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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2016

Open Access 01-12-2016 | Letter to the Editor

Warming the head of hypothermic patient – is it always safe?

Authors: Paweł Podsiadło, Tomasz Darocha, Sylweriusz Kosiński

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2016

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Abstract

The head warming in hypothermic victims is an alternative way of heat donation, which does not inhibit shivering and does not impede the access to the patient’s chest. It seems to be a safe method in mild hypothermia. The authors of the review article “Accidental hypothermia – an update” suggest this way of heat donation, without indicating precisely, in which group of patients it can be applied. In severe hypothermia, the brain-protective effect of cold is well known. The decreased need of oxygen allows good neurological outcome after long lasting cardiac arrest. Therefore, in deep hypothermia, the brain tissue should be rather insulated from the heat source than warmed.
Literature
1.
Paal P, Gordon L, Strapazzon G, et al. Accidental hypothermia–an update The content of this review is endorsed by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). Scand J Trauma Resusc Emerg Med. 2016;24:111.CrossRefPubMedPubMedCentral
2.
Sran BJ, McDonald GK, Steinman AM, et al. Comparison of heat donation through the head or torso on mild hypothermia rewarming. Wilderness Environ Med. 2014;25(1):4–13.CrossRefPubMed
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Brown D. Hypothermia. In: Tintinalli J et al. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide 8-th Edition. McGraw-Hill Education. 2015
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Kosiński S, Darocha T, Jarosz A, et al. The longest persisting ventricular fibrillation with an excellent outcome – 6 h 45 min cardiac arrest. Resuscitation. 2016;105:e21–2.CrossRefPubMed
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Nakamura T, Miyamoto O, Sumitani K, et al. Do rapid systemic changes of brain temperature have an influence on the brain? Acta Neurochir. 2003;145:301–7.CrossRefPubMed
Metadata
Title
Warming the head of hypothermic patient – is it always safe?
Authors
Paweł Podsiadło
Tomasz Darocha
Sylweriusz Kosiński
Publication date
01-12-2016
Publisher
BioMed Central
DOI
https://doi.org/10.1186/s13049-016-0337-x

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