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1 results

  • Preventing Post-injury Hypothermia During Prolonged Prehospital Evacuation

  • Hans Husum, Tone Olsen, Mudhafar Murad, Yang Van Heng, Torben Wisborg, Mads Gilbert
  • Journal:
    Prehospital and Disaster Medicine / Volume 17 / Issue 1 / March 2002
    Published online by Cambridge University Press:
    28 June 2012, pp. 23-26
    Print publication:
    March 2002
  • Introduction:

    Post-injury hypothermia is a risk predictor in trauma patients whose physiology is deranged. The aim of the present study was to examine the effect of simple, in-field, hypothermia prevention to victims of penetrating trauma during long prehospital evacuations.

    Methods:

    A total of 170 consecutively injured landmine victims were included in a prospective, clinical study in Northern Iraq and Cambodia. Thirty patients were provided with systematic prehospital hypothermia prevention, and for 140 patients, no preventive measures were provided.

    Results:

    The mean value for the time from injury to hospital admission was 6.6 hours (range: 0.2–72). The incidence of hypothermia (oral temperature <36°C) before prevention/rewarming was 21% (95% confidence interval: 15% to 28%). The Prevention Group had a statistically significant lower rate of hypothermia on hospital admission compared to the control group (95% confidence interval for difference: 6% to 24%).

    Conclusion:

    Simple, preventive, in-field measures help to prevent hypothermia during protracted evacuation, and should be part of the trauma care protocol in rural rescue systems.