ABC kommer før genopvarmning ved svær hypotermi

Jens Bjerregaard, Benedict Kjærgaard

    Abstract

    The treatment of accidental hypothermia is still controversial and is missing detailed evidence-based guidelines. Current knowledge suggests that advanced trauma life support principles must be prioritized ahead of rewarming. In case of cardiac arrest, initiation of extracorporeal circulation before rewarming and prolongation of hypothermia at 33 °C to reduce reperfusion injury and cerebral hyperthermia is recommended but is not as yet implemented as standard treatment. We propose a simplified clinical approach to on-site triage of hypothermia: 1. Awake below 35 °C (Glasgow Coma Scale > 8). 2. Unconscious below 32 °C. 3. Absent respiration and circulation below 32 °C.

    Bidragets oversatte titelABC ahead of rewarming in the treatment of accidental hypothermia.
    OriginalsprogDansk
    TidsskriftUgeskrift for læger [online]
    Vol/bind176
    Udgave nummer1
    Sider (fra-til)64-67
    Antal sider4
    ISSN1603-6824
    StatusUdgivet - 6 jan. 2014

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