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

Details

Serval ID
serval:BIB_FEFFB281EF69
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clinical staging of accidental hypothermia: the Revised Swiss System: Recommendation of the International Commission for Mountain Emergency Medicine (ICAR MedCom).
Journal
Resuscitation
Author(s)
Musi M.E., Sheets A., Zafren K., Brugger H., Paal P., Hölzl N., Pasquier M.
ISSN
1873-1570 (Electronic)
ISSN-L
0300-9572
Publication state
In Press
Peer-reviewed
Oui
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
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.
Keywords
cardiac arrest, core temperature, emergency medical services, emergency medicine, hypothermia, out-of-hospital cardiac arrest
Pubmed
Open Access
Yes
Create date
16/03/2021 9:40
Last modification date
19/03/2021 7:27
Usage data