Lipman Grant S, Eifling Kurt P, Ellis Mark A, Gaudio Flavio G, Otten Edward M, Grissom Colin K
Division of Emergency Medicine, Stanford University School of Medicine, Stanford, CA (Dr Lipman).
Division of Emergency Medicine, Barnes-Jewish Hospital/Washington University School of Medicine, Saint Louis, MO (Dr Eifling).
Wilderness Environ Med. 2014 Dec;25(4 Suppl):S55-65. doi: 10.1016/j.wem.2014.07.017.
The Wilderness Medical Society (WMS) convened an expert panel to develop a set of evidence-based guidelines for the recognition, prevention, and treatment of heat illness. We present a review of the classifications, pathophysiology, and evidence-based guidelines for planning and preventive measures as well as best practice recommendations for both field and hospital-based therapeutic management of heat illness. These recommendations are graded on the basis of the quality of supporting evidence, and balance between the benefits and risks or burdens for each modality. This is an updated version of the original WMS Practice Guidelines for the Prevention and Treatment of Heat-Related Illness published in Wilderness & Environmental Medicine 2013;24(4):351-361.
荒野医学协会(WMS)召集了一个专家小组,以制定一套基于证据的热相关疾病识别、预防和治疗指南。我们对热相关疾病的分类、病理生理学、基于证据的规划和预防措施指南以及热相关疾病现场和医院治疗管理的最佳实践建议进行了综述。这些建议根据支持证据的质量以及每种方法的益处与风险或负担之间的平衡进行分级。这是2013年发表于《荒野与环境医学》第24卷第4期第351 - 361页的原始WMS热相关疾病预防和治疗实践指南的更新版本。