Evaluation of a new insulating system for infusion solutions in preclinical trauma therapy: a prospective, randomized study

Wiener klinische Wochenschrift
Thomas ScheckKlaus Hoerauf

Abstract

Infusion of cold fluids in a patient leads to a reduction of core temperature and subsequently worsens hypothermia. We evaluated the efficacy of a newly developed self-warming insulation device for use in pre-hospital rescue. We studied 50 trauma patients with a rescue time of more than one hour. They were randomly assigned to either infusions taken directly from a warming box in the ambulance (Group A, n = 25) or infusions taken from the warming box and packed in an insulation device (Group B, n = 25). We recorded ambient temperatures, infusion temperatures in five-minute-steps and transport duration of the infusions from the ambulance to the site of accident. Ambient temperatures and transport duration did not differ significantly between both groups. In Group A the infusion temperature decreased from 36.0 +/- 6.4 degrees C to 19.8 +/- 6.8 degrees C during the transport from the ambulance to the site of accident. In Group B infusion temperature decreased only about 1 degree C. In Group A the temperature of the infusion continued to decrease until the end of measurements. In contrast in Group B the infusion temperature even increased by 0.5 degree C over the measurement period. These differences between the two groups were sta...Continue Reading

References

Nov 1, 1991·Annals of Emergency Medicine·G FariesR T Plouff
Jan 1, 1985·The Journal of Emergency Medicine·J A Aldrete
Nov 1, 1993·The Journal of Trauma·J FildesJ Barrett
Jul 1, 1996·American Journal of Surgery·C M SheaffJ A Barrett
Sep 29, 1998·The Journal of Trauma·J FildesJ A Barrett
Dec 9, 1993·Air Medical Journal·C K Stone, S H Thomas
May 4, 1999·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·D D WattsS M Fakhry

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Citations

Sep 25, 2017·Acta Anaesthesiologica Scandinavica·O HenrikssonP J Lundgren

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