« hypothermie »

67 passage(s) dans 17 référentiel(s).

• JTS — Hypothermia Prevention and TreatmentJTS
  • p. 6Hypothermia: Prevention and Treatment CPG ID: 23 Guideline Only/Not a Substitute for Clinical Judgment 6 7. Use a battery-powered warming device to deliver IV resuscitation fluids, in accordance with current TCCC guidelines, at flow rate ... priority remains the recognition of shock and implementation of heat-loss prevention techniques as outlined above. Rewarming hypothermic patients can be achieved passively (utilizing the patient’s heat generation via shivering/metabolism) and actively (applying an external heat source
  • p. 4Hypothermia: Prevention and Treatment CPG ID: 23 Guideline Only/Not a Substitute for Clinical Judgment 4 BACKGROUND Hypothermia, coagulopathy, and acidosis are the physiological derangements constituting the “triad of death” in trauma patients.1–4 Here, we use the term ... trauma-induced hypothermia (TIH) as it relates more specifically to combat trauma including hemorrhagic shock, cerebrospinal injury, and burns - all of which lead to a significantly increased risk of mortality and presents as a separate, more severe entity
  • p. 14Hypothermia: Prevention and Treatment CPG ID: 23 Guideline Only/Not a Substitute for Clinical Judgment 14 Table 2. Active Rewarming Methods  Level A: Evidence from multiple randomized trials or meta-analyses.  Level B: Evidence from a single randomized trial ... Suppresses shivering in victim with skin-to-skin contact; no more effective than shivering for mild accidental hypothermia; lack of evidence for any benefit in non-shivering hypothermic patient; loss of manpower. Hot water bottles Co-author Consensus
  • p. 5Hypothermia: Prevention and Treatment CPG ID: 23 Guideline Only/Not a Substitute for Clinical Judgment 5 Figure 1. DoDTR Hypothermia Rate in US Combat Casualties (CENTCOM/AFRICOM) from 2001 to 2022. The highest percentage of hypothermia occurred ... first hypothermia CPG was published in 2006. Over time the missing temperature recordings from the records decreased and starting in 2014, the percentage of combat casualty with hypothermia was less than 5%. TREATMENT

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• JTS — U.S. Army Aeromedical Evacuation Standard Medical Operating GuidelinesJTS
  • p. 50TABLE OF CONTENTS 50 SUBMERSION INJURY Signs and Symptoms • Unresponsive • Change to Mental Status • Hypoxia • Cyanosis • Hypothermia • Vomiting • Coughing History (Complications) • Head Injury • Intoxication • Arterial gas embolism (medical / trauma) • Scuba diving (see DECOMPRESSION SICKNESS PROTOCOL) Treatment • If initiating ... ARREST PROTOCOL  Obtain IV access when able. See IV / IO PROTOCOL  Consider warmed IV fluids in hypotensive or hypothermic patients o Disability / Environment  Assess GCS  Maintain glucose 80-140 mg/dL. See HYPERGLYCEMIA / HYPOGLYCEMIA PROTOCOL  If event unwitnessed
  • p. 85Give IV crystalloid fluids 3-5 mL/kg/hr if not in shock o Be prepared to support / correct rebound hypothermia (dog may be hypothermic on arrival or develop hypothermia during treatment) o Monitor for any development of additional complications ... disorders, or electrolyte abnormalities CEASE cooling efforts once the body temperature is 103 – 103.5 F to prevent rebound hypothermia. Actively warm the dog if the temperature is < 100 F • Provide Intensive Monitoring and Management o Maintain normotension – target
  • p. 44groin, axilla, and neck. Discontinue once temp <40 C /104 F) o Consider benzodiazepines to block/stop shivering & rebound hypothermia.  Midazolam 0.1 mg/kg • AMS & core temp < 40C/104F o Tepid water or room temp water to skin • Continuous monitoring COLD ... clothing • Assess: mental status, rectal temperature, glucose • Core Temp < 96F (Non Core Temp < 97F) o HPMK kit / Hypothermia blankets o Dry clothing o Hot Packs to groin, axilla, abdomen (avoid burning pt) o Warmed IV fluids
