematic Approach to Active Recognition and Treatment (PubMed)

(resuscitation times from arrest to extracorporeal membrane oxygenation implantation ranged 107-345 minutes). Seven patients died, and the remaining 14 have been rewarmed with the restoration of hemodynamic stability. Systematic approach to active recognition and treatment of profound accidental hypothermia patients, on the basis of HC cooperation with emergency medical services, enables advanced management with good outcomes, especially in patients with cardiac arrest. (...) Profound Accidental Hypothermia: Systematic Approach to Active Recognition and Treatment We sought to organize a functional system of recognition and advanced treatment of hypothermic patients with extracorporeal rewarming as a treatment option. All patients with suspected hypothermia are consulted with the hypothermia coordinator (HC), whose role is to provide expertise on hypothermia recognition and treatment to all rescue and medical services. Patients with Swiss staging system

Full Text available with Trip Pro

2017 Asaio Journal

7. Severe accidental hypothermia treated with cardiopulmonary bypass (PubMed)

Severe accidental hypothermia treated with cardiopulmonary bypass This case report describes the successful treatment of severe accidental hypothermia with cardiopulmonary bypass (CPB). A known intravenous drug misuser aged 22 years was found to be unresponsive at his home (winter evening) with a Glasgow coma scale of 3/15. In the ambulance, the patient went into cardiac arrest, cardiopulmonary resuscitation being started. On arrival to the emergency department, he had a core body temperature (...) of 27°C which was refractory to conservative management. He underwent femoro-femoral CPB, which was successful in rewarming the patient slowly. The patient was discharged home with no neurological deficit 10 days later.2016 BMJ Publishing Group Ltd.

Full Text available with Trip Pro

2016 BMJ case reports

8. Extracorporeal Life Support for Refractory Cardiac Arrest from Accidental Hypothermia: A 10-Year Experience in Edinburgh. (PubMed)

Extracorporeal Life Support for Refractory Cardiac Arrest from Accidental Hypothermia: A 10-Year Experience in Edinburgh. Cardiac arrest caused by accidental hypothermia is a rare phenomenon with a significant mortality rate if untreated. The consensus is that these patients should be rewarmed with extracorporeal life support (ECLS) with the potential for excellent survival and neurologic outcomes. However, given the lack of robust data and clinical trials, the optimal management (...) impairment.Our case series shows the remarkable salvageability of patients suffering prolonged cardiac arrest caused by accidental hypothermia, particularly in the absence of asphyxia, trauma, or severe hyperkalemia. ECLS is a safe and effective rewarming treatment and should be used to aggressively manage this patient group.Copyright © 2016 Elsevier Inc. All rights reserved.

2016 Journal of Emergency Medicine

9. Accidental hypothermia-an update : The content of this review is endorsed by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). (PubMed)

Accidental hypothermia-an update : The content of this review is endorsed by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). This paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest.The authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this narrative review.The hospital use of minimally-invasive rewarming for non (...) triage, transport and treatment as well as in-hospital management, including detailed criteria and protocols for the use of ECLS and post-resuscitation care.Based on new evidence, additional clinical experience and clearer management guidelines and documentation, the treatment of accidental hypothermia has been refined. ECLS has substantially improved survival and is the treatment of choice in the patient with unstable circulation or cardiac arrest.

Full Text available with Trip Pro

2016 Scandinavian journal of trauma, resuscitation and emergency medicine

10. Accidental Hypothermia

Accidental Hypothermia Accidental Hypothermia Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Accidental Hypothermia Accidental (...) Hypothermia Aka: Accidental Hypothermia , Hypothermia , Hypothermia due to Exposure From Related Chapters II. Definition Core <95 F (35 C) III. Epidemiology U.S. Deaths: 1500 per year (50% are over age 65 years) IV. Risk Factors Extremes of age or other Comorbid illness Poor Homeless V. Causes See VI. Mechanism Radiative heat loss (50% of heat loss) Majority of radiative heat loss via head (60%) Conductive heat loss (2-3% of heat loss) Wet clothing: Heat loss increases x5 Cold water immersion: Heat loss

