Materiały źródłowe

• #1

  https://barkey-us.com/us/hypothermia-prevention

  Hypothermia, i.e. under temperature, is present from values below 36 C. A distinction is made between three stages: […] Therefore, it is highly desirable to maintain a normothermic temperature perioperatively. Pre-warmed blankets and heating systems are suitable for this purpose, as is the warming of fluids such as infusions, EC, FFP, etc. prior to administration.

• #2 Hypothermia: Understanding and Prevention | Minnesota Sea Grant

  https://seagrant.umn.edu/programs/recreation-and-water-safety-program/hypothermia

  Accidental hypothermia affects and kills more than 1,000 people every year. […] Appropriate clothing, staying dry, and being active can help. […] One of the best ways to prevent hypothermia is to dress in appropriate outdoor clothing, use heat packs or other body warmers as necessary, keep as little skin exposed as possible, stay dry, and move to a warm environment when there are signs of body cooling (e.g., numbness, instability, confusion). […] Everyone should avoid alcohol and recreational stimulant drugs when they are going to be in a cold environment. […] The U.S. Navy developed a compact hypothermia prevention management kit (HPMK) that is commercially available. […] If you are frequently outdoors in the winter, especially around water and ice, consider assembling and bringing with you a cold-safety readiness kit.

• #3 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  This module will focus on the prevention and treatment of hypothermia with techniques that are appropriate for the Tactical Field Care phase. […] The cognitive learning objectives are to identify the progressive strategies, indications, and limitations of hypothermia prevention of a trauma casualty in Tactical Field Care (TFC), and to identify passive hypothermia prevention measures on a trauma casualty. […] It is critical for a combat medic/corpsman to recognize hypothermia, understand it is a serious problem for a trauma or burn casualty, and be able to successfully prevent and/or treat it. […] Hypothermia poses a significant risk to combat trauma and burn casualties and is an independent predictor of mortality. […] Simple interventions have proven effective in decreasing the incidence of hypothermia in the prehospital environment.

• #4 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  This module will focus on the prevention and treatment of hypothermia with techniques that are appropriate for the Tactical Field Care phase. […] The cognitive learning objectives are to identify the progressive strategies, indications, and limitations of hypothermia prevention of a trauma casualty in Tactical Field Care (TFC), and to identify passive hypothermia prevention measures on a trauma casualty. […] It is critical for a combat medic/corpsman to recognize hypothermia, understand it is a serious problem for a trauma or burn casualty, and be able to successfully prevent and/or treat it. […] Hypothermia poses a significant risk to combat trauma and burn casualties and is an independent predictor of mortality. […] Simple interventions have proven effective in decreasing the incidence of hypothermia in the prehospital environment.

• #5 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  The early recognition and prevention of hypothermia are essential during trauma assessment and care. […] Remember that ALL trauma casualties in shock or at risk of shock are at risk for trauma-induced hypothermia even when operating in a warm environment. […] In other words, prevent and/or treat hypothermia! […] Due to the physics of heat transfer, it is much easier to prevent hypothermia than to treat it. […] Prevention of hypothermia in casualties is an essential element of care, and simple interventions have proven effective in decreasing the incidence of hypothermia during trauma assessment, treatment, and prolonged evacuations. […] Take early and aggressive steps to prevent additional body heat loss and add external heat, when possible, for trauma and severely burned casualties.

• #6 (H) Hypothermia Prevention – Crisis Medicine

  https://www.crisis-medicine.com/category/march-a-mnemonic-for-treating-casualties/h-hypothermia-prevention/?srsltid=AfmBOopvFiBaqkSHQtvj948lLwBuuna7HwmrikGhWCv-CgNiNKu958C4

  Keeping casualties warm reduces their death rates. Every drop of 1-degree Celsius in body temperature correlates with a ten percent increase in death rate. Consider Hypothermia prevention an overlooked and critical part of your casualty management. […] Once a casualty’s massive hemorrhage is controlled, rescuers must turn our attention to the rest of the M-A-R-C-H pneumonic, specifically, to hypothermia prevention.

• #7 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  The early recognition and prevention of hypothermia are essential during trauma assessment and care. […] Remember that ALL trauma casualties in shock or at risk of shock are at risk for trauma-induced hypothermia even when operating in a warm environment. […] In other words, prevent and/or treat hypothermia! […] Due to the physics of heat transfer, it is much easier to prevent hypothermia than to treat it. […] Prevention of hypothermia in casualties is an essential element of care, and simple interventions have proven effective in decreasing the incidence of hypothermia during trauma assessment, treatment, and prolonged evacuations. […] Take early and aggressive steps to prevent additional body heat loss and add external heat, when possible, for trauma and severely burned casualties.

• #8 Hypothermia Prevention

  https://www.cdc.gov/mmwr/preview/mmwrhtml/00001319.htm

  Hypothermia prevention programs should focus on persons particularly susceptible to hypothermia and those likely to be subjected to unusual cold stress. […] Since adequate caloric intake is important in preventing hypothermia, programs designed to improve nutrition in the elderly may also be helpful. Programs that ensure home heating for the elderly may also help prevent hypothermia. […] Younger persons likely to be subjected to cold stress (e.g., skiers and hikers) should be educated concerning the need for adequate clothing and the importance of abstaining from alcohol use during prolonged cold exposure. […] Persons using medications (particularly neuroleptic medications) that are likely to increase susceptibility to the cold should be advised by their physicians regarding their increased vulnerability to cold stress.

• #9 Hypothermia: Understanding and Prevention | Minnesota Sea Grant

  https://seagrant.umn.edu/programs/recreation-and-water-safety-program/hypothermia

  Accidental hypothermia affects and kills more than 1,000 people every year. […] Appropriate clothing, staying dry, and being active can help. […] One of the best ways to prevent hypothermia is to dress in appropriate outdoor clothing, use heat packs or other body warmers as necessary, keep as little skin exposed as possible, stay dry, and move to a warm environment when there are signs of body cooling (e.g., numbness, instability, confusion). […] Everyone should avoid alcohol and recreational stimulant drugs when they are going to be in a cold environment. […] The U.S. Navy developed a compact hypothermia prevention management kit (HPMK) that is commercially available. […] If you are frequently outdoors in the winter, especially around water and ice, consider assembling and bringing with you a cold-safety readiness kit.

