Hypothermia in Trauma

van Veelen, Michiel J.; Brodmann Maeder, Monika (2021). Hypothermia in Trauma. International journal of environmental research and public health, 18(16) MDPI 10.3390/ijerph18168719

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Hypothermia in trauma patients is a common condition. It is aggravated by traumatic hemorrhage, which leads to hypovolemic shock. This hypovolemic shock results in a lethal triad of hypothermia, coagulopathy, and acidosis, leading to ongoing bleeding. Additionally, hypothermia in trauma patients can deepen through environmental exposure on the scene or during transport and medical procedures such as infusions and airway management. This vicious circle has a detrimental effect on the outcome of major trauma patients. This narrative review describes the main factors to consider in the co-existing condition of trauma and hypothermia from a prehospital and emergency medical perspective. Early prehospital recognition and staging of hypothermia are crucial to triage to proper care to improve survival. Treatment of hypothermia should start in an early stage, especially the prevention of further cooling in the prehospital setting and during the primary assessment. On the one hand, active rewarming is the treatment of choice of hypothermia-induced coagulation disorder in trauma patients; on the other hand, accidental or clinically induced hypothermia might improve outcomes by protecting against the effects of hypoperfusion and hypoxic injury in selected cases such as patients suffering from traumatic brain injury (TBI) or traumatic cardiac arrest.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center

UniBE Contributor:

Brodmann Mäder, Monika Maria

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1660-4601

Publisher:

MDPI

Language:

English

Submitter:

Romana Saredi

Date Deposited:

13 Jan 2022 14:04

Last Modified:

05 Dec 2022 15:58

Publisher DOI:

10.3390/ijerph18168719

PubMed ID:

34444466

BORIS DOI:

10.48350/162770

URI:

https://boris.unibe.ch/id/eprint/162770

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