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Treatment of moderate-to-severe hypothermia in an urban setting
1Emergency Department, New York Infirmary Beekman Downtown Hospital, New York 10038.
Study Objectives:
To study the treatment of moderate-to-severe hypothermia using a combination of core rewarming techniques.
Design:
A prospective study.
Setting:
The emergency department of an urban, community hospital. TYPE OF PATIENTS: Sixteen patients who presented with accidental hypothermia with a core temperature of less than 32 C.
Interventions:
All patients were treated with warmed IV fluids either through central or peripheral IV lines and heated aerosol masks.
Measurements And Main Results:
The patients had a mean rewarming rate of 1.16 C/hr; all survived. The majority were chronic alcoholic patients who presented with multiple medical conditions that required hospitalization.
Conclusion:
All patients recovered with this method of core rewarming.