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著者: Martin E Musi, Alison Sheets, Ken Zafren, Hermann Brugger, Peter Paal, Natalie Hölzl, Mathieu Pasquier
雑誌名: Resuscitation. 2021 May;162:182-187. doi: 10.1016/j.resuscitation.2021.02.038. Epub 2021 Mar 3.
Abstract/Text
Clinical staging of accidental hypothermia is used to guide out-of-hospital treatment and transport decisions. Most clinical systems utilize core temperature, by measurement or estimation, to stage hypothermia, despite the challenge of obtaining accurate field measurements. Recent studies have demonstrated that field estimation of core temperature is imprecise. We propose a revision of the original Swiss Staging system. The revised system uses the risk of cardiac arrest, instead of core temperature, to determine the staging level. Our revised system simplifies assessment by using the level of responsiveness, based on the AVPU scale, and by removing shivering as a stage-defining sign.
Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.
PMID 33675869 Resuscitation. 2021 May;162:182-187. doi: 10.1016/j.resuscitation.2021.02.038. Epub 2021 Mar 3.
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