• #10 Hypothermia | US Forest Service

  https://www.fs.usda.gov/visit/know-before-you-go/hypothermia

  Before you spend time outside in the cold, do not drink alcohol or smoke. […] Drink plenty of fluids and get adequate food and rest. Water helps turn calories into heat and food high in carbohydrates helps keep you powered. […] Wear proper clothing in cold temperatures to protect your body. These include: […] One word: Layers. The outermost clothing layer should be wind-proof and water-resistant; inner layers should be wool or synthetics that are warm when wet. […] Scarf and hat that cover the ears to help you avoid major heat loss through the top of your head. […] If you have diabetes or circulatory problems, see your doctor regularly and maintain good health habits in order to reduce the risk of blood vessel complications that may put you at risk for hypothermia. […] Provide the victim with non-alcoholic warm beverages but no alcohol to help increase body temperature. Do not try to give beverages to an unconscious person. […] Keep the person dry and wrapped including the head and neck in a warm blanket even if the body temperature has increased.

• #11 Hypothermia – Prevention, Symptoms and Treatment | The Hiking Life

  https://www.thehikinglife.com/2018/01/hypothermia-prevention-symptoms-and-treatment/

  When temperatures drop quickly, add layers and/or keep moving in order to maintain body heat and prevent a slowing down of blood flow […] Cold-related maladies such as hypothermia and frostbite are far easier to prevent than they are to cure. Here are eight proactive measures that hikers can take in order to avoid hypothermia: […] Always check the forecast before setting out. Adapting is a lot easier if you know whats coming. […] Watch the weather (forecasts can sometimes by wrong) and know your limitations. If conditions are deteriorating and youre feeling exhausted, dont hesitate to set up your shelter and call it a day. […] By dressing in multiple lighter layers, as opposed to a single thick or bulky layer, the hiker is able to better adapt to a wider range of conditions. […] Pay particular attention to the extremities. Your head, hands and feet constitute the bodys initial warning system when hiking in cold, wet and windy conditions.

• #12 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #13 Hypothermia | US Forest Service

  https://www.fs.usda.gov/visit/know-before-you-go/hypothermia

  Before you spend time outside in the cold, do not drink alcohol or smoke. […] Drink plenty of fluids and get adequate food and rest. Water helps turn calories into heat and food high in carbohydrates helps keep you powered. […] Wear proper clothing in cold temperatures to protect your body. These include: […] One word: Layers. The outermost clothing layer should be wind-proof and water-resistant; inner layers should be wool or synthetics that are warm when wet. […] Scarf and hat that cover the ears to help you avoid major heat loss through the top of your head. […] If you have diabetes or circulatory problems, see your doctor regularly and maintain good health habits in order to reduce the risk of blood vessel complications that may put you at risk for hypothermia. […] Provide the victim with non-alcoholic warm beverages but no alcohol to help increase body temperature. Do not try to give beverages to an unconscious person. […] Keep the person dry and wrapped including the head and neck in a warm blanket even if the body temperature has increased.

• #14 Hypothermia: Prevention and Treatment – North Central Surgical Hospital

  https://northcentralsurgical.com/hypothermia-prevention-and-treatment/

  Hypothermia is a lowering of the body’s core temperature, and it’s a potentially dangerous condition that can occur when the body is exposed to cold or moisture. […] Hypothermia is most dangerous when the body temp drops below 90 degrees. It can be prevented when proper precautions are taken to reduce exposure to cold. Here are a few ways to prevent hypothermia: Pay attention to the weather and dress accordingly. Wear layers to stay warm, with a water-resistant outer layer to help keep you dry. Stay dry and avoid being outdoors when it is cold and wet. Cover your head. Use a hat and scarf to keep your head and neck warm and to prevent heat from escaping. Wear mittens instead of gloves to keep your fingers warm. Mittens are ideal because your fingers generate more heat when they are close to each other. Do not overdo it in cold weather. Your body is working hard enough to stay warm. An over-exertion of physical energy can speed the progression to hypothermia. If you know you will be outdoors in the cold, drink plenty of water to avoid dehydration and eat energy-packed snacks full of protein to give your body the energy it will need to stay warm. Know the symptoms of hypothermia. There are progressive symptoms of this condition, which include: shivering, slurred speech, loss of coordination, confusion, apathy and irrational behavior. If you recognize these symptoms in someone else, take immediate steps to treat hypothermia.

• #15 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  How Can I Prevent Hypothermia? […] Follow these tips to help prevent hypothermia: […] When Outside […] When outside in the cold, wear a hat, scarf and gloves. […] Dress in several layers of clothing to trap warm air between the layers. „A lot of us will put on that cotton T-shirt when we’re going out in the snow,” Dr. Cook said. „Remember that we get wet and damp and sweaty. That causes a lot of cold, wet water sticking to our body, which causes us to get further cold and causes and creates that hypothermic environment. So you want to put on those sports performance t-shirts to wick away that damp sweat, then put on a layer of fleece or that nice warm sweater rather than that cotton t-shirt that may kind of create that sticky, wet clothing environment.” […] Carry a fully charged cell phone when you go out, and let someone know when you’re venturing outside.

• #16 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  Minimize casualty’s exposure to cold ground, wind, and air temperatures. […] Replace wet clothing with dry clothing, if possible, and protect from additional heat loss. […] Passive hypothermia management keeps the casualty’s body heat contained and insulates to prevent further loss. […] It is important to continue to monitor the casualty closely for life-threatening conditions and to protect the casualty from further exposure to wind and precipitation while awaiting evacuation. […] Above all else, remember that hypothermia can kill a trauma casualty (even in a hot operational environment) and it is easier to prevent than treat. Don’t let your casualty get cold!

• #17 How to treat and prevent hypothermia – King County, Washington

  https://kingcounty.gov/en/dept/dph/health-safety/safety-injury-prevention/emergency-preparedness/personal-preparedness/hypothermia

  How to prevent hypothermia: […] Wear warm, multi-layered clothing with good hand and feet protection (avoid overly constricting wrist bands, socks, and shoes). […] […] Wear warm headgear. This is particularly important since significant heat is lost through an unprotected head. […] […] If possible, change into dry clothes whenever clothing becomes wet. […] […] Find appropriate shelter to stay warm.