  • p. 216TABLE OF CONTENTS 216 ALTITUDE PHYSIOLOGY AND PATIENT TRANSFER (cont.) • Hypothermia: As altitude increases, the temperature will drop about 3.5° F per 1000 feet. This is further complicated in the H-60 due to rotor-wash, forward ... speed, and normal lapse rate. Therefore, patients must be protected from hypothermia at all times. This includes use of the Hypothermia Prevention and Management Kit (HPMK), blankets, heaters if available, and closing cabin doors / crew windows during transport

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• JTS — Drowning ManagementJTS
  • p. 8common as increased intrathoracic pressure reduces central venous return/preload. IV crystalloid should be considered if available. In the hypothermic patients, warmed IV fluids at 43°C (109°F) should be considered.16 ▪ Use of IV fluids must be judicious ... necessary). Stabilize body temperature - dry and insulate the patient to prevent heat loss.11,21-22 ▪ Mild hypothermia: 34-35°C (93.2-95°F): passive rewarming (i.e. warm blankets and environment). ▪ Moderate hypothermia
  • p. 7Patients requiring continued resuscitation or those with concern for hypothermia may require more advanced prehospital care which cannot be delivered by typical bystanders such as definitive airway management, supplemental oxygen or mechanical ventilatory support, gastric decompression, or thermal ... signs of death or as limited by operational requirements. Patients have survived prolonged submersion historically, especially in the hypothermic environment.13 For this level of care, use the typical ABCDE format below. A I R W AY ▪ Assess patency
  • p. 19much of body out of the water as possible (e.g., climb onto submerged boat) to reduce detrimental hypothermic effects of cold-water exposure.1-2,5 ▪ Learn to swim, tread water, or float (not a substitute for PFD) and always ... horizontal and pull. See ice rescue training images (Figure 4). ▪ Incapacitated individuals will generally become unresponsive due to hypothermia within the first hour. ▪ Onset of lethal dysrhythmia can occur within the first 2 hours. ▪ If a flotation device
  • p. 16Avoid maneuvers that increase risk of emesis (e.g.., Heimlich, head-down, abdominal thrusts). ▪ Withhold antiarrhythmic medications in severe hypothermia with core temps < 30 °C (86 °F). ▪ Alert hyperbaric chamber teams in cases of suspected arterial gas embolism. ▪ Avoid ... osmotic diuresis, barbiturate coma, hyperventilation, and ICP monitoring. ▪ Institute active external rewarming for moderate hypothermia and active internal rewarming for severe hypothermia. ▪ Avoid shivering during rewarming measures. (See Figure 2.) ▪ Avoid hyperoxia and use lung protective strategies

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• IFRC — International First Aid, Resuscitation and Education Guidelines 2020IFRC — Global First Aid Reference Centre
  • p. 343First aid – Environmental | 343 Hypothermia Key action Gradually warm the person using the most appropriate equipment available. Introduction Hypothermia is a condition in which the body’s core temperature drops below 35ºC (95ºF) and cannot function properly ... extreme cold, such as in mountainous regions in the winter. Other factors that intensify the risk of hypothermia are living in homes that lack heating, the use of alcohol or drugs or pre-existing mental health conditions
  • p. 345First aid – Environmental | 345 Recovery Most healthy people with mild to moderate hypothermia will recover fully. However, if signs and symptoms continue or additional ones appear, seek medical care. Education considerations Context considerations • Learners in or visiting cold ... climates may benefit from learning how to prevent hypothermia and frostbite, (including winter conditions in any setting, and specific settings such as the mountains). • Include information on accessing help in rural or remote environments. (See Remote context.) • Programme
  • p. 344Early recognition Symptoms will depend on the temperature and whether the person is experiencing mild or severe hypothermia. Take into account the surrounding environment, for example, if the person is in a cold environment or wearing wet clothing ... they are at a higher risk of hypothermia. The person may have the following: • shivering • poor coordination • slow movements • mild confusion • skin becomes paler, ashen or loses its colour • bluish colouring to lips, ears, fingers and toes
