[Management of accidental hypothermia].
Patients with hypothermia are frequently encountered in emergency medicine. Particularly trauma patients, but also other predisposed persons, can be expected to suffer from hypothermia at any time of the year. Therapy focuses not only on symptom-oriented intensive care to stabilize and secure vital functions, but also on rewarming. Even in cases of severe hypothermia with circulatory arrest, therapy can produce excellent results. This paper first gives a brief overview of the typical clinical symptoms of hypothermia, before giving a detailed description of the preclinical and in-hospital management of the hypothermia patient. The various rewarming strategies are the subject of special attention and critical evaluation.
Hohlrieder
M
M
Univ.-Klinik für Anästhesie und Allgemeine Intensivmedizin, Anichstrasse 35, 6020 Innsbruck / Osterreich. matthias.hohlrieder@i-med.ac.at
Kaufmann
M
M
Moritz
M
M
Wenzel
V
V
D000059:Accidents; D000293:Adolescent; D001831:Body Temperature / Q000502:physiology; D001919:Bradycardia / Q000209:etiology / Q000503:physiopathology; D004632:Emergency Medical Services; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D007035:Hypothermia / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D009104:Multiple Trauma / Q000150:complications / Q000628:therapy; D015656:Respiratory Mechanics; D017694:Rewarming; D014947:Wounds and Injuries / Q000150:complications