• #18 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  When Inside […] Keep your home warm. Set the thermostat to at least 68 degrees Fahrenheit. Even homes at 60 to 65 degrees can trigger hypothermia in older adults. […] At home, wear long underwear under clothes as well as socks and slippers. Use a blanket to keep your legs and shoulders warm and wear a hat indoors. […] Set your home’s thermostat to at least 68 degrees. Even mildly cool homes with temperatures from 60 to 65 degrees can trigger hypothermia in older people. […] To stay warm at home, wear long underwear under your clothes, along with socks and slippers. Use a blanket to keep your legs and shoulders warm. […] Know Your Risk […] Some prescription and over-the-counter meds may increase your risk for hypothermia, including antidepressants, pain medications and antipsychotics. Ask your doctor if this pertains to you.

• #19 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Both in the community and in acute and long-term care institutions, nurses need to be particularly vigilant in protecting frail elderly patients from hypothermia. […] Nursing interventions that can prevent accidental hypothermia in elderly adults include: Maintain the room temperature at 65 degrees Fahrenheit at a minimum; some very frail elderly people will require higher room temperatures to maintain body warmth and comfort. […] Clothe the person adequately and layer both items of clothing and bedcovers to provide optimum insulation. […] Limit the time that the elderly person is exposed to a cold area. […] Minimize heat loss from the head by providing a hat or scarf to cover the head and neck when possible, particularly when the elderly person is outside. […] Cover patients when bathing; a single bath blanket is insufficient protection against hypothermia for a frail elder.

• #20 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Both in the community and in acute and long-term care institutions, nurses need to be particularly vigilant in protecting frail elderly patients from hypothermia. […] Nursing interventions that can prevent accidental hypothermia in elderly adults include: Maintain the room temperature at 65 degrees Fahrenheit at a minimum; some very frail elderly people will require higher room temperatures to maintain body warmth and comfort. […] Clothe the person adequately and layer both items of clothing and bedcovers to provide optimum insulation. […] Limit the time that the elderly person is exposed to a cold area. […] Minimize heat loss from the head by providing a hat or scarf to cover the head and neck when possible, particularly when the elderly person is outside. […] Cover patients when bathing; a single bath blanket is insufficient protection against hypothermia for a frail elder.

• #21 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  When Inside […] Keep your home warm. Set the thermostat to at least 68 degrees Fahrenheit. Even homes at 60 to 65 degrees can trigger hypothermia in older adults. […] At home, wear long underwear under clothes as well as socks and slippers. Use a blanket to keep your legs and shoulders warm and wear a hat indoors. […] Set your home’s thermostat to at least 68 degrees. Even mildly cool homes with temperatures from 60 to 65 degrees can trigger hypothermia in older people. […] To stay warm at home, wear long underwear under your clothes, along with socks and slippers. Use a blanket to keep your legs and shoulders warm. […] Know Your Risk […] Some prescription and over-the-counter meds may increase your risk for hypothermia, including antidepressants, pain medications and antipsychotics. Ask your doctor if this pertains to you.

• #22 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  When Inside […] Keep your home warm. Set the thermostat to at least 68 degrees Fahrenheit. Even homes at 60 to 65 degrees can trigger hypothermia in older adults. […] At home, wear long underwear under clothes as well as socks and slippers. Use a blanket to keep your legs and shoulders warm and wear a hat indoors. […] Set your home’s thermostat to at least 68 degrees. Even mildly cool homes with temperatures from 60 to 65 degrees can trigger hypothermia in older people. […] To stay warm at home, wear long underwear under your clothes, along with socks and slippers. Use a blanket to keep your legs and shoulders warm. […] Know Your Risk […] Some prescription and over-the-counter meds may increase your risk for hypothermia, including antidepressants, pain medications and antipsychotics. Ask your doctor if this pertains to you.

• #23 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Following a bath, dry the person completely, clothe them before leaving the bathing area. […] Encourage exercise to help the person generate heat from muscle activity. […] Provide hot, high protein meals and bedtime snacks to sustain heat production during the day and evening. […] The exposed elderly are at particularly high risk of hypothermia and tissue damage due to heat loss. […] Every effort must be made to protect the elderly from even short exposure to convective heat loss. […] A warm (not hot) air hair dryer should be used to dry the hair of persons prone to hypothermia, allowing the hair to air dry can increase evaporative heat loss.

• #24 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Following a bath, dry the person completely, clothe them before leaving the bathing area. […] Encourage exercise to help the person generate heat from muscle activity. […] Provide hot, high protein meals and bedtime snacks to sustain heat production during the day and evening. […] The exposed elderly are at particularly high risk of hypothermia and tissue damage due to heat loss. […] Every effort must be made to protect the elderly from even short exposure to convective heat loss. […] A warm (not hot) air hair dryer should be used to dry the hair of persons prone to hypothermia, allowing the hair to air dry can increase evaporative heat loss.

• #25 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #26 Hypothermia – Prevention, Symptoms and Treatment | The Hiking Life

  https://www.thehikinglife.com/2018/01/hypothermia-prevention-symptoms-and-treatment/

  Over-dressing and over-exerting can lead to excessive perspiration, which in turn can result in a lowering of body temperature. […] The longer you stop the colder you become. When the weather turns nasty, keep breaks short and to a minimum. […] During the day eat high-energy snacks at regular intervals. […] When conditions are cold and the sun is no where to be seen, hikers often forget to drink enough water. This is a mistake. If you are dehydrated you are more susceptible to hypothermia.

• #27 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #28 Hypothermia | US Forest Service

  https://www.fs.usda.gov/visit/know-before-you-go/hypothermia

  Before you spend time outside in the cold, do not drink alcohol or smoke. […] Drink plenty of fluids and get adequate food and rest. Water helps turn calories into heat and food high in carbohydrates helps keep you powered. […] Wear proper clothing in cold temperatures to protect your body. These include: […] One word: Layers. The outermost clothing layer should be wind-proof and water-resistant; inner layers should be wool or synthetics that are warm when wet. […] Scarf and hat that cover the ears to help you avoid major heat loss through the top of your head. […] If you have diabetes or circulatory problems, see your doctor regularly and maintain good health habits in order to reduce the risk of blood vessel complications that may put you at risk for hypothermia. […] Provide the victim with non-alcoholic warm beverages but no alcohol to help increase body temperature. Do not try to give beverages to an unconscious person. […] Keep the person dry and wrapped including the head and neck in a warm blanket even if the body temperature has increased.

