Objectives: Heat stroke is a life-threatening condition with high mortality and morbidity. Although several cooling methods have been reported, the feasibility and safety of treating heat stroke using intravascular temperature management are unclear. This study evaluated the efficacies of conventional treatment with or without intravascular temperature management for severe heat stroke. Design: Prospective multicenter study. Setting: Critical care and emergency medical centers at 10 tertiary hospitals. Patients: Patients with severe heat stroke hospitalized during two summers. Interventions: Conventional cooling with or without intravascular temperature management. Measurements and Main Results: Cooling efficacy, Sequential Organ Failure Assessment score, occurrence rate of serious adverse events, and prognosis based on the modified Rankin Scale and Cerebral Performance Category. Patient outcomes were compared between five centers that were prospectively assigned to perform conventional cooling (control group: eight patients) and five centers that were assigned to perform conventional cooling plus intravascular temperature management (intravascular temperature management group: 13 patients), based on equipment availability. Despite their higher initial temperatures, all patients in the intravascular temperature management group reached the target temperature of 37°C within 24 hours, although only 50% of the patients in the control group reached 37°C (p
from Emergency Medicine via xlomafota13 on Inoreader https://ift.tt/2GDavYg
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Big dreams to improve EMS with a windfall of funding for safety, health and wellness, research and leadership development from EMS via xlo...
-
Abstract Background Angiogenesis is an indispensable step in the growth and invasiveness of breast cancers involving a series of exquisi...
-
In Finland, calls for emergency medical services are prioritized by educated non-medical personnel into four categories—from A (highest risk...
-
Zusammenfassung Hintergrund Die Störung der Blut-Hirn-Schranke – gemessen mittels Magnetresonanztomographie – stellt kein zuverlässiges ...
-
Journal of Head Trauma Rehabilitation from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2aGRmnn
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου