Consensus document on the management of patients with accidental hypothermia from the Spanish Society of Anesthesiology, Resuscitation and Pain Management (SEDAR), the Spanish Society of Intensive Care Medicine, Critical Care and Coronary Units (SEMICYUC), and the Spanish Society of Emergency Medicine (SEMES).
Accidental hypothermia is an underdiagnosed condition with a significant impact on public health. With the aim of providing the basis for a comprehensive care framework, 12 panelists from 3 Spanish scientific societies (SEDAR, SEMES and SEMICYUC) developed this multidisciplinary consensus document. Through a systematic search and the final synthesis of 281 articles including 1,704,632 patients, 37 recommendations were developed through a 2-round Delphi process, distributed across 8 application domains based on the organization of a rescue chain: prehospital prevention, initial evaluation, management and transport, hospital detection, care of the polytraumatized patient, hospital rewarming, cardiac arrest, and resuscitation. Robust consensus among panelists (>75% agreement) and excellent internal consistency (ω = 0.913) were achieved, providing a solid document that may serve as a basis for the implementation of standardized protocols.
Authors
Blasco Mariño Blasco Mariño, Argudo Argudo, Soteras Martínez Soteras Martínez, Avellanas Chavala Avellanas Chavala, Pons Claramonte Pons Claramonte, Rius Rius, Martín Sánchez Martín Sánchez, Pinillos Alonso Pinillos Alonso, González-Delgado González-Delgado, Barea Mendoza Barea Mendoza, Fernandez Fernandez, Laurens Acevedo Laurens Acevedo
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