Severe hypothermia management in mountain rescue : a survey study

doi:10.1089/ham.2017.0090

Severe hypothermia management in mountain rescue : a survey study

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Severe hypothermia management in mountain rescue : a survey study

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dc.contributor.author	Podsiadło, Paweł	pl
dc.contributor.author	Darocha, Tomasz	pl
dc.contributor.author	Kosiński, Sylweriusz [SAP20018712]	pl
dc.contributor.author	Sałapa, Kinga [SAP20002502]	pl
dc.contributor.author	Ziętkiewicz, Mirosław [SAP20002128]	pl
dc.contributor.author	Sanak, Tomasz [SAP20015976]	pl
dc.contributor.author	Turner, Rachel	pl
dc.contributor.author	Brugger, Hermann	pl
dc.date.accessioned	2020-01-17T09:17:57Z
dc.date.available	2020-01-17T09:17:57Z
dc.date.issued	2017	pl
dc.identifier.issn	1527-0297	pl
dc.identifier.uri	https://ruj.uj.edu.pl/xmlui/handle/item/141469
dc.language	eng	pl
dc.rights	Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne 4.0 Międzynarodowa	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc/4.0/pl/legalcode	*
dc.title	Severe hypothermia management in mountain rescue : a survey study	pl
dc.type	JournalArticle	pl
dc.description.physical	411-416	pl
dc.abstract.en	Introduction: Severe hypothermia is a rare but demanding medical emergency. Although mortality is high, if well managed, the neurological outcome of survivors can be excellent. The aim of the study was to assess whether mountain rescue teams (MRTs) are able to meet the guidelines in the management of severe hypothermia, regarding their equipment and procedures. Methods: Between August and December 2016, an online questionnaire, with 24 questions to be completed using Google Forms, was sent to 123 MRTs in 27 countries. Results: Twenty-eight MRTs from 10 countries returned the completed questionnaire. Seventy-five percent of MRTs reportedly provide advanced life support (ALS) on-site and 89% are regularly trained in hypothermia management. Thirty-two percent of MRTs transport hypothermic patients in cardiac arrest to the nearest hospital instead of an Extracorporeal Life Support facility; 39% are equipped with mechanical chest compression devices; 36% measure core body temperature on-site and no MRT is equipped with a device to measure serum potassium concentration on-site in avalanche victims. Conclusions: Most MRTs are regularly trained in the treatment of severe hypothermia and provide ALS. The majority are not equipped to follow standard procedural guidelines for the treatment of severely hypothermic patients, especially with cardiac arrest. However, the low response rate—23% (28/123)—could have induced a bias.	pl
dc.subject.en	emergency medicine	pl
dc.subject.en	extracorporeal membrane oxygenation	pl
dc.subject.en	hypothermia	pl
dc.subject.en	mountain rescue	pl
dc.subject.en	resuscitation	pl
dc.subject.en	rewarming	pl
dc.description.volume	18	pl
dc.description.number	4	pl
dc.description.points	25	pl
dc.identifier.doi	10.1089/ham.2017.0090	pl
dc.identifier.eissn	1557-8682	pl
dc.title.journal	High Altitude Medicine and Biology	pl
dc.language.container	eng	pl
dc.affiliation	Wydział Lekarski : Zakład Bioinformatyki i Telemedycyny	pl
dc.affiliation	Wydział Lekarski : Zakład Anestezjologii i Intensywnej Terapii	pl
dc.affiliation	Wydział Lekarski : Katedra Anestezjologii i Intensywnej Terapii	pl
dc.subtype	Article	pl
dc.rights.original	CC-BY-NC; inne; ostateczna wersja wydawcy; w momencie opublikowania; 0	pl
dc.identifier.project	ROD UJ / OP	pl
dc.cm.id	85187
dc.cm.date	2020-01-07
.pointsMNiSW	[2017 A]: 25