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E – Wärmeerhalt und Wiedererwärmung

Für kalte und warme Tage

E – Hypothermia and rewarming

For cold and warm days

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An Erratum to this article was published on 04 May 2017

Zusammenfassung

Der ungewollte Abfall der Körperkerntemperatur unter 35 °C ist eine schwerwiegende Gesundheitsstörung. Meist ist sie auf Umwelteinflüsse zurückführbar; es kommen jedoch genauso sekundäre Ursachen für ihre Entstehung in Frage. Notfallpatienten sind praktisch immer durch Wärmeverlust gefährdet. Eine Hypothermie höheren Schweregrads stellt u. a. aufgrund einer zunehmenden kardiozirkulatorischen Instabilität bis hin zum Herzkreislaufstillstand und zur Reanimationsbedürftigkeit eine lebensbedrohliche Situation dar. Eine Reihe von Handlungsempfehlungen beschreiben detailliert die eskalierenden Therapiemaßnahmen zur Wiedererwärmung bzw. zum Wärmeerhalt. Der hier vorliegenden Artikel gibt eine Übersicht über die zur Verfügung stehenden Medizinprodukte, die v. a. im Bereich der Prähospitalphase zum Einsatz kommen können, um diese eskalierenden Maßnahmen umzusetzen, und bewertet die einzelnen Produkte.

Abstract

The unintentional drop of body core temperature below 35 °C is a serious health disorder. Most of the time hypothermia is due to environmental conditions; however, there are secondary causes that should also be considered. Virtually speaking, all emergency medical patients are jeopardized by heat loss. High-degree hypothermia is a life-threatening situation, among others, due to cardiocirculatory instability that might lead to cardiac arrest and the need for cardiopulmonary resuscitation. A variety of practice guidelines describe escalating therapeutic measures for rewarming and preserving body temperature. The present article is a review of medical devices available that can be used predominantly during prehospital care in order to implement the recommended escalating measures. Moreover, we try to evaluate usefulness of the respective products.

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Authors and Affiliations

  1. Institut für Notfallmedizin und Medizinmanagement (INM), Klinikum der Universität München, Ludwig-Maximilians-Universität, Schillerstraße 53, 80336, München, Deutschland

    H. Trentzsch, P. Graeff & S. Prückner

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  1. H. Trentzsch
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  3. S. Prückner
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Correspondence to H. Trentzsch.

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Interessenkonflikt

H. Trentzsch, P. Graeff und S. Prückner geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Redaktion

M. Bernhard, Leipzig

B. Hossfeld, Ulm

C. Waydhas, Bochum

Der Beitrag ist Teil des Leitthemas „Medizinprodukte“ der Notfall+Rettungsmedizin 2/2017. In der Beitragsserie werden Medizinprodukte entsprechend dem ABCDE-Schema vorgestellt.

Ein Erratum zu diesem Beitrag ist unter http://dx.doi.org/10.1007/s10049-017-0310-x zu finden.

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Trentzsch, H., Graeff, P. & Prückner, S. E – Wärmeerhalt und Wiedererwärmung. Notfall Rettungsmed 20, 141–153 (2017). https://doi.org/10.1007/s10049-017-0272-z

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