Re: Hypothermia in the field

[Guest guest]

Please see the following reference:

Sieunarine, A and White, G.H: "Full-thickness

burn and venous thrombosis following intravenous infusion of microwave-heated

crystalloid fluids." Burns, Vol. 22, No.7, 568-569 (1996)

Abstract

Use of microwave-heated crystalloid fluid has been recommended as

one method of correcting hypothermia during resuscitation. We report

a case of full-thickness burns and venous thrombosis after microwave-heated

crystalloid was infused in the management of ruptured aortic aneurysm.

This case highlights the severity of the burn injury that can occur with

infusion of heated fluids. Measuring the temperature of the fluid

before the start of the infusion would avoid this complication. Copyright

2996 Elsvier Science Ltd for ISBI

FYI

B. Bledsoe, DO

Steve Pike wrote:

The

anesthesia department at our local routinely microwaves their IVF prior

to giving it to surgical patients. One of the CRNA's experimented

and made a chart for the exact time needed in that particular oven to heat

the fluid. I don't know how pratical this would be for field use,

but it can be done. Steve

Pike, EMT-P, Quemado, TX

[texasems-L] Hypothermia

in the field

Other than hotpacks in the groin,

axilla, around the neck and such, what else do you folks do for prehospital

treatment of hypothermia. Specifically,

does anyone try to warm their IV fluids and if so, how. Is

there any risk, other than getting too hot, for sticking the IV bag in

the microwave? Has anyone ever done this? Please,

not looking for another flame war. Just some serious discussion.

Click

here!

eGroups.com Home: /group/

www. - Simplifying

group communications

eGroups.com Home: /group/

www. - Simplifying

group communications