• #29 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #30 Hypothermia – Prevention, Symptoms and Treatment | The Hiking Life

  https://www.thehikinglife.com/2018/01/hypothermia-prevention-symptoms-and-treatment/

  Over-dressing and over-exerting can lead to excessive perspiration, which in turn can result in a lowering of body temperature. […] The longer you stop the colder you become. When the weather turns nasty, keep breaks short and to a minimum. […] During the day eat high-energy snacks at regular intervals. […] When conditions are cold and the sun is no where to be seen, hikers often forget to drink enough water. This is a mistake. If you are dehydrated you are more susceptible to hypothermia.

• #31 Hypothermia: Prevention and Treatment – North Central Surgical Hospital

  https://northcentralsurgical.com/hypothermia-prevention-and-treatment/

  Hypothermia is a lowering of the body’s core temperature, and it’s a potentially dangerous condition that can occur when the body is exposed to cold or moisture. […] Hypothermia is most dangerous when the body temp drops below 90 degrees. It can be prevented when proper precautions are taken to reduce exposure to cold. Here are a few ways to prevent hypothermia: Pay attention to the weather and dress accordingly. Wear layers to stay warm, with a water-resistant outer layer to help keep you dry. Stay dry and avoid being outdoors when it is cold and wet. Cover your head. Use a hat and scarf to keep your head and neck warm and to prevent heat from escaping. Wear mittens instead of gloves to keep your fingers warm. Mittens are ideal because your fingers generate more heat when they are close to each other. Do not overdo it in cold weather. Your body is working hard enough to stay warm. An over-exertion of physical energy can speed the progression to hypothermia. If you know you will be outdoors in the cold, drink plenty of water to avoid dehydration and eat energy-packed snacks full of protein to give your body the energy it will need to stay warm. Know the symptoms of hypothermia. There are progressive symptoms of this condition, which include: shivering, slurred speech, loss of coordination, confusion, apathy and irrational behavior. If you recognize these symptoms in someone else, take immediate steps to treat hypothermia.

• #32 Hypothermia Prevention

  https://www.cdc.gov/mmwr/preview/mmwrhtml/00001319.htm

  Hypothermia prevention programs should focus on persons particularly susceptible to hypothermia and those likely to be subjected to unusual cold stress. […] Since adequate caloric intake is important in preventing hypothermia, programs designed to improve nutrition in the elderly may also be helpful. Programs that ensure home heating for the elderly may also help prevent hypothermia. […] Younger persons likely to be subjected to cold stress (e.g., skiers and hikers) should be educated concerning the need for adequate clothing and the importance of abstaining from alcohol use during prolonged cold exposure. […] Persons using medications (particularly neuroleptic medications) that are likely to increase susceptibility to the cold should be advised by their physicians regarding their increased vulnerability to cold stress.

• #33 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Following a bath, dry the person completely, clothe them before leaving the bathing area. […] Encourage exercise to help the person generate heat from muscle activity. […] Provide hot, high protein meals and bedtime snacks to sustain heat production during the day and evening. […] The exposed elderly are at particularly high risk of hypothermia and tissue damage due to heat loss. […] Every effort must be made to protect the elderly from even short exposure to convective heat loss. […] A warm (not hot) air hair dryer should be used to dry the hair of persons prone to hypothermia, allowing the hair to air dry can increase evaporative heat loss.

• #34 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #35 Hypothermia | US Forest Service

  https://www.fs.usda.gov/visit/know-before-you-go/hypothermia

  Before you spend time outside in the cold, do not drink alcohol or smoke. […] Drink plenty of fluids and get adequate food and rest. Water helps turn calories into heat and food high in carbohydrates helps keep you powered. […] Wear proper clothing in cold temperatures to protect your body. These include: […] One word: Layers. The outermost clothing layer should be wind-proof and water-resistant; inner layers should be wool or synthetics that are warm when wet. […] Scarf and hat that cover the ears to help you avoid major heat loss through the top of your head. […] If you have diabetes or circulatory problems, see your doctor regularly and maintain good health habits in order to reduce the risk of blood vessel complications that may put you at risk for hypothermia. […] Provide the victim with non-alcoholic warm beverages but no alcohol to help increase body temperature. Do not try to give beverages to an unconscious person. […] Keep the person dry and wrapped including the head and neck in a warm blanket even if the body temperature has increased.

• #36 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #37 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #38 Hypothermia: Understanding and Prevention | Minnesota Sea Grant

  https://seagrant.umn.edu/programs/recreation-and-water-safety-program/hypothermia

  Accidental hypothermia affects and kills more than 1,000 people every year. […] Appropriate clothing, staying dry, and being active can help. […] One of the best ways to prevent hypothermia is to dress in appropriate outdoor clothing, use heat packs or other body warmers as necessary, keep as little skin exposed as possible, stay dry, and move to a warm environment when there are signs of body cooling (e.g., numbness, instability, confusion). […] Everyone should avoid alcohol and recreational stimulant drugs when they are going to be in a cold environment. […] The U.S. Navy developed a compact hypothermia prevention management kit (HPMK) that is commercially available. […] If you are frequently outdoors in the winter, especially around water and ice, consider assembling and bringing with you a cold-safety readiness kit.

• #39 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Following a bath, dry the person completely, clothe them before leaving the bathing area. […] Encourage exercise to help the person generate heat from muscle activity. […] Provide hot, high protein meals and bedtime snacks to sustain heat production during the day and evening. […] The exposed elderly are at particularly high risk of hypothermia and tissue damage due to heat loss. […] Every effort must be made to protect the elderly from even short exposure to convective heat loss. […] A warm (not hot) air hair dryer should be used to dry the hair of persons prone to hypothermia, allowing the hair to air dry can increase evaporative heat loss.

