Accidental hypothermia: Difference between revisions
(Created page with "==Background== Definition: Core Temp < 35°C (95 °F) Mild hypothermia (32-35°C) (90-95) Moderate hypothermia (28-32°C) Severe hypothermia (<28°C) ==Work-Up== ECG: O...") |
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==Background== | ==Background== | ||
Definition: Core Temp < 35°C (95 °F) | Definition: Core Temp < 35°C (95 °F) | ||
Mild hypothermia (32-35°C) (90-95) | #Mild hypothermia (32-35°C) (90-95) | ||
#Moderate hypothermia (28-32°C) | |||
#Severe hypothermia (<28°C) | |||
==Work-Up== | |||
ECG: Osborne J wave "camel hump" | |||
ECG: Osborne J wave "camel hump" | |||
==DDx== | |||
#Accidental/environmental | |||
#Sepsis | |||
#Hypoendocrine states (e.g. hypothyroidism, hypoadrenalism, hypopituitarism) | |||
#Hypoglycemia (-> impaired hypothalmus) | |||
#CNS dysfunction, hypothalmic, e.g Wernickes | |||
#Head trauma , stroke, tumor | |||
#Drug-induced ETOH (vasodilator, CNS depressant) | |||
#Skin disorder - burns, exfoliative dermatitis | |||
==Treatment== | |||
Passive RewarmingActive External RewarmingActive Core Rewarming 2005 AHA guidelinesVfib--> Attempt defib ONCE; no meds until >30°C (86°F)Repeat defib once >30°C (°86F) | Passive RewarmingActive External RewarmingActive Core Rewarming 2005 AHA guidelinesVfib--> Attempt defib ONCE; no meds until >30°C (86°F)Repeat defib once >30°C (°86F) | ||
==See Also== | ==See Also== | ||
Insert | Insert | ||
==Source== | ==Source== | ||
Adapted from Bessen | Adapted from Bessen | ||
[[Category:Environ]] | [[Category:Environ]] | ||
Revision as of 19:50, 13 March 2011
Background
Definition: Core Temp < 35°C (95 °F)
- Mild hypothermia (32-35°C) (90-95)
- Moderate hypothermia (28-32°C)
- Severe hypothermia (<28°C)
Work-Up
ECG: Osborne J wave "camel hump"
DDx
- Accidental/environmental
- Sepsis
- Hypoendocrine states (e.g. hypothyroidism, hypoadrenalism, hypopituitarism)
- Hypoglycemia (-> impaired hypothalmus)
- CNS dysfunction, hypothalmic, e.g Wernickes
- Head trauma , stroke, tumor
- Drug-induced ETOH (vasodilator, CNS depressant)
- Skin disorder - burns, exfoliative dermatitis
Treatment
Passive RewarmingActive External RewarmingActive Core Rewarming 2005 AHA guidelinesVfib--> Attempt defib ONCE; no meds until >30°C (86°F)Repeat defib once >30°C (°86F)
See Also
Insert
Source
Adapted from Bessen