Current practice of thermoregulation during the transport of combat wounded

The Journal of Trauma
Michael NesbittLorne H Blackbourne

Abstract

This study evaluated the progress in the treatment and prevention of hypothermia in combat wounded since the October 2, 2006 Joint Theater Trauma System Clinical Practice Guideline (CPG) publication and evaluated the frequency of use and effectiveness of the methods described in the CPG. The authors used data obtained from the Joint Trauma Theater Trauma Registry maintained by the US Army Institute of Surgical Research for our analysis. The issuance of the CPG was associated with a decrease in the incidence of hypothermia (p value = <0.0001). None of the thermoregulatory methods were associated with significantly higher overall temperatures when compared with the others (p value = 0.1062-0.3686) or with hypothermia (p value = 0.1367-0.7992); however, lack of entered prehospital data resulted in a suboptimal number of patients for evaluation in this portion of the study. The wool blanket was the most commonly used thermoregulatory method (prehospital, 72%; interfacility, 49%). (1) The incidence of hypothermia decreased after the issuance of the JTTS CPG. (2) The standard Army wool blanket is the most commonly used thermoregulatory method during transport in theater. (3) This study did not find a significant difference in the cap...Continue Reading

References

Apr 1, 1995·The Surgical Clinics of North America·L M Gentilello
May 12, 2004·American Journal of Surgery·Alec C Beekley, David M Watts
Jan 18, 2005·Military Medicine·Marcus E Carr
Dec 24, 2005·The Journal of Trauma·John B Holcomb
May 2, 2006·American Journal of Surgery·Zachary ArthursJames Sebesta
Jun 10, 2006·The Journal of Trauma·Brian J EastridgeJohn B Holcomb
Jul 13, 2006·The Journal of Trauma·David S KauvarJohn R Hess
Nov 28, 2006·The Surgical Clinics of North America·Alec C BeekleyJames A Sebesta

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Citations

Aug 14, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Anders M KarlsenGuttorm Brattebø
Feb 28, 2015·Military Medical Research·Hui-Shan Wang, Jin-Song Han
Aug 3, 2012·Revista española de anestesiología y reanimación·R Navarro SuayJ M Jiménez Vizuete
Dec 5, 2012·The Journal of Trauma and Acute Care Surgery·Keith PalmBrian J Eastridge
Jul 3, 2015·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Elizabeth J Bridges
Mar 29, 2018·Neurocritical Care·Julio A Chalela, Patrick E Britell
Sep 25, 2017·Acta Anaesthesiologica Scandinavica·O HenrikssonP J Lundgren
Dec 21, 2019·The American Journal of Emergency Medicine·Andrew D FisherSteven G Schauer

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