• #40 Hypothermia: Prevention and Treatment – North Central Surgical Hospital

  https://northcentralsurgical.com/hypothermia-prevention-and-treatment/

  Hypothermia is a lowering of the body’s core temperature, and it’s a potentially dangerous condition that can occur when the body is exposed to cold or moisture. […] Hypothermia is most dangerous when the body temp drops below 90 degrees. It can be prevented when proper precautions are taken to reduce exposure to cold. Here are a few ways to prevent hypothermia: Pay attention to the weather and dress accordingly. Wear layers to stay warm, with a water-resistant outer layer to help keep you dry. Stay dry and avoid being outdoors when it is cold and wet. Cover your head. Use a hat and scarf to keep your head and neck warm and to prevent heat from escaping. Wear mittens instead of gloves to keep your fingers warm. Mittens are ideal because your fingers generate more heat when they are close to each other. Do not overdo it in cold weather. Your body is working hard enough to stay warm. An over-exertion of physical energy can speed the progression to hypothermia. If you know you will be outdoors in the cold, drink plenty of water to avoid dehydration and eat energy-packed snacks full of protein to give your body the energy it will need to stay warm. Know the symptoms of hypothermia. There are progressive symptoms of this condition, which include: shivering, slurred speech, loss of coordination, confusion, apathy and irrational behavior. If you recognize these symptoms in someone else, take immediate steps to treat hypothermia.

• #41 Hypothermia – Prevention, Symptoms and Treatment | The Hiking Life

  https://www.thehikinglife.com/2018/01/hypothermia-prevention-symptoms-and-treatment/

  Over-dressing and over-exerting can lead to excessive perspiration, which in turn can result in a lowering of body temperature. […] The longer you stop the colder you become. When the weather turns nasty, keep breaks short and to a minimum. […] During the day eat high-energy snacks at regular intervals. […] When conditions are cold and the sun is no where to be seen, hikers often forget to drink enough water. This is a mistake. If you are dehydrated you are more susceptible to hypothermia.

• #42 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  The early recognition and prevention of hypothermia are essential during trauma assessment and care. […] Remember that ALL trauma casualties in shock or at risk of shock are at risk for trauma-induced hypothermia even when operating in a warm environment. […] In other words, prevent and/or treat hypothermia! […] Due to the physics of heat transfer, it is much easier to prevent hypothermia than to treat it. […] Prevention of hypothermia in casualties is an essential element of care, and simple interventions have proven effective in decreasing the incidence of hypothermia during trauma assessment, treatment, and prolonged evacuations. […] Take early and aggressive steps to prevent additional body heat loss and add external heat, when possible, for trauma and severely burned casualties.

• #43 Hypothermia Prevention & Management | North American Rescue

  https://www.narescue.com/nar-hypothermia-prevention-and-management-kit-hpmk.html

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution during casualty care. […] Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required). […] Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Tapered shape from top to bottom to maximize isothermal capabilities. […] Continuous 1.5 in. hook and loop closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #44 Hypothermia Prevention & Management Kit – Insulated (HPMK-I) | North American Rescue

  https://www.narescue.com/hpmk-i-hypothermia-prevention-management-kit-insulated.html

  Building on the success of the CoTCCC recommended HPMK, the new patent-pending design includes NEW insulation layer added to the front and back of entire patient. […] The heat-generating source of the HPMK-I is a self-heating, oxygen-activated 4-Cell Ready Heat blanket designed to sustain up to 10 hours of continuous dry heat (no external power supply required). […] The new top bottom insulation layers exceed the insulation value of the Army Module Sleep System Patrol Bag. […] The added insulation is also hydrophobic and will not retain fluids or additional liquid weight.

• #45 Hypothermia Prevention and Management, North American Rescue, – Penn Care, Inc.

  https://www.penncare.net/product/hypothermia-prevention-and-management-north-american-rescue/?srsltid=AfmBOooOghr_6s0UtLecFdKuu5ydGk7tulRs5gy9ByFJwhSLdarKl2VW

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required) Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Continuous 1.5 in. Velcro closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #46 Hypothermia Prevention & Management | North American Rescue

  https://www.narescue.com/nar-hypothermia-prevention-and-management-kit-hpmk.html

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution during casualty care. […] Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required). […] Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Tapered shape from top to bottom to maximize isothermal capabilities. […] Continuous 1.5 in. hook and loop closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #47 Hypothermia Prevention & Management | North American Rescue

  https://www.narescue.com/nar-hypothermia-prevention-and-management-kit-hpmk.html

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution during casualty care. […] Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required). […] Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Tapered shape from top to bottom to maximize isothermal capabilities. […] Continuous 1.5 in. hook and loop closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #48 Hypothermia Prevention & Management Kit – Insulated (HPMK-I) | North American Rescue

  https://www.narescue.com/hpmk-i-hypothermia-prevention-management-kit-insulated.html

  Building on the success of the CoTCCC recommended HPMK, the new patent-pending design includes NEW insulation layer added to the front and back of entire patient. […] The heat-generating source of the HPMK-I is a self-heating, oxygen-activated 4-Cell Ready Heat blanket designed to sustain up to 10 hours of continuous dry heat (no external power supply required). […] The new top bottom insulation layers exceed the insulation value of the Army Module Sleep System Patrol Bag. […] The added insulation is also hydrophobic and will not retain fluids or additional liquid weight.

• #49 Hypothermia Prevention and Management, North American Rescue, – Penn Care, Inc.

  https://www.penncare.net/product/hypothermia-prevention-and-management-north-american-rescue/?srsltid=AfmBOooOghr_6s0UtLecFdKuu5ydGk7tulRs5gy9ByFJwhSLdarKl2VW

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required) Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Continuous 1.5 in. Velcro closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #50 Hypothermia Prevention & Management | North American Rescue

  https://www.narescue.com/nar-hypothermia-prevention-and-management-kit-hpmk.html

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution during casualty care. […] Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required). […] Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Tapered shape from top to bottom to maximize isothermal capabilities. […] Continuous 1.5 in. hook and loop closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #51 Hypothermia Prevention & Management | North American Rescue

  https://www.narescue.com/nar-hypothermia-prevention-and-management-kit-hpmk.html

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution during casualty care. […] Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required). […] Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Tapered shape from top to bottom to maximize isothermal capabilities. […] Continuous 1.5 in. hook and loop closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #52 Hypothermia Prevention and Management, North American Rescue, – Penn Care, Inc.

  https://www.penncare.net/product/hypothermia-prevention-and-management-north-american-rescue/?srsltid=AfmBOooOghr_6s0UtLecFdKuu5ydGk7tulRs5gy9ByFJwhSLdarKl2VW

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required) Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Continuous 1.5 in. Velcro closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #53 Hypothermia Prevention & Management Kit – Insulated (HPMK-I) | North American Rescue

  https://www.narescue.com/hpmk-i-hypothermia-prevention-management-kit-insulated.html

  Building on the success of the CoTCCC recommended HPMK, the new patent-pending design includes NEW insulation layer added to the front and back of entire patient. […] The heat-generating source of the HPMK-I is a self-heating, oxygen-activated 4-Cell Ready Heat blanket designed to sustain up to 10 hours of continuous dry heat (no external power supply required). […] The new top bottom insulation layers exceed the insulation value of the Army Module Sleep System Patrol Bag. […] The added insulation is also hydrophobic and will not retain fluids or additional liquid weight.

