Warming the oxygen with the rescuer’s body as a possible method of heat loss prevention in a prehospital setting. Initial report

Q3 Health Professions Disaster and Emergency Medicine Journal Pub Date : 2021-07-20 DOI:10.5603/DEMJ.A2021.0021
T. Kłosiewicz, Radosław Zalewski, M. Wieczorek, Joanna Faferek, M. Sip, L. Różański, E. Stachowska
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Abstract

INTRODUCTION: Discomfort from cold is a significant problem for trauma victims. Prehospital treatment of a hypothermic patient is hugely challenging for medical rescue teams. Preventing heat loss is a basic treatment in all levels of care. The main aim objective of this report was to examine the influence of low ambient temperature on cooling oxygen in a rescue set and to check whether heating the oxygen tube with the rescuer’s body is a legitimate method. MATERIAL AND METHODS: In the control test, an oxygen tube was disposed of across a styrofoam board, whereas a study group was an oxygen tube hidden underneath the paramedic’s jacket. A thermographic camera was used to define oxygen’s temperature in different parts of the medical setting. The research was carried out in the winter season in the natural environment, which was comparable to the regular work conditions of the services. RESULTS: In a control group, the oxygen temperature in an oxygen mask was similar to the ambient temperature. This research has found that warming up an oxygen tube underneath the paramedic’s jacket resulted in a 12.9 degree increase in temperature in an oxygen mask. CONCLUSIONS: Keeping the oxygen tube underneath a jacket may serve as an additional method of preventing patients’ heat loss. The authors express the need for further research on providing hypothermic patients with warm oxygen. The authors believe that introducing such an easy method of warming up the oxygen may positively influence treatment results and give rise to a discussion on the presented method.
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在院前环境中,用救援者的身体加热氧气作为防止热损失的一种可能的方法。初步报告
引言:对于创伤受害者来说,寒冷带来的不适是一个重要的问题。低温病人的院前治疗对医疗救援队来说是一个巨大的挑战。预防热量流失是各级护理的基本治疗方法。本报告的主要目的是检查低环境温度对救援装置中冷却氧气的影响,并检查用救援人员的身体加热氧气管是否是一种合法的方法。材料和方法:在对照试验中,一根氧气管被放置在聚苯乙烯泡沫板上,而一组氧气管被隐藏在护理人员的夹克下面。使用热像仪来确定医疗环境中不同部位的氧气温度。这项研究是在冬季的自然环境中进行的,这与服务的正常工作条件相当。结果:在对照组中,氧气面罩内的氧气温度与环境温度相似。这项研究发现,加热医护人员夹克下的氧气管会导致氧气面罩内的温度升高12.9度。结论:将氧气管置于夹克衫下可作为防止患者热损失的一种额外方法。作者表示需要进一步研究为低温患者提供热氧。作者认为,引入这样一种简单的氧气预热方法可能会对治疗效果产生积极影响,并引起对所提出方法的讨论。
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来源期刊
Disaster and Emergency Medicine Journal
Disaster and Emergency Medicine Journal Medicine-Emergency Medicine
CiteScore
1.40
自引率
0.00%
发文量
30
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