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Pre-Hospital Core Temperature Measurement in Accidental and Therapeutic Hypothermia

机译:意外和治疗体温过低的医院预科核心温度测量

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摘要

Core temperature (T-core) measurement is the only diagnostic tool to accurately assess the severity of hypothermia. International recommendations for management of accidental hypothermia encourage Tcore measurement for triage, treatment, and transport decisions, but they also recognize that lack of equipment may be a limiting factor, particularly in the field. The aim of this nonsystematic review is to highlight the importance of field measurement of Tcore and to provide practical guidance for clinicians on pre-hospital temperature measurement in accidental and therapeutic hypothermia. Clinicians should recognize the difference between alternative measurement locations and available thermometers, tailoring their decision to the purpose of the measurement (i. e., intermittent vs. continual measurement), and the impact on management decisions. The importance of T-core measurement in therapeutic hypothermia protocols during early cooling and monitoring of target temperature is discussed.
机译:核心温度(T核)测量是唯一可以准确评估体温过低严重程度的诊断工具。意外低温管理的国际建议鼓励TCORE测量进行分类,治疗和运输决策,但他们也认识到缺乏设备可能是一个限制因素,特别是在现场。这种非系统审查的目的是突出TCORE的现场测量的重要性,并为临床医生提供了意外和治疗性低温的院前温度测量的实际指导。临床医生应认识到替代测量位置和可用温度计之间的差异,定制其对测量目的的决定(即,间歇性与持续测量),以及对管理决策的影响。讨论了早期冷却期间治疗性低温方案T核测量的重要性和对目标温度监测。

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