• Scand J Trauma Resus · Dec 2016

    Letter

    Warming the head of hypothermic patient - is it always safe?

    • Paweł Podsiadło, Tomasz Darocha, and Sylweriusz Kosiński.
    • Polish Society for Mountain Medicine and Rescue, ul. Dębowa 2, Szczyrk, 43-370, Poland. p.podsiadlo.01@gmail.com.
    • Scand J Trauma Resus. 2016 Dec 3; 24 (1): 141.

    AbstractThe head warming in hypothermic victims is an alternative way of heat donation, which does not inhibit shivering and does not impede the access to the patient's chest. It seems to be a safe method in mild hypothermia. The authors of the review article "Accidental hypothermia - an update" suggest this way of heat donation, without indicating precisely, in which group of patients it can be applied. In severe hypothermia, the brain-protective effect of cold is well known. The decreased need of oxygen allows good neurological outcome after long lasting cardiac arrest. Therefore, in deep hypothermia, the brain tissue should be rather insulated from the heat source than warmed.

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