Template:Swiss staging system
Revision as of 09:54, 5 June 2016 by Rossdonaldson1 (talk | contribs) (→Swiss Hypothermia Staging SystemBrown et al., Accidental Hypothermia. N Engl J Med 2012; 367:1930-1938)
Swiss Hypothermia Staging System[1]
| Stage | Clinical Symptoms | Typical Core Temperature | Treatment |
|---|---|---|---|
| HT I | Conscious, shivering | 35 to 32C | Warm environment and clothing, warm sweet drinks, active movement if possible |
| HT II | Impaired consciousness, not shivering | <32 to 28C | Cardiac monitoring, minimal movements to avoid arrhythmias, horizontal position and immobilization, full body insulation, active external and minimally invasive rewarming techniques (heating pads, forced-air heating packs or blankets, warm parenteral fluids) |
| HT III | Unconscious, not shivering, VS present | <28 to 24C | HT II plus airway management as required; ECMO or CPD in cases with cardiac instability refractory to medical management |
| HT IV | No VS | <24C | HT II and III plus CPR and up to three doses of epinephrine (IV or IO dose of 1mg ) and defibrillation; rearming with ECMO or CPB or CPR with active external and alternative internal rewarming |
| Classification | Temperature | Signs/Symptoms |
|---|---|---|
| I / Mild | 32-35C (90-95F) | Shivering, awake |
| II / Moderate | 28-32C (82-90F) | Shivering, depressed mental status |
| III / Severe | 20-28C (68-82F) | unconscious/severely depressed mental status, shivering ceases |
| IV / Profound | <20C (68F) | unobtainable VS |