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Core temperature following pre-hospital induction of anaesthesia in trauma patients

Roy Fischer^1,2, Paul F Lambert^1,2

¹MedSTAR/Rescue, Retrieval and Aviation Services, South Australian Ambulance Service, Adelaide, South Australia, Australia.

Emergency Medicine Australasia : EMA

|December 20, 2023

Abstract

Introduction:

Hypothermia is a well-recognised finding in trauma patients, which can occur even in warmer climates. It is an independent predictor of increased morbidity and mortality. It is associated with pre-hospital intubation, although the reasons for this are likely to be multifactorial. Core temperature drop after induction of anaesthesia is a well-known phenomenon in the context of elective surgery, and the mechanisms of this are well established.

Methods:

We conducted a prospective observational study to examine the behaviour of core temperature in patients undergoing pre-hospital anaesthesia for traumatic injuries.

Results:

Between 2017 and 2021 data were collected on 48 patients. The data from 40 of these were included in the final analysis.

Discussion:

Our data do not show a decrease in the core temperatures of patients who receive pre-hospital anaesthesia, unlike patients who are anaesthetised without pre-warming, in operating theatres. The lack of a change could relate to patient, anaesthetic or environmental factors.

Keywords:

anaesthesia pre‐hospital temperature

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