  • p. 350International first aid, resuscitation, and education guidelines 2020 First aid steps 1. Protect the person from hypothermia. Do this by helping them move to a warmer place, removing wet clothing and keeping them warm and dry. 2. Carefully ... help in an emergency in the extreme cold. Learning connections • A person with frostbite may also be experiencing Hypothermia. Scientific foundation Systematic review An evidence summary was conducted by the Centre for Evidence-Based Practice (CEBaP) on active

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• Références techniques nationales PSE Juillet 2026
  • p. 29408AC06 / 06-2018] PSE② Hypothermie Définition L’homme est homéotherme, c’est-à-dire que sa température à l’état normal est constante et se situe aux alentours de 37 °C. L’hypothermie accidentelle se définit comme ... chute involontaire de la température corporelle au- dessous de 35 °C. Causes L’hypothermie est due à une hémorragie ou à une exposition prolongée à un environnement froid, en particulier humide, surtout lorsque la victime présente
  • p. 101température Indication La mesure de la température doit être réalisée systématiquement chez toute victime suspecte d’hypothermie ou d’hyperthermie (victime anormalement chaude ou froide au touché lors de son examen). Justification La mesure de la température ... victime a pour objectif de dépister une augmentation (hyperthermie) ou une diminution (hypothermie) de la température. Matériel Il existe plusieurs types de thermomètres utilisables pour mesurer la température : • tympanique (ou auriculaire) ; Il permet de réaliser la mesure
  • p. 29608PR07 / 12-2022] PSE② Hypothermie • soustraire la victime à la cause : o certaines circonstances nécessiteront l’intervention d’équipes spécialisées ; o mettre la victime à l’abri du vent ; o isoler la victime dans un endroit chaud (point ... pouls d’une victime hypotherme est très difficile. En cas de doute, débuter la RCP. § l’hypothermie entraîne une rigidité de la paroi thoracique, Cette rigidité peut rendre plus difficiles les compressions et les insufflations thoraciques. § dès
  • p. 295évidence : • une température inférieure à 35 °C ; • des frissons, ils surviennent habituellement avant l’apparition de l’hypothermie sévère entre 36 °C et 32 °C ; • l’absence de frisson (hypothermie modérée, sévère et grave), car la disparition ... souvent très difficile de mesurer sur les lieux la température d’une victime qui présente une hypothermie. La corrélation des signes présentés par la victime avec sa température centrale aide le secouriste et le médecin régulateur à évaluer

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• OMS — Managing Complications in Pregnancy and Childbirth (2e éd.)OMS
  • p. 323Immediate newborn conditions or problems S-179 HYPOTHERMIA Hypothermia can occur quickly in a very small baby, a baby who was not dried immediately after birth, or a baby who was resuscitated or separated from the mother ... cases, the baby’s temperature can quickly drop below normal. Rewarm the baby as soon as possible: SEVERE HYPOTHERMIA • If the baby is very sick or is severely hypothermic (axillary temperature less than 32°C): - Transfer the baby
• JTS — Frostbite and Immersion Foot CareJTS
  • p. 2Immersion Foot Care CPG ID: 59 Guideline Only/Not a Substitute for Clinical Judgment 2 BACKGROUND Historically, cold Injury, hypothermia and frost bite have been a severe problems for military units on the battlefield.1 While not common in modern ... possible, attempt to establish the circumstances which led to prolonged environmental cold exposure. In addition, patients are likely hypothermic and should be warmed expediently before focusing on cold injuries of the extremities. In the field, cold extremities
• OMS / CICR — Basic Emergency Care (cahier du participant)OMS · CICR · IFEM