2018 FP Notebook

11. Hypothermia

approximately 310,000 deaths before the patient reaches the hospital Emergency Department each year in the United States. Sudden cardiac death occurs more often in patients who are recovering from a heart attack or whose hearts have a reduced ability to pump 2009 5. Therapeutic Hypothermia after Cardiac Arrest ANZCOR Guideline 11.8 January 2016 Page 1 of 8 ANZCOR Guideline 11.8 – Targeted Temperature Management (TTM) after Cardiac Arrest Summary This guideline provides advice on targeted temperature (...) effects, and the incidence of disability in survivors is not increased. Infants with severe encephalopathy are less likely to benefit from treatment. Cooling may be achieved by either total body or selective head cooling. As cooling is now 2012 8. Clinical practice guideline for the management of inadvertent perioperative hypothermia in adults The management of inadvertent perioperative hypothermia in adults clinical practice guidelines APR I L 2008 Commissioned by the National Institute for Health

2018 Trip Latest and Greatest

12. The prehospital management of hypothermia - An up-to-date overview. (PubMed)

The prehospital management of hypothermia - An up-to-date overview. Accidental hypothermia concerns a body core temperature of less than 35°C without a primary defect in the thermoregulatory system. It is a serious threat to prehospital patients and especially injured patients, since it can induce a vicious cycle of the synergistic effects of hypothermia, acidosis and coagulopathy; referred to as the trauma triad of death. To prevent or manage deterioration of a cold patient, treatment (...) of hypothermia should ideally begin prehospital. Little effort has been made to integrate existent literature about prehospital temperature management. The aim of this study is to provide an up-to-date systematic overview of the currently available treatment modalities and their effectiveness for prehospital hypothermia management.Databases PubMed, EMbase and MEDLINE were searched using the terms: "hypothermia", "accidental hypothermia", "Emergency Medical Services" and "prehospital". Articles

2017 Injury

13. Case Report: Hypothermia and Traumatic Arrest in the Game of Thrones

is Coming”. HBO Canada. Game of Thrones S05E10. This post was copy-edited and uploaded by and . References 1. Lockey D, Crewdson K, Davies G. Traumatic cardiac arrest: who are the survivors? Ann Emerg Med . 2006;48(3):240-244. [ ] 2. ATLS S, American C, International A. Advanced trauma life support (ATLS®): the ninth edition. J Trauma Acute Care Surg . 2013;74(5):1363-1366. [ ] 3. Kempainen R, Brunette D. The evaluation and management of accidental hypothermia. Respir Care . 2004;49(2):192-205. [ ] 4 (...) Case Report: Hypothermia and Traumatic Arrest in the Game of Thrones Game of Thrones Case Report - Hypothermia in Traumatic Cardiac Arrest Resuscitation Case Report: Hypothermia and Traumatic Arrest in the Game of Thrones In by Will Wu August 22, 2017 Be warned: this case report contains spoilers for Game of Thrones Season 5 and 6. Patient Presentation and History A 21-year-old man, by the name of Lord Commander Jon Snow, was discovered unconscious and unresponsive after receiving multiple stab

2017 CandiEM

14. Accidental hypothermia in Poland – estimation of prevalence, diagnostic methods and treatment. (PubMed)

Accidental hypothermia in Poland – estimation of prevalence, diagnostic methods and treatment. The incidence of hypothermia is difficult to evaluate, and the data concerning the morbidity and mortality rates do not seem to fully represent the problem. The aim of the study was to estimate the actual prevalence of accidental hypothermia in Poland, as well as the methods of diagnosis and management procedures used in emergency rooms (ERs).A specially designed questionnaire, consisting of 14 (...) is rarely conducted in intensive care wards and extracorporeal rewarming techniques are not used. It may be expected that personnel education and the development of management procedures will brighten the prognosis and increase the survival rate in accidental hypothermia.

Full Text available with Trip Pro

2015 Scandinavian journal of trauma, resuscitation and emergency medicine

15. Surviving Two Hours of Ventricular Fibrillation in Accidental Hypothermia. (PubMed)

Surviving Two Hours of Ventricular Fibrillation in Accidental Hypothermia. Cardiac arrest as a consequence of deep accidental hypothermia is associated with high mortality. Standardized prehospital management as well as rewarming with extracorporeal circulation (ECC) are important factors to improve survival. The objective of this case report is to illustrate the importance of effective cardiopulmonary resuscitation (CPR) and ECC in a cardiac arrest following deep accidental hypothermia.A 42 (...) the patients was pulseless. At a core temperature of 30°C, one defibrillation restored sinus rhythm and subsequently stable circulation was achieved. The patient received a further 24 hours of hypothermia treatment at 32-34°C. He was discharged to rehabilitation facilities after 3 weeks of hospital care. Three months after the cardiac arrest the patient was fully recovered, was back to work, and had resumed normal activities.We demonstrate a case of cardiac arrest due to deep accidental hypothermia

