Patient in hypothermia - diagnostic and treatment problems in fire department

Accidental hypothermia occurs when, as a result of environmental factors, the central body temperature drops below 35° C. Deep hypothermia is a life-threatening condition, but it is one of the reversible causes of cardiac arrest. At a temperature of 30-28⁰ C, the oxygen demand is 50% normal, at 25⁰...

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Main Authors: Kewin Zając, Damir Važanić
Format: Article
Language:English
Published: Towarzystwo Pomocy Doraźnej 2018-09-01
Series:Critical Care Innovations
Online Access:https://www.irdim.net/cci/1(1)34-36.html
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author Kewin Zając
Damir Važanić
author_facet Kewin Zając
Damir Važanić
author_sort Kewin Zając
collection DOAJ
description Accidental hypothermia occurs when, as a result of environmental factors, the central body temperature drops below 35° C. Deep hypothermia is a life-threatening condition, but it is one of the reversible causes of cardiac arrest. At a temperature of 30-28⁰ C, the oxygen demand is 50% normal, at 25⁰ C only 33%, and below 10⁰ C 4-11%. Heart, liver and brain have more requirements in this respect, and the kidneys need most oxygen. In the Deep Hypothermia Treatment Center in Krakow, a system of rapid implementation of extracorporeal circulation (ECMO) was developed, obtaining favorable therapeutic results in non-traumatic patients. The patient in hypothermia accounts for a significant percentage of all intervention services of the emergency services. The analysis of death cards issued in 2009-2012 in Poland showed that exposure to excessive natural cold was the initial cause of death in 1,836 people. Early identification of victims in hypothermia, established algorithm of action and coordination of activities leading to the use of extracorporeal heating techniques can contribute to improved prognosis.
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spelling doaj.art-044d717103d1479eb14aa67598d437ce2022-12-22T01:17:37ZengTowarzystwo Pomocy DoraźnejCritical Care Innovations2545-25332545-25332018-09-0111343610.32114/CCI.2018.1.1.34.36Patient in hypothermia - diagnostic and treatment problems in fire departmentKewin Zając0Damir Važanić1https://orcid.org/0000-0003-2003-9909Masovian Voivodship Hospital in Siedlce, Siedlce, PolandCroatian Institute of Emergency Medicine, Zagreb, CroatiaAccidental hypothermia occurs when, as a result of environmental factors, the central body temperature drops below 35° C. Deep hypothermia is a life-threatening condition, but it is one of the reversible causes of cardiac arrest. At a temperature of 30-28⁰ C, the oxygen demand is 50% normal, at 25⁰ C only 33%, and below 10⁰ C 4-11%. Heart, liver and brain have more requirements in this respect, and the kidneys need most oxygen. In the Deep Hypothermia Treatment Center in Krakow, a system of rapid implementation of extracorporeal circulation (ECMO) was developed, obtaining favorable therapeutic results in non-traumatic patients. The patient in hypothermia accounts for a significant percentage of all intervention services of the emergency services. The analysis of death cards issued in 2009-2012 in Poland showed that exposure to excessive natural cold was the initial cause of death in 1,836 people. Early identification of victims in hypothermia, established algorithm of action and coordination of activities leading to the use of extracorporeal heating techniques can contribute to improved prognosis.https://www.irdim.net/cci/1(1)34-36.html
spellingShingle Kewin Zając
Damir Važanić
Patient in hypothermia - diagnostic and treatment problems in fire department
Critical Care Innovations
title Patient in hypothermia - diagnostic and treatment problems in fire department
title_full Patient in hypothermia - diagnostic and treatment problems in fire department
title_fullStr Patient in hypothermia - diagnostic and treatment problems in fire department
title_full_unstemmed Patient in hypothermia - diagnostic and treatment problems in fire department
title_short Patient in hypothermia - diagnostic and treatment problems in fire department
title_sort patient in hypothermia diagnostic and treatment problems in fire department
url https://www.irdim.net/cci/1(1)34-36.html
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