Zafren Ken, Giesbrecht Gordon G, Danzl Daniel F, Brugger Hermann, Sagalyn Emily B, Walpoth Beat, Weiss Eric A, Auerbach Paul S, McIntosh Scott E, Némethy Mária, McDevitt Marion, Dow Jennifer, Schoene Robert B, Rodway George W, Hackett Peter H, Bennett Brad L, Grissom Colin K
Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA (Drs Zafren, Weiss, and Auerbach); International Commission for Mountain Emergency Medicine (ICAR MEDCOM) (Drs Zafren and Brugger).
Faculty of Kinesiology and Recreation Management, Departments of Anesthesia and Emergency Medicine, University of Manitoba, Winnipeg, Canada (Dr Giesbrecht).
Wilderness Environ Med. 2014 Dec;25(4):425-45. doi: 10.1016/j.wem.2014.09.002. Epub 2014 Oct 31.
To provide guidance to clinicians, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations.
为给临床医生提供指导，荒野医学会（WMS）召集了一个专家小组，以制定基于证据的院外意外低温受害者评估和治疗指南。这些指南介绍了主要的诊断和治疗方式，并为低温患者的管理提供了建议。该小组根据美国胸科医师学会发布的标准，基于支持证据的质量以及获益与风险/负担之间的平衡对这些建议进行了分级。这些指南还提供了纳入具体建议的意外低温评估和治疗的一般建议方法。
