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Prehospital interventions to prevent hypothermia in trauma patients: a scoping review

2020Journal article Restricted access
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dc.contributor.authorMota, Mauro
dc.contributor.authorCunha, Madalena
dc.contributor.authorReis Santos, Margarida
dc.contributor.authorSantos, Eduardo
dc.contributor.authorMelo, Filipe
dc.contributor.authorAbrantes, Tito
dc.contributor.authorSanta, Ana
dc.date.accessioned2020-09-08T15:08:12Z
dc.date.available2020-09-08T15:08:12Z
dc.date.issued2020
dc.description.abstractObjective: The aim of this review is to map the prehospital rewarming measures used to prevent hypothermia among trauma victims. Background: Hypothermia is responsible for an increase of the mortality and morbidity in trauma victims and its recognition and early treatment are crucial for the victim’s haemodynamic stabilisation. Prehospital interventions are particularly important, especially those that target bleeding control, haemodynamic stability, and safe body temperature. Registered nurses may be pivotal to prevention and minimisation of the dangerous effects of hypothermia. Study design and methods: A scoping review was used to identify articles from several online databases from 2010 to 2018. Studies in English, Spanish, and Portuguese were included. Two reviewers performed data extractions independently. Results: Seven studies were considered eligible for this review: two quantitative research studies, one qualitative research study, and four literature reviews. Rewarming measures can be divided into two main groups: passive rewarming, which includes the use of blankets, positioning the response unit to act as a windbreak, removing the patients’ wet clothes, drying the patient’s body, and increasing the ambient temperature; and active rewarming which includes the use of heating pads, heated oxygen, warmed intravenous fluids, peritoneal irrigation, arteriovenous rewarming, and haemodialysis. Discussion: Active measures reported by the included studies were always used as a complement to the passive measures. Active rewarming produced an increase in core temperature, and passive rewarming was responsible for intrinsic heat-generating mechanisms that will counteract heat loss. Patients receiving passive warming in addition to active warming measures presented a statistically significant increase in body core temperature as well as an improvement in the discomfort caused by cold. Conclusion: Rewarming measures seem to be essential for the prevention of hypothermia and to minimise the discomfort felt by the patient. In many countries registered nurses can play important roles in the prehospital context of trauma victim’s assistance. Greater understanding of these roles is necessary to the development of better practice.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAustralian Journal of Advanced Nursing, 2020, 37(3): 29-36.pt_PT
dc.identifier.doi10.37464/2020.373.88pt_PT
dc.identifier.issn1447‑4328
dc.identifier.urihttp://hdl.handle.net/10400.26/33274
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAustralian Nursing and Midwifery Federationpt_PT
dc.relation.publisherversionhttps://www.ajan.com.au/index.php/AJAN/article/view/88pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectMultiple traumapt_PT
dc.subjectEmergency carept_PT
dc.subjectNursingpt_PT
dc.subjectBody temperature regulationpt_PT
dc.subjectWarmingpt_PT
dc.titlePrehospital interventions to prevent hypothermia in trauma patients: a scoping reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage36pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage29pt_PT
oaire.citation.titleAustralian Journal of Advanced Nursingpt_PT
oaire.citation.volume37pt_PT
person.familyNameReis Santos
person.givenNameMargarida
person.identifier.ciencia-id9813-185A-AC20
person.identifier.orcid0000-0002-7948-9317
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9ae620cf-8b78-4888-9a0f-5d11168cb36d
relation.isAuthorOfPublication.latestForDiscovery9ae620cf-8b78-4888-9a0f-5d11168cb36d

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