Clinical staging of accidental hypothermia: The Revised Swiss System Recommendation of the International Commission for Mountain Emergency Medicine (ICAR MedCom)

RESUSCITATION

卷:162

Article

Musi, Martin E.^1,2  Sheets, Alison^1,2,3  Zafren, Ken^2,4,5  Brugger, Hermann^2,6,7  Paal, Peter^2,8  Holzl, Natalie^2,9  Pasquier, Mathieu^2,10 

[1] Univ Colorado, Dept Emergency Med, Anschutz Med Campus,Mail Stop B-215, Aurora, CO 80045 USA

[2] Int Commiss Mt Emergency Med ICAR MedCom, Zurich, Switzerland

[3] Boulder Community Hlth, Dept Emergency Med, Boulder, CO USA

[4] Alaska Nat Med Ctr Anchorage, Dept Emergency Med, Anchorage, AK USA

[5] Stanford Univ, Dept Emergency Med, Med Ctr, Stanford, CA USA

[6] Inst Mt Emergency Med, Eurac Res, Bolzano, Italy

[7] Med Univ Innsbruck, Innsbruck, Austria

[8] Paracelsus Med Univ, Hospitallers Bros Hosp, Dept Anaesthesiol & Intens Care Med, Salzburg, Austria

[9] Klin Immenstadt, Dept Anaesthesiol & Intens Care Med, Allgau Hosp Grp, Immenstadt, Germany

[10] Lausanne Univ Hosp, Dept Emergency Med, Lausanne, Switzerland

关键词: Core temperature;    Emergency medicine;    Cardiac arrest;    Hypothermia;    Out-of-hospital cardiac arrest;    Emergency medical services;   

DOI  :  10.1016/j.resuscitation.2021.02.038

来源: Elsevier

【 摘 要 】

Clinical staging of accidental hypothermia is used to guide out-of-hospital treatment and transport decisions. Most clinical systems utilize core temperature, by measurement or estimation, to stage hypothermia, despite the challenge of obtaining accurate field measurements. Recent studies have demonstrated that field estimation of core temperature is imprecise. We propose a revision of the original Swiss Staging system. The revised system uses the risk of cardiac arrest, instead of core temperature, to determine the staging level. Our revised system simplifies assessment by using the level of responsiveness, based on the AVPU scale, and by removing shivering as a stage-defining sign.

【 授权许可】

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