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Published on: June 1, 2016
Relationship between oxygen concentration and temperature in an exothermic warming device
Ben Brooks1, Charles D Deakin2
1Blackpool Teaching Hospitals, NHS Foundation Trust, Blackpool, UK.
Using supplemental oxygen with exothermic warming blankets significantly increases burn risk in trauma patients. Higher oxygen levels can cause dangerous temperatures, necessitating vigilance and product safety improvements.
Area of Science:
- Emergency Medicine
- Biomedical Engineering
- Patient Safety
Background:
- Hypothermia management is crucial for trauma patient outcomes.
- Exothermic (oxygen-activated) warming blankets are used to prevent hypothermia.
Purpose of the Study:
- To investigate the effect of ambient oxygen concentration on exothermic warming blanket performance.
- To evaluate the safety and thermal injury risk associated with these devices.
Main Methods:
- A mannequin was used with an exothermic blanket in a sealed oxygen tent.
- Temperature probes measured mannequin surface temperature under varying oxygen concentrations (21%-90%).
- Nine trials were conducted, recording maximum temperatures and rate of rise.
Main Results:
- At 21% oxygen, the blanket reached 52°C, meeting specifications.
- At 30% oxygen, the temperature beneath the heating pack reached 72.5°C, exceeding the burn threshold.
- Increased oxygen concentration led to a significant, localized temperature increase.
Conclusions:
- Supplemental oxygen use with exothermic blankets poses a significant thermal injury risk.
- Prehospital providers must be vigilant about heat and fire risk with high-flow oxygen.
- Manufacturers should enhance the safety features of exothermic warming blankets.
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