  • p. 37child. Pediatric exposure conditions E • INFANTS AND CHILDREN HAVE DIFFICULTY MAINTAINING TEMPERATURE and can very quickly become hypothermic (low body temperature) or hyperthermic (high body temperature). – Remove wet clothing and dry skin thoroughly. Place infants skin-to-skin ... when possible. – For hypothermia, be sure to cover infants’ heads (but do not obstruct face). – For hyperthermia, unbundle tightly wrapped infants. PAEDIATRIC DANGER SIGNS IN ABCDE In addition to performing a thorough ABCDE approach, all paediatric patients should
• JTS — Nursing Interventions, Wound Care and Splint Management in PCCJTS
  • p. 6Check tourniquets, if present, and determine if conversion is indicated, check all dressings for effectiveness, and check pulses.  Hypothermia/Head Injury – Assess any interventions for hypothermia for ongoing necessity and effectiveness. Assess reported head injury for change in casualty ... better or getting worse? M A R C H P A W S Massive hemorrhage Airway Respiration Circulation Hypothermia/Head injury Pain Antibiotics Wounds Splints
• JTS — Prolonged Casualty Care GuidelinesJoint Trauma System (DoD)
  • p. 22Prolonged Casualty Care Guidelines CPG ID: 91 Guideline Only/Not a Substitute for Clinical Judgment 22 HYPOTHERMIA - PCC Background Prevention of hypothermia must be emphasized in combat operations and casualty management at all levels of care. Hypothermia occurs regardless ... ambient temperature; hypothermia can, and does, occur in both hot and cold climates. Because of the difficulty, time, and energy required to actively re- warm casualties, significant attention must be paid to preventing hypothermia from occurring
  • p. 49resuscitation is marked by stabilizing hemodynamic parameters and reduction of IV fluid rate to a maintenance level. Hypothermia (Roles 1a/1b/1c)  Hypothermia prevention is extremely important for burn patients.  For Burns >20%, place the casualty in the Heat-Reflective ... Shell or Blizzard Survival blanket for the Hypothermia Prevention Kit to both cover the burned areas and prevent hypothermia.  Use Blood/Fluid Warmer as needed and if available. Pain Control (Roles 1a/1b/1c) Analgesia in accordance with the PCC Guidelines
  • p. 47established.  Minimum - Oral intake of water  Better - Oral intake of electrolyte solution  Best - Oral intake of electrolyte solution Hypothermia (Roles 1a/1b/1c)  Hypothermia prevention is extremely important for burn patients.  For Burns >20%, place the casualty in the Heat ... Reflective Shell or Blizzard Survival blanket for the Hypothermia Prevention Kit to both cover the burned areas and prevent hypothermia
  • p. 17stem the hemorrhage.  Conduct the principles of wound care to avoid infection and possible follow-on sepsis.  Initiate hypothermia prevention measures. Role 1b/1c  Continue and/or initiate above circulation interventions.  Initiate hypothermia prevention measures, if not already completed.  Perform ... compartment syndrome.  Conduct the principles of wound care to avoid infection and possible follow-on sepsis.  Initiate hypothermia prevention measures. Role 1b/1c  Continue and/or initiate above circulation interventions.  Initiate hypothermia prevention measures, if not already completed.  Re-assess

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• JTS — Joint En Route Care GuidelinesJTS
  • p. 20Back to Table of Contents Hypothermia ERC ROLE-BASED GUIDELINES FOR HYPOTHERMIA ... Personnel - Complete TCCC Management Plan for Hypothermia then: Re-assess and Re-apply Hypothermia interventions IAW TCCC Guidelines. • Minimize casualty’s exposure to cold ground, wind, and air temperatures. o Place insulation material between the casualty
  • p. 35gear near the affected burned areas • Cover burned areas with dry sterile dressings • Ensure adequate treatment for hypothermia • If possible, direct use of heating system on evacuation platform HAND-OFF • Ensure Hand-Off (page 4) Facial burns, especially ... inhalation injury. Closely monitor airway status and SpO2. Extensive burns (>20% TBSA): • Consider placing the casualty in a hypothermia enclosure bag/shell (use insulated system if available) to cover burned areas and prevent hypothermia. • Elevate burned extremities
