Patient in hypothermia - diagnostic and treatment problems in fire department
Journal Title: Critical Care Innovations - Year 2018, Vol 1, Issue 1
Abstract
Accidental hypothermia occurs when, as a result of environmental factors, the central body temperature drops below 35° C. Deep hypothermia is a life-threatening condition, but it is one of the reversible causes of cardiac arrest. At a temperature of 30-28⁰ C, the oxygen demand is 50% normal, at 25⁰ C only 33%, and below 10⁰ C 4-11%. Heart, liver and brain have more requirements in this respect, and the kidneys need most oxygen. In the Deep Hypothermia Treatment Center in Krakow, a system of rapid implementation of extracorporeal circulation (ECMO) was developed, obtaining favorable therapeutic results in non-traumatic patients. The patient in hypothermia accounts for a significant percentage of all intervention services of the emergency services. The analysis of death cards issued in 2009-2012 in Poland showed that exposure to excessive natural cold was the initial cause of death in 1,836 people. Early identification of victims in hypothermia, established algorithm of action and coordination of activities leading to the use of extracorporeal heating techniques can contribute to improved prognosis. (...)
Authors and Affiliations
Kewin Zając, Damir Važanić
Keywords
Related Articles
- EP ID EP474564
- DOI 10.32114/CCI.2018.1.1.34.36
- Views 89
- Downloads 0
Trust of society towards selected medical professions - doctors, nurses, paramedic.
INTRODUCTION: In Poland is equal access to the health care system, based on the insurance model. It consists of many institutions in which patients can benefit from health services. Help in pre-hospital and outpatient se...
Prospective evaluation of interactive project of Emergency Medicine Exam with the use of multimedia computer devices.
INTRODUCTION: Digitisation and implementation of IT solutions is contemporarily an intrinsic element while carrying out emergency medical activities. However, the system of education and evaluation of paramedics is condu...
Evaluation of firefighters' knowledge about medical procedures.
INTRODUCTION: National Firefighting Rescue System (NFRS) plays an crucial role in ensuring internal security of Poland. NFRS is based on Professional Fire Services (PFS) and Voluntary Fire Services (VFS). In accordance w...
Diagnostic problems of acute coronary syndrome in ambulance service
INTRODUCTION: Acute coronary syndromes are one of the leading causes of death due to cardiovascular diseases. The diagnosis is made on the basis of the clinical picture, ECG record and laboratory tests. Diagnosis of crit...
Patient in hypothermia - diagnostic and treatment problems in fire department
Accidental hypothermia occurs when, as a result of environmental factors, the central body temperature drops below 35° C. Deep hypothermia is a life-threatening condition, but it is one of the reversible causes of cardia...