Hypothermia, Trauma
Conditions
Keywords
Hypothermia, (Poly) Trauma, Emergency Room, Warming Blanket
Brief summary
Hypothermia is a common problem in traumatized patients leading to severe complications such as impaired coagulation, increased rate of wound infections and overall patient discomfort among others. Therefore, the investigators test out the new self warming ReadyHeat® blanket device against the currently used cotton wool blanket in terms of effects on the prevention and treatment of hypothermia.
Detailed description
Hypothermia is a common problem in traumatized patients leading to severe complications such as impaired coagulation, increased rate of wound infections and overall patient discomfort among others. Therefore, the investigators test out the new self warming (via an exothermic reaction) ReadyHeat® blanket device against the currently used cotton wool blanket in terms of effects on the prevention and treatment of hypothermia. Near body core temperature is measured by a sublingual sensor as the gold standard of body core temperature measurement - the pulmonary artery catheter - is too invasive and not suited for this collective of patients in the emergency room setting. Blanket use will be randomized. Temperature will be taken at emergency room admission, after 15, 30 and 45 minutes of treatment as well as right before handing the patient over to the next caring unit (ICU, IMC, operating theatre etc.). If treatment time is shorter than expected measurement will stop at the latest possible point. Blankets will be applied to the patient once admission in the emergency room is complete and will only be lifted for interventions.
Interventions
DEVICEReadyHeat® blanket
Using ReadyHeat® blanket for patient warming
DEVICECotton wool blanket
Using cotton wool blanket for patient warming
Sponsors
University Hospital Schleswig-Holstein
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Trauma patients ≥ 18 years of all severity stages including poly traumatized patients admissioned through the emergency room
Exclusion criteria
* Patients \< 18 years * Patients after pre-hospital cardiac arrest or ongoing CPR at time of admission
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Body core temperature at the end of completed emergency room treatment | When handing the patient over to the next caring unit (ICU, operating theatre etc.) n most cases an average time frame < 60 min is maintained | Body core temperature taken after completed emergency room treatment incl. imaging. In most cases an average time frame \< 60 min is maintained. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Body core temperature during emergency room treatment | Temperature measurement: Admission, after 15, 30, 45 minutes | Body core temperature taken after emergency room admission and 15, 30 and 45 minutes after beginning of treatment |
Countries
Germany
Outcome results
None listed