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Volume 17 Supplement 1

The Third Annual London Trauma Conference

Hypothermia in injured patients – does it happen often?

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicinevolume 17, Article number: O4 (2009) | Download Citation

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Introduction

Hypothermia is an independent predictor of increased morbidity and mortality in severely injured patients, mainly due to negative effects on coagulation [1]. Hypothermia can result from trauma itself, reduced tissue perfusion, pre-hospital interventions or lack of such. Efforts to increase body temperature by insulation and active re-warming can by life-saving if the risk of hypothermia in these patients is acknowledged. The aim of this study was to investigate the prevalence and severity of hypothermia in a trauma population.

Methods

Retrospective analysis of data collected prospectively from the trauma registry at St. Olavs University Hospital, Norway, from 1st Jan 2004 to 31st Dec 2006. Hypothermia was defined as temperature ≤ 36°C [2].

Results

1237 trauma patients were identified during the study period. Among these, 67% (N = 827) had their temperature registered in the emergency department. Overall median temperature was 36.5°C (range 15–39.2), and 218 patients (26%) were hypothermic with a median temperature of 35.6°C. Physician staffed transport (consultant anaesthetist) treated 138 patients (63%). See Table 1.

Table 1 Table 1
Full size table

Conclusion

The prevalence of hypothermia could not be assessed due to no recording of temperature in a significant number of our patients. This suggests a less than adequate level of vigilance. Among patients with recorded temperature, a substantial number was hypothermic. It is necessary to address this issue along the entire chain of survival.

References

  1. 1.

    Ferrara A, MacArthur JD, Wright HK, Modlin IM, McMillen MA: Hypothermia and acidosis worsen coagulopathy in the patient requiring massive transfusion. Am J Surg. 1990, 160: 515-518. 10.1016/S0002-9610(05)81018-9.

  2. 2.

    Soreide E, Smith CE: Hypothermia in trauma victims – friend or foe (enemy)?. Scand J Trauma Resusc Emerg Med. 2004, 12: 229-231.

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Author information

Affiliations

  1. Norwegian Air Ambulance Foundation, Norway

    • Andreas Krüger
    •  & Eirik Skogvoll

  2. Faculty of Medicine, Norwegian University of Science and Technology, Norway

    • Andreas Krüger
    •  & Eirik Skogvoll

  3. Department of anaesthesia and emergency medicine, St. Olav's University Hospital, Norway

    • Oddvar Uleberg

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Corresponding author

Correspondence to Andreas Krüger.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Keywords

  • Public Health
  • Emergency Department
  • Body Temperature
  • Independent Predictor
  • Emergency Medicine

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

ISSN: 1757-7241