• JTS — Damage Control ResuscitationJTS
  • p. 11shock. REBOA can be highly effective if rapidly implemented by skilled and designated teams. Prevention of acidosis and hypothermia Metabolic acidosis resulting from acute trauma is a consequence of inadequate tissue perfusion leading to lactic acid production ... resuscitation with WB or equal ratio components. Crystalloid resuscitation will contribute to the acidosis and should be avoided. Hypothermia is multifactorial and strategies should address as many causes as are identified, including cold exposure, cold resuscitation fluids, significant
  • p. 13noted that rapid infusion of TXA has been infrequently associated with transient hypotension. Prevention of acidosis and hypothermia Hypothermia is multifactorial and strategies should address as many causes as are identified, including cold exposure, cold resuscitation fluids, significant ... blood loss, and shock. Hypothermia occurs even when ambient temperatures are elevated and medical personnel are uncomfortably warm, due to blood loss and hypoperfusion. Treatment should include urgent, active re-warming with all available means including heated fluids
  • p. 22children is approximately 60-80 ml/kg. Children are at high risk of developing hypocalcemia, hypomagnesemia, metabolic acidosis, hypoglycemia, hypothermia, and hyperkalemia during MTs. Therefore, frequent monitoring and correction of acid/base status, electrolytes, and core temperature is essential during ... approved blood warmer and other transdermal temperature management system devices are recommended for the prevention and treatment of hypothermia. Although there are limited retrospective data demonstrating the benefit of TXA in pediatric trauma,2 there are studies
• Agressions collectives par armes de guerre — conduites à tenirMinistères de l'Intérieur, des Armées et de la Santé
  • p. 92doit être systématique et nécessite une immobilisation par collier cervical et un relevage adapté. 6.2 Prévention de l’hypothermie (Hypothermie) Facteur indépendant de mortalité pour le patient traumatique (dès 36 °C), l’hypothermie est un élément contre lequel ... agit d’une mesure simple mais primordiale car la coagulation san- guine est ralentie en cas d’hypothermie. Sa prévention participe donc direc- tement à l’hémostase en plus du confort de la victime. À l’avant
  • p. 99collectives par armes de guerre – Conduites à tenir pour les professionnels de santé98 2.3 Contrôle précoce de l’hypothermie L’hypothermie, dès 36 °C, constitue un facteur indépendant de mortalité pour le traumatisé militaire ou civil. Elle constitue ... mise en place de procédures ont permis de diminuer à 1 % le nombre de victimes en hypothermie à l’admission dans les hôpitaux de soutien au combat. 2.4 Optimisation hémodynamique La stratégie dite « d’hypotension permissive » vise
  • p. 58préhospitalier jusqu’au bloc opératoire avec le souci constant de lutter contre les éléments de la triade létale : hypothermie, acidose, troubles de la coagulation. Il comprend le damage control resuscitation et le damage control chirurgical (ou damage control ... réparation. • Le damage control resuscitation (ou DC réanimation), débute en préhospitalier (arrêt des hémorragies, lutte contre l’hypothermie, évacuation rapide, adaptation du remplissage, lutte précoce contre les troubles de la coagulation) et se poursuit en hospitalier, en périopératoire
  • p. 63préhospitalier jusqu’au bloc opératoire, avec ce souci constant de lutter contre les éléments de la triade létale : hypothermie, acidose, troubles de la coagulation. Ces mesures étant détaillées dans les chapitres suivants, nous ne ferons que les citer ... bloc opératoire (packings, ligatures, shunts, radiologie interventionnelle…) ; §§§ prévention rigoureuse et à tous les niveaux de l’hypothermie : dés- habillage limité, réchauffage passif (couvertures, bonnets…) ou actif, perfusion de produits réchauffés, mise à l’abri du patient, intervention chirurgicale
• TCCC Guidelines — 1er mai 2026CoTCCC / Joint Trauma System