• #54 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  Minimize casualty’s exposure to cold ground, wind, and air temperatures. […] Replace wet clothing with dry clothing, if possible, and protect from additional heat loss. […] Passive hypothermia management keeps the casualty’s body heat contained and insulates to prevent further loss. […] It is important to continue to monitor the casualty closely for life-threatening conditions and to protect the casualty from further exposure to wind and precipitation while awaiting evacuation. […] Above all else, remember that hypothermia can kill a trauma casualty (even in a hot operational environment) and it is easier to prevent than treat. Don’t let your casualty get cold!

• #55 75. Hypothermia: Prevention and Treatment

  https://tccc.org.ua/en/guide/hypothermia-prevention-and-treatment-cpg

  Hypothermia, coagulopathy, and acidosis are the physiological derangements constituting the triad of death in trauma patients. […] The purpose of this CPG is to provide guidance for the prevention and management of TIH in the combat casualty throughout the escalating roles of care. […] Early recognition and treatment of hypothermia is an equally important consideration that begins at the point of injury and should be implemented for all combat casualties, particularly patients at risk of experiencing shock. As it is labor and resource intensive to re-warm a casualty, measures to prevent hypothermia should begin as soon as possible with thermal wraps and warmed resuscitation products. […] The priority remains the recognition of shock and implementation of heat-loss prevention techniques as outlined above. Rewarming hypothermic patients can be achieved passively (utilizing the patients heat generation via shivering/metabolism) and actively (applying an external heat source). If available, active re-warming should be initiated along with passive warming interventions.

• #56 Hypothermia: Prevention and Treatment

  https://books.allogy.com/v1/tenant/8/books/442ad4ea-18c7-4a09-b467-921e86e6e69e

  Incorporates Tactical Combat Casualty Care (TCCC) Guidelines for Hypothermia from 2021. […] Expands prevention of trauma-induced hypothermia to include not only trauma patients in hemorrhagic shock, but also burns and cerebrospinal injuries. […] Outlines characteristics of hypothermia prevention and treatment systems that can be utilized in addition to the more widely used system, the Hypothermia Prevention and Management Kit (HPMK) and the Heat Reflective Shell (HRS). […] Provides option if unable to remove wet clothing to include the enclosure of the casualty with a vapor barrier over the wet clothing. […] Recommends upgrading the HPMK to an insulated system as soon as possible as it is non-insulated and therefore only suitable for short term hypothermia prevention. […] Early recognition and treatment of hypothermia is an equally important consideration that begins at the point of injury and should be implemented for all combat casualties, particularly patients at risk of experiencing shock.

• #57 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  Minimize casualty’s exposure to cold ground, wind, and air temperatures. […] Replace wet clothing with dry clothing, if possible, and protect from additional heat loss. […] Passive hypothermia management keeps the casualty’s body heat contained and insulates to prevent further loss. […] It is important to continue to monitor the casualty closely for life-threatening conditions and to protect the casualty from further exposure to wind and precipitation while awaiting evacuation. […] Above all else, remember that hypothermia can kill a trauma casualty (even in a hot operational environment) and it is easier to prevent than treat. Don’t let your casualty get cold!

• #58 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  Minimize casualty’s exposure to cold ground, wind, and air temperatures. […] Replace wet clothing with dry clothing, if possible, and protect from additional heat loss. […] Passive hypothermia management keeps the casualty’s body heat contained and insulates to prevent further loss. […] It is important to continue to monitor the casualty closely for life-threatening conditions and to protect the casualty from further exposure to wind and precipitation while awaiting evacuation. […] Above all else, remember that hypothermia can kill a trauma casualty (even in a hot operational environment) and it is easier to prevent than treat. Don’t let your casualty get cold!

• #59 Hypothermia: Prevention and Treatment

  https://books.allogy.com/v1/tenant/8/books/442ad4ea-18c7-4a09-b467-921e86e6e69e

  Incorporates Tactical Combat Casualty Care (TCCC) Guidelines for Hypothermia from 2021. […] Expands prevention of trauma-induced hypothermia to include not only trauma patients in hemorrhagic shock, but also burns and cerebrospinal injuries. […] Outlines characteristics of hypothermia prevention and treatment systems that can be utilized in addition to the more widely used system, the Hypothermia Prevention and Management Kit (HPMK) and the Heat Reflective Shell (HRS). […] Provides option if unable to remove wet clothing to include the enclosure of the casualty with a vapor barrier over the wet clothing. […] Recommends upgrading the HPMK to an insulated system as soon as possible as it is non-insulated and therefore only suitable for short term hypothermia prevention. […] Early recognition and treatment of hypothermia is an equally important consideration that begins at the point of injury and should be implemented for all combat casualties, particularly patients at risk of experiencing shock.

• #60 Hypothermia: Prevention and Treatment

  https://books.allogy.com/v1/tenant/8/books/442ad4ea-18c7-4a09-b467-921e86e6e69e

  As it is labor and resource intensive to re-warm a casualty, measures to prevent hypothermia should begin as soon as possible with thermal wraps and warmed resuscitation products. […] The priority remains the recognition of shock and implementation of heat-loss prevention techniques as outlined above. […] Utilize an insulated hypothermia wrap with an active heating source for all potentially hypothermic trauma patients. […] Systems that include more insulation and active heating sources perform better for treating/preventing hypothermia but may present limitations when considering portability for field applications. […] On patient arrival to the Role 2/3 facility, every effort must be made to prevent hypothermia; this should be a priority throughout resuscitative efforts and operative procedures.

