| Autor: |
Daniel Storer, Kenneth L. Davis, Renee Semonin-Holleran |
| Rok vydání: |
1994 |
| Předmět: |
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| Zdroj: |
Air Medical Journal. 13:483-485 |
| ISSN: |
1067-991X |
| DOI: |
10.1016/s1067-991x(05)80291-3 |
| Popis: |
Introduction: Hypothermia increases the mortality and morbidity in trauma patients. Previously identified risk factors for developing hypothermia in the trauma patient include the severity of injuries, the amount of unheated fluid used during resuscitation and the duration of exposure to the environment. Purpose: This study was conducted to determine if the use of neuromuscular blockade and intubation are associated with the development of hypothermia. Methods: Rectal temperatures in adult trauma patients transported by helicopter were measured on arrival in the emergency department. Additional parameters included the ambient temperature, whether the patient was intubated and neuromuscularly blocked, the amount of fluid administered and the severity of injuries as measured by the injury Severity Score. Patients who died in the emergency department or who were discharged from the emergency department were excluded. Results: Factors most strongly predictive of hypothermia were the ambient temperature, the time to arrival in the emergency department and whether the patient had received neuromuscular blockade and was intubated. Conclusion: Intubation and neuromuscular blockade are associated with hypothermia in the trauma victim. Air medical crews must ensure the patient's protective environment is maintained, especially in this group of patients who cannot protect themselves. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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