저체온증(Hypothermia)

목차

1. INTRODUCTION
2. ETIOLOGY
3. CLINICAL PRESENTATION
4. DIAGNOSIS
5. Stabilization
6. DRUG THERAPY
7. REWARMING

본문내용

ABGA Interpretation?
Acid-Base disturbance
Acidosis ← Respiratory depression ← Lactic acid production
Alkalosis ← Low metabolic rates
CLINICAL PRESENTATION

Oxyhemoglobin dissociation curve
CLINICAL PRESENTATION

Thrombosis & Embolic complication
← Increased blood viscosity
← Poor circulation
Disseminated Intravascular Coagulation
When rewarming
Release of Tissue Thromboplastins

<중 략>

REWARMING
Active Core Rewarming
Advantatges
Rewarm Internal organ (esp. Heart)
↓ Myocardial irritability
↑ Cardiac function restore
pph. Vasodilatation (-)
↓ Rewarming Shock or Acidosis
40℃ ?

REWARMING
Approach to Rewaring
NO FRIM GUIDELINES FOR THERAPY
if >30℃, low incidence of dysrhythmias
Rapid rewarming is rarely necessary
가장 중요한 것은 Stable cardiac rhythm & Vital sign

참고 자료

Tintinalli’s Emergency Medicine, Chapter 203. Hypothermia
Harrison’s principle of medicine, Chapter 19. Hypothermia and Frostbite