• #61 Hypothermia: Prevention and Treatment

  https://books.allogy.com/v1/tenant/8/books/442ad4ea-18c7-4a09-b467-921e86e6e69e

  Incorporates Tactical Combat Casualty Care (TCCC) Guidelines for Hypothermia from 2021. […] Expands prevention of trauma-induced hypothermia to include not only trauma patients in hemorrhagic shock, but also burns and cerebrospinal injuries. […] Outlines characteristics of hypothermia prevention and treatment systems that can be utilized in addition to the more widely used system, the Hypothermia Prevention and Management Kit (HPMK) and the Heat Reflective Shell (HRS). […] Provides option if unable to remove wet clothing to include the enclosure of the casualty with a vapor barrier over the wet clothing. […] Recommends upgrading the HPMK to an insulated system as soon as possible as it is non-insulated and therefore only suitable for short term hypothermia prevention. […] Early recognition and treatment of hypothermia is an equally important consideration that begins at the point of injury and should be implemented for all combat casualties, particularly patients at risk of experiencing shock.

• #62 3M Bair Hugger Temperature Management Solutions | Solventum

  https://www.3m.co.uk/3M/en_GB/Medical-GB/prevention/hypothermia-prevention-patient-warming/

  Temperature management is an essential part of patient care, to help keep a patients core temperature within the normothermic range of 36.0 to 37.5C.12,13 If youre not monitoring the bodys core temperature continuously and managing it consistently, you could be putting patients at risk for unintended perioperative hypothermia. However, this complication can be prevented or minimised by transferring heat to the body before, during and after surgery. […] Unintended perioperative hypothermia is a common yet avoidable complication of anaesthesia, known to increase the risk of surgical site infection (SSI),6,7 prolong recovery time,8 and even elevate mortality rates.9 However, by following a normothermia protocol which includes vigilant temperature monitoring and proactive warming measures prior to anaesthesia induction through to recovery, hypothermia can be preventable.

• #63 A Guide to the Prevention of Perioperative Hypothermia

  https://www.medscape.org/viewarticle/824772

  This activity is intended for all members of the perioperative care team, including perioperative nurses, anesthesiologists, and surgeons. […] The goal of this activity is to improve recognition of the negative health outcomes associated with perioperative hypothermia, competence in and application of core body temperature monitoring, and application of strategies to prevent hypothermia in the perioperative setting. […] Describe core body temperature monitoring and strategies to prevent hypothermia. […] Inadvertent perioperative hypothermia is a common and underrecognized consequence of surgery. […] Randomized trials have shown that perioperative hypothermia causes numerous serious complications including blood loss, surgical wound infection, prolonged recovery, and patient discomfort.

• #64 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Prevention and maintaining body temperature should be started 12hrs before induction of anesthesia, to do this both active and passive warming system are effective to prevent complications associated with perioperative hypothermia. […] Active and passive warming systems are highly recommended to prevent hypothermia, so it is possible to use effectively the available resource with a protocol is crucial, as a result this systematic review have a nice contribution for better management and prevention of perioperative hypothermia. […] Preoperative hypothermia prevention and identification should be started 12 h before anesthesia administration. Intraoperative, temperature should be measured at least every 15 min. […] In order to decrease perioperative hypothermia patient should be actively pre warmed 20-30 min before surgery and the operation room ambient temperature should be at least 21 C, transfusions rates greater than 500 mL/h should be warmed first and intraoperative irrigation fluids should be prewarmed to 38-40 C.

• #65 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Prevention and maintaining body temperature should be started 12hrs before induction of anesthesia, to do this both active and passive warming system are effective to prevent complications associated with perioperative hypothermia. […] Active and passive warming systems are highly recommended to prevent hypothermia, so it is possible to use effectively the available resource with a protocol is crucial, as a result this systematic review have a nice contribution for better management and prevention of perioperative hypothermia. […] Preoperative hypothermia prevention and identification should be started 12 h before anesthesia administration. Intraoperative, temperature should be measured at least every 15 min. […] In order to decrease perioperative hypothermia patient should be actively pre warmed 20-30 min before surgery and the operation room ambient temperature should be at least 21 C, transfusions rates greater than 500 mL/h should be warmed first and intraoperative irrigation fluids should be prewarmed to 38-40 C.

• #66 3M Bair Hugger Temperature Management Solutions | Solventum

  https://www.3m.co.uk/3M/en_GB/Medical-GB/prevention/hypothermia-prevention-patient-warming/

  Prewarming prior to the induction of anaesthesia helps to maintain normothermia and mitigate the effects of heat redistribution caused by anaesthesia. […] Proactively help achieve and maintain normothermia with 3M Bair Hugger Warming System. […] Continue to monitor your patients temperature. Warm them with our 3M Bair Hugger Warming System to help protect patients from unintended perioperative hypothermia. […] By maintaining a patients core body temperature near 36.5C (36.6 + or – 0.5C), patient length of stay has been shown to be reduced by 2.6 days. […] We want to help you maintain normothermia before, during and after surgery. Take a proactive approach to preventing hypothermia and its associated complications by taking part in a Quality Improvement Programme.

• #67 Recommendations | Hypothermia: prevention and management in adults having surgery | Guidance | NICE

  https://www.nice.org.uk/guidance/cg65/chapter/recommendations

  Patients (and their families and carers) should be informed that: staying warm before surgery will lower the risk of postoperative complications […] If the patient’s temperature is below 36.0C, start active warming preoperatively on the ward or in the emergency department (unless there is a need to expedite surgery because of clinical urgency, for example bleeding or critical limb ischaemia). […] Maintain active warming throughout the intraoperative phase. […] Warm patients intraoperatively from induction of anaesthesia, using a forced-air warming device, if they are: having anaesthesia for more than 30 minutes or having anaesthesia for less than 30 minutes and are at higher risk of inadvertent perioperative hypothermia. […] If the patient’s temperature falls below 36.0C while on the ward: they should be warmed using forced-air warming until they are comfortably warm.

