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Wilderness Medical Society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia: 2014 update.
Wilderness Environ Med. 2014 Dec; 25(4 Suppl):S66-85.WE

Abstract

To provide guidance to clinicians, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia published in Wilderness & Environmental Medicine 2014;25(4):425-445.

Authors+Show Affiliations

Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA; International Commission for Mountain Emergency Medicine (ICAR MEDCOM) (Dr Zafren). Electronic address: zafren@alaska.com.Faculty of Kinesiology and Recreation Management, Departments of Anesthesia and Emergency Medicine, University of Manitoba, Winnipeg, Canada (Dr Giesbrecht).Department of Emergency Medicine, University of Louisville, School of Medicine, Louisville, KY (Dr Danzl).International Commission for Mountain Emergency Medicine (ICAR MEDCOM) (Dr Zafren); European Academy Institute of Mountain Emergency Medicine, Bolzano, Italy (Dr Brugger).University of Nevada School of Medicine, Reno, NV (Dr Sagalyn).Service of Cardiovascular Surgery, University Hospital of Geneva, Geneva, Switzerland (Dr Walpoth).Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA; Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA (Drs Weiss and Auerbach).Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA; Division of Emergency Medicine, Department of Surgery, Stanford University School of Medicine, Stanford, CA (Drs Weiss and Auerbach).Division of Emergency Medicine, University of Utah, Salt Lake City, UT (Drs McIntosh, Némethy, and McDevitt).Division of Emergency Medicine, University of Utah, Salt Lake City, UT (Drs McIntosh, Némethy, and McDevitt).Division of Emergency Medicine, University of Utah, Salt Lake City, UT (Drs McIntosh, Némethy, and McDevitt).Alaska Regional Hospital, Anchorage, AK; Denali National Park and Preserve, AK (Dr Dow).University of Washington, Seattle, WA.Division of Health Sciences, University of Nevada, Reno, NV (Dr Rodway).Division of Emergency Medicine, Altitude Research Center, University of Colorado School of Medicine, Denver, CO; Institute for Altitude Medicine, Telluride, CO (Dr Hackett).Military & Emergency Medicine Department, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences Bethesda, MD (Dr Bennett).Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center and the University of Utah, Salt Lake City, UT (Dr Grissom).No affiliation info available

Pub Type(s)

Journal Article
Practice Guideline

Language

eng

PubMed ID

25498264

Citation

Zafren, Ken, et al. "Wilderness Medical Society Practice Guidelines for the Out-of-hospital Evaluation and Treatment of Accidental Hypothermia: 2014 Update." Wilderness & Environmental Medicine, vol. 25, no. 4 Suppl, 2014, pp. S66-85.
Zafren K, Giesbrecht GG, Danzl DF, et al. Wilderness Medical Society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia: 2014 update. Wilderness Environ Med. 2014;25(4 Suppl):S66-85.
Zafren, K., Giesbrecht, G. G., Danzl, D. F., Brugger, H., Sagalyn, E. B., Walpoth, B., Weiss, E. A., Auerbach, P. S., McIntosh, S. E., Némethy, M., McDevitt, M., Dow, J., Schoene, R. B., Rodway, G. W., Hackett, P. H., Bennett, B. L., & Grissom, C. K. (2014). Wilderness Medical Society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia: 2014 update. Wilderness & Environmental Medicine, 25(4 Suppl), S66-85. https://doi.org/10.1016/j.wem.2014.10.010
Zafren K, et al. Wilderness Medical Society Practice Guidelines for the Out-of-hospital Evaluation and Treatment of Accidental Hypothermia: 2014 Update. Wilderness Environ Med. 2014;25(4 Suppl):S66-85. PubMed PMID: 25498264.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wilderness Medical Society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia: 2014 update. AU - Zafren,Ken, AU - Giesbrecht,Gordon G, AU - Danzl,Daniel F, AU - Brugger,Hermann, AU - Sagalyn,Emily B, AU - Walpoth,Beat, AU - Weiss,Eric A, AU - Auerbach,Paul S, AU - McIntosh,Scott E, AU - Némethy,Mária, AU - McDevitt,Marion, AU - Dow,Jennifer, AU - Schoene,Robert B, AU - Rodway,George W, AU - Hackett,Peter H, AU - Bennett,Brad L, AU - Grissom,Colin K, AU - ,, PY - 2014/12/16/entrez PY - 2014/12/17/pubmed PY - 2015/9/1/medline KW - accidental hypothermia KW - avalanche KW - cold KW - hypothermia KW - resuscitation KW - rewarming KW - wilderness medicine SP - S66 EP - 85 JF - Wilderness & environmental medicine JO - Wilderness Environ Med VL - 25 IS - 4 Suppl N2 - To provide guidance to clinicians, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia published in Wilderness & Environmental Medicine 2014;25(4):425-445. SN - 1545-1534 UR - https://www.unboundmedicine.com/medline/citation/25498264/Wilderness_Medical_Society_practice_guidelines_for_the_out_of_hospital_evaluation_and_treatment_of_accidental_hypothermia:_2014_update_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1080-6032(14)00326-3 DB - PRIME DP - Unbound Medicine ER -