4.8 • 678 Ratings
🗓️ 14 February 2019
⏱️ 60 minutes
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Hypothermia is a common problem for both pre and in-hospital clinicians. Understanding the underpinning physiology helps us deliver first class care to our patients, decreasing associated morbidity and mortality.
There is some extremely difficult decision making to be done in severe cases of hypothermia and the podcast gives us an opportunity to explore them further.
We'll cover the subject in depth with particular reference to the following categories of hypothermia; treatment, modifications in cardiac arrest and prognostication.
Enjoy!
Simon, Rob & James
References
ERC 2015; Cariac arrest in specialist circumstances
LITFL; hypothermia
RCEMLearning; hypothermia
Up to Date; Hypothermia
At the bedside, out of the cold: management of hypothermia and frostbite.BiemJ.CMAJ. 2003
The prehospital management of hypothermia - An up-to-date overview. Haverkamp FJC. Injury. 2018
Accidentalhypothermia-an update: The content of this review is endorsed by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM). Paal P. Scand J Trauma Resusc Emerg Med. 2016
Accidental hypothermia. Brown DJ. 2012 N Engl J Med.
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0:00.0 | Welcome to the recess room podcast. |
0:03.9 | Five, four, three, two, one, fire. |
0:13.1 | So hi, and welcome back to the recess room podcast. I'm Simon Lang. |
0:18.2 | I'm Rob Fenwick, and I'm James Yates. |
0:20.4 | And we're very aptly back with another |
0:22.9 | roadside to recess on hypothermia in this chilly February. You say aptly, Simon, I do feel like |
0:29.0 | we missed the boat slightly because I'm looking out of my window and all of the snow has gone. So I feel |
0:33.3 | like we, you know, we peaked. We had this idea when it was cold and now it's just got that kind of slightly rubbishy, wintery, English stuff going on. I'm with James. We've missed the boat |
0:42.1 | on us. But anyway, let's play. Let's hope for a cold march. It's be great for next year. |
0:46.4 | I was really trying to engage the listeners there, but thanks very much. We'll do that for you, mate. You just crack on with the editing. I'll just sit here |
0:55.7 | in my speedos in the lovely warm weather and carry on. Luckily, we're not on a video call. |
1:00.3 | Thank God. So hypotherm is a really common presentation. It's something that offers a lot of |
1:05.1 | challenging decision-making. So we're going to be running through hypothermia some detail, |
1:09.7 | and there's going to be some crossover into drowning as well. |
1:12.1 | But keep an eye out for one of our further rotocidal resources, which is going to cover drowning a bit later on in the year. |
1:18.4 | Before we crack into the podcast, a huge thanks to AbPrak for supporting the show. |
1:22.9 | They provide high-quality advanced clinical practitioners to emergency departments up and down the country. |
1:28.2 | So if you happen to be one of those EDs struggling with staffing, have a look at that. |
1:32.7 | If you're looking to join their fantastic outfit, then again, have a look at the hyperlink |
1:36.4 | through to their company on the website. So without further ado, let's get chilly. |
1:44.5 | All right, so I think a customary place to start then is with a definition and a bit of an outline of the problem at hand. |
1:52.6 | So what we're going to be mostly talking about today then, I guess, is accidental hypothermia or primary hypothermia. |
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