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
  1. Brown et al., Accidental Hypothermia. N Engl J Med 2012; 367:1930-1938