  • p. 8TCCC Casualty Card. Use a permanent marker to mark on the tourniquet and the casualty card. 7. Hypothermia Prevention a. Take early and aggressive steps to prevent further body heat loss and add external heat, when possible ... torso). e. Enclose the casualty with the exterior impermeable enclosure bag. f. As soon as possible, upgrade hypothermia enclosure system to a well-insulated enclosure system using a hooded sleeping bag or other readily available insulation inside
• JTS — Traumatic Brain Injury Management in Prolonged Field CareJTS
  • p. 10Fever will increase cerebral metabolism and may increase ICP.  Although targeted temperature management (previously referred to as therapeutic hypothermia) is used to reduce ICP in a critical care setting, hypothermia is part of the “lethal triad” in trauma ... strategies beyond what is outlined in TCCC should NOT be attempted in the field or Role 1 setting.  Hypothermia prevention and management kits should continue to be used in all trauma patients. In TBI patients, however, warming measures
• JTS — CBRN Part 2: Medical Management of Chemical Agent ExposureJTS
  • p. 5ATNAA: antidote treatment nerve agent auto-injector; CANA: convulsive antidote nerve agent; RSDL: reactive skin decontaminant lotion; HPMK: hypothermia management kit; TBI: traumatic brain injury; ICP: intracerebral pressure; MACE: military acute concussion evaluation; PFC: prolonged field care; USAMRICD ... further decontaminate skin with irritation solution, but priority is antidote C2: Circulation (assess vitals, resuscitate) / Countermeasures (Cyanokit) H2: Hypothermia (prevent) / Head wounds (assess mental status--altered due to agent or TBI?) E: Evacuation Cyanokit 5gm IV over
  • p. 20contact time, then wipe away)  Remove and replace contaminated treatments (tourniquets, chest seals, etc.) C2: Circulation/Countermeasures/Drips (benzodiazepines, naloxone) Hypothermia (prevent) / Head wounds (assess mental status--altered due to agent, or TBI?) Anticholinergics – titrate benzodiazepines to control severe agitation ... Opioids - Naloxone 2-4 mg IV/IO, titrate to respiratory effort (May require naloxone drip (2/3 response dose/hour) H2: Hypothermia (HPMK, fluid warmer / Head wounds (treat elevated ICP, Neuro exam, MACE) PFC: supportive care  Most agents are self-limited
  • p. 8replace contaminated treatments (tourniquets, chest seals, etc) C2: Circulation (assess vitals, resuscitate) / Countermeasures (atropine, pralidoxime, benzodiazepines) H2: Hypothermia (prevent) / Head wounds (assess mental status--altered due to agent, antidote, or TBI?) E: Evacuation Atropine given mistakenly ... IV/IO/IM, titrate to effect  Scopolamine 0.8mg IV/IM after ATNAA x3 (as an adjunct to atropine) H2: Hypothermia (HPMK, fluid warmer) / Head wounds (treat elevated ICP, Neuro exam, MACE) PFC: Supportive care: Reassess frequently, follow protocols for respiratory
  • p. 13skin decon  Remove and replace contaminated treatments (tourniquets, chest seals, etc) C2: Circulation (assess vitals, resuscitate) / Countermeasures H2: Hypothermia (prevent) / Head wounds (assess mental status--altered due to agent or TBI?) E: Evacuation Laryngospasm may occur. Anticipate airway ... Inhaled Beta agonist if wheezing (e.g. albuterol MDI)  Monitor for dysrhythmia (usually transient), ACLS if indicated H2: Hypothermia (HPMK, fluid warmer) / Head wounds (treat elevated ICP, Neuro exam, MACE) PFC: Albuterol 2.5mg in 3ml NS for wheezing/bronchospasm

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• ERC 2025 - RCP adulte
  • p. 59Yildiz V, Abel E, Husa R. The impact of body mass index on patient survival after therapeutic hypothermia after resuscitation. The American Journal of Emergency Medicine. 2016;34:722-725. doi: https://doi.org/10.1016/j.ajem.2015.12.077 187. Hjalmarsson A, Rawshani ... mass index on the prognosis of patients successfully resuscitated from out-of-hospital cardiac arrest treated by therapeutic hypothermia. Resuscitation. 2016;109:49-55. doi: https://doi.org/10.1016/j.resuscitation.2016.09.011 201. Wang YG, Obed C, Wang YL, Deng FF, Zhou