Loading…

Flash Player 9 (or above) is needed to view presentations.
We have detected that you do not have it on your computer. To install it, go here.

Like this presentation? Why not share!

Like this? Share it with your network

Share
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
739
On Slideshare
739
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
7
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Major Ken Wishaw FANZCA Royal Australian Army Medical Corps
  • 2. Hypothermia Awareness Detection Management
  • 3. Complications of Mild  Hypothermia (35°C)  wound healing is delayed  wound infections are increased threefold  platelets do not work  coagulation fails  blood loss increases 30 ‐100%  need for transfusion increases 30%  Myocardial events  occur in 50%  with IHD
  • 4. Core Temperature below   35.0o C  quadruples mortality in severe trauma. 
  • 5. Core Temperature below   35.0o C  quadruples mortality in severe trauma.  Is this a problem in Australia?
  • 6. Core Temperature below   35.0o C  quadruples mortality in severe trauma.  Qld Trauma Registry 13% < 35°C
  • 7. Core Temperature below   35.0o C  quadruples mortality in severe trauma. Qld Trauma Registry Over half the cases happen after hospital  admission.
  • 8. ADF Anaesthesia Craft Group Position  paper  “Hypothermia and the Battle Casualty” April 2010.
  • 9. Why we don’t detect the  problem
  • 10. Heat distribution vs   environment temperature
  • 11. Heat distribution vs   environment temperature
  • 12. Redistribution Hypothermia Hypovolaemic  Resuscitation  Shock  Awake Anaesthesia
  • 13. •Core temperature does NOT measure  heat loss •Peripheral temperature more reliable  indicator
  • 14. Detecting hypothermia A F201 H Commonsense,  version 1.1.1
  • 15. warm legs = warm heart
  • 16. •Passive warming is minimally effective •Warm cotton blankets do not work •Active warming techniques must be used
  • 17. •Remove casualty from cold wet and windy environment. •Remove and replace wet clothing. •Insulate head and neck with beanie or balaclava if appropriate. •Cover patient. •Insulate underneath patient to protect from cold ground. •Insulate underneath stretcher e.g. using camping mat or second sleeping bag. •Apply active warming devices if available. •Warm IV fluids. •Do not use ad hoc warming techniques directly against casualty’s skin. This may result in burns.
  • 18. NSN: 6515-01-532-8056 Cost: $93.00