2014 Prehospital emergency care

16. Accidental Hypothermia Management

Accidental Hypothermia Management Accidental Hypothermia Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Accidental (...) Hypothermia Management Accidental Hypothermia Management Aka: Accidental Hypothermia Management , Hypothermia Management From Related Chapters II. Precautions is preferred management for severe (<28 C) or severe cardiac dysrhythmia (e.g. ) See for related complications (e.g. ) Anticipate malignant arrhythmia on rewarming (rescue collapse) Avoid measures that provoke arrhythmias (e.g. jostling or moving patient) Be prepared for recurrent arrhythmia Continuous monitoring and pads kept in place Most non

2015 FP Notebook

17. The Management of Accidental Hypothermia (PubMed)

The Management of Accidental Hypothermia Accidental general hypothermia is defined as an unintentional lowering of the body temperature in a previously conscious patient due to exposure. Even mild degrees of hypothermia may be followed by death if treatment is not instituted promptly. Hypothermic patients who are still conscious may rewarm spontaneously. They should not be left unattended and, if the facilities are available, rapid rewarming appears to be the treatment of choice. Unconscious (...) patients who are presumed to have a lower temperature of prolonged duration may not benefit from rapid rewarming. All hypothermia victims showing signs of life are potential survivors, but even with good facilities the mortality rate may be high.

Full Text available with Trip Pro

1967 Canadian Medical Association Journal

18. Extracorporeal-assisted rewarming in the management of accidental deep hypothermic cardiac arrest: a systematic review of the literature. (PubMed)

Extracorporeal-assisted rewarming in the management of accidental deep hypothermic cardiac arrest: a systematic review of the literature. A systematic review of the literature surrounding the use of Extra-Corporeal Assisted Rewarming (ECAR) in patients presenting with deep hypothermia or hypothermic cardiac arrest was undertaken using a structured protocol. Thirty-one papers were deemed suitable for review, 13 of these were of sufficient quality to permit systematic data analysis. The primary (...) presenting with deep hypothermia without cardiac arrest treated with ECAR compared to those treated with conventional rewarming techniques. Hypoxic arrest, serum potassium > 10 mmol/L and presenting rhythm of asystole were found likely be significant predictors of poor outcome. Innovative reperfusion and rewarming strategies are also reviewed.Crown Copyright © 2014. Published by Elsevier B.V. All rights reserved.

2014 Heart, lung & circulation

19. Swedish-Norwegian co-operation in the treatment of three hypothermia victims: a case report. (PubMed)

Swedish-Norwegian co-operation in the treatment of three hypothermia victims: a case report. Accidental hypothermia with cardiac arrest represents a challenge for pre-hospital rescuers as well as in-hospital staff. For pre-hospital personnel, the main focus is to get the patient to the correct destination without unnecessary delay. For in-hospital personnel early information is vital to assess the possibility for resuscitation with extracorporeal re-warming. The challenge is augmented when (...) there is multiple victims. Communication between neighboring countries, but even neighboring regions within the same country, can be challenging. We encourage regions similar to ours to review protocols regarding hypothermia management, making them more robust before incidents like this take place.

Full Text available with Trip Pro

2017 Scandinavian journal of trauma, resuscitation and emergency medicine

20. Outcome of accidental hypothermia with or without circulatory arrest: Experience from the Danish Præstø Fjord boating accident. (PubMed)

arrest. Mild to moderate cognitive dysfunction was seen in six and severe dysfunction in one circulatory arrest victim.Seven patients with profound accidental hypothermic circulatory arrest were successfully resuscitated using a management approach that included extracorporeal rewarming, followed by successive periods of therapeutic hypothermia and sedated normothermia and intensive neurorehabilitation. Seven other hypothermic victims (core temperature as low as 23 °C) that did not suffer circulatory (...) Outcome of accidental hypothermia with or without circulatory arrest: Experience from the Danish Præstø Fjord boating accident. Resuscitation guidelines for the treatment of accidental hypothermia are based primarily on isolated cases. Mortality rates are high despite aggressive treatment aimed at restoring spontaneous circulation and normothermia.The present report is based on a boating accident where 15 healthy subjects (median age 16 (range 15-45) years) were immersed in 2 °C salt water

2012 Resuscitation

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>