Template:Swiss staging system
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===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 |
- ↑ Brown et al., Accidental Hypothermia. N Engl J Med 2012; 367:1930-1938