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Nov 1, 2020 Issue
Accidental Hypothermia: Guidelines from the Wilderness Medical Society [Practice Guidelines]
The Wilderness Medical Society has published an updated guideline on treating accidental hypothermia outside of hospitals, including a staging classification system based on clinical observation.
Find out how to stage hypothermia when core temperature cannot be measured, when rapid rewarming is not advised, and how to distinguish nonfreezing injuries from frostbite.
In patients with severe frostbite, tPA plus a prostacyclin may be used to decrease the risk of digital amputation. tPA can be used alone and is associated with lower amputation rates compared with local wound care.
Although hypothermia is most common in patients who are exposed to a cold environment, it can develop secondary to toxin exposure, metabolic derangements, infections, and dysfunction of the central nervous and endocrine systems. The clinical presentation of hypothermia includes a spectrum of symptom...