Article Text

PDF
Prehospital temperature control
  1. R Owen,
  2. N Castle
  1. Department of Emergency Medical Care and Rescue, Durban University of Technology, Durban, South Africa
  1. Mr R Owen, National Primary Care Research and Development Centre, University of Manchester, Manchester M13 9PL, UK; Robert.owen{at}manchester.ac.uk

Statistics from Altmetric.com

We have increasingly noted that patients with traumatic injuries attended by the paramedic response unit of the Durban University of Technology, South Africa are hypothermic. Daytime winter temperatures in Kwa-Zulu Natal remain warm, but nightly coastal temperatures drop to 4°C and as low as freezing inland.

CASE REPORTS

Patient 1

An elderly man had been involved in a motor vehicle accident while being transferred to hospital by his family following an abdominal gunshot wound. Examination revealed: A, airway clear; B, respiratory rate 22/min; C, pulse >100/min and systolic BP 90 mm Hg; D, Glasgow Coma Score 15; E, temperature 34.1°C (tympanic). We minimised further exposure by positioning the response unit to act as a wind break and wrapping the patient in a space blanket while active rewarming was instigated with the application of a heating pad (DM EMG Diemme International, Italy). Warmed intravenous fluids were commenced at a keep open rate (as a radial pulse was palpable) while awaiting the …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Primary survey
    Jonathan Wyatt