• #68 Recommendations | Hypothermia: prevention and management in adults having surgery | Guidance | NICE

  https://www.nice.org.uk/guidance/cg65/chapter/recommendations

  Patients (and their families and carers) should be informed that: staying warm before surgery will lower the risk of postoperative complications […] If the patient’s temperature is below 36.0C, start active warming preoperatively on the ward or in the emergency department (unless there is a need to expedite surgery because of clinical urgency, for example bleeding or critical limb ischaemia). […] Maintain active warming throughout the intraoperative phase. […] Warm patients intraoperatively from induction of anaesthesia, using a forced-air warming device, if they are: having anaesthesia for more than 30 minutes or having anaesthesia for less than 30 minutes and are at higher risk of inadvertent perioperative hypothermia. […] If the patient’s temperature falls below 36.0C while on the ward: they should be warmed using forced-air warming until they are comfortably warm.

• #69 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Prevention and maintaining body temperature should be started 12hrs before induction of anesthesia, to do this both active and passive warming system are effective to prevent complications associated with perioperative hypothermia. […] Active and passive warming systems are highly recommended to prevent hypothermia, so it is possible to use effectively the available resource with a protocol is crucial, as a result this systematic review have a nice contribution for better management and prevention of perioperative hypothermia. […] Preoperative hypothermia prevention and identification should be started 12 h before anesthesia administration. Intraoperative, temperature should be measured at least every 15 min. […] In order to decrease perioperative hypothermia patient should be actively pre warmed 20-30 min before surgery and the operation room ambient temperature should be at least 21 C, transfusions rates greater than 500 mL/h should be warmed first and intraoperative irrigation fluids should be prewarmed to 38-40 C.

• #70 Recommendations | Hypothermia: prevention and management in adults having surgery | Guidance | NICE

  https://www.nice.org.uk/guidance/cg65/chapter/recommendations

  Patients (and their families and carers) should be informed that: staying warm before surgery will lower the risk of postoperative complications […] If the patient’s temperature is below 36.0C, start active warming preoperatively on the ward or in the emergency department (unless there is a need to expedite surgery because of clinical urgency, for example bleeding or critical limb ischaemia). […] Maintain active warming throughout the intraoperative phase. […] Warm patients intraoperatively from induction of anaesthesia, using a forced-air warming device, if they are: having anaesthesia for more than 30 minutes or having anaesthesia for less than 30 minutes and are at higher risk of inadvertent perioperative hypothermia. […] If the patient’s temperature falls below 36.0C while on the ward: they should be warmed using forced-air warming until they are comfortably warm.

• #71 Recommendations | Hypothermia: prevention and management in adults having surgery | Guidance | NICE

  https://www.nice.org.uk/guidance/cg65/chapter/recommendations

  Patients (and their families and carers) should be informed that: staying warm before surgery will lower the risk of postoperative complications […] If the patient’s temperature is below 36.0C, start active warming preoperatively on the ward or in the emergency department (unless there is a need to expedite surgery because of clinical urgency, for example bleeding or critical limb ischaemia). […] Maintain active warming throughout the intraoperative phase. […] Warm patients intraoperatively from induction of anaesthesia, using a forced-air warming device, if they are: having anaesthesia for more than 30 minutes or having anaesthesia for less than 30 minutes and are at higher risk of inadvertent perioperative hypothermia. […] If the patient’s temperature falls below 36.0C while on the ward: they should be warmed using forced-air warming until they are comfortably warm.

• #72 Recommendations | Hypothermia: prevention and management in adults having surgery | Guidance | NICE

  https://www.nice.org.uk/guidance/cg65/chapter/recommendations

  Patients (and their families and carers) should be informed that: staying warm before surgery will lower the risk of postoperative complications […] If the patient’s temperature is below 36.0C, start active warming preoperatively on the ward or in the emergency department (unless there is a need to expedite surgery because of clinical urgency, for example bleeding or critical limb ischaemia). […] Maintain active warming throughout the intraoperative phase. […] Warm patients intraoperatively from induction of anaesthesia, using a forced-air warming device, if they are: having anaesthesia for more than 30 minutes or having anaesthesia for less than 30 minutes and are at higher risk of inadvertent perioperative hypothermia. […] If the patient’s temperature falls below 36.0C while on the ward: they should be warmed using forced-air warming until they are comfortably warm.

• #73 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Prevention and maintaining body temperature should be started 12hrs before induction of anesthesia, to do this both active and passive warming system are effective to prevent complications associated with perioperative hypothermia. […] Active and passive warming systems are highly recommended to prevent hypothermia, so it is possible to use effectively the available resource with a protocol is crucial, as a result this systematic review have a nice contribution for better management and prevention of perioperative hypothermia. […] Preoperative hypothermia prevention and identification should be started 12 h before anesthesia administration. Intraoperative, temperature should be measured at least every 15 min. […] In order to decrease perioperative hypothermia patient should be actively pre warmed 20-30 min before surgery and the operation room ambient temperature should be at least 21 C, transfusions rates greater than 500 mL/h should be warmed first and intraoperative irrigation fluids should be prewarmed to 38-40 C.

• #74 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Prevention and maintaining body temperature should be started 12hrs before induction of anesthesia, to do this both active and passive warming system are effective to prevent complications associated with perioperative hypothermia. […] Active and passive warming systems are highly recommended to prevent hypothermia, so it is possible to use effectively the available resource with a protocol is crucial, as a result this systematic review have a nice contribution for better management and prevention of perioperative hypothermia. […] Preoperative hypothermia prevention and identification should be started 12 h before anesthesia administration. Intraoperative, temperature should be measured at least every 15 min. […] In order to decrease perioperative hypothermia patient should be actively pre warmed 20-30 min before surgery and the operation room ambient temperature should be at least 21 C, transfusions rates greater than 500 mL/h should be warmed first and intraoperative irrigation fluids should be prewarmed to 38-40 C.

• #75 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Prevention and maintaining body temperature should be started 12hrs before induction of anesthesia, to do this both active and passive warming system are effective to prevent complications associated with perioperative hypothermia. […] Active and passive warming systems are highly recommended to prevent hypothermia, so it is possible to use effectively the available resource with a protocol is crucial, as a result this systematic review have a nice contribution for better management and prevention of perioperative hypothermia. […] Preoperative hypothermia prevention and identification should be started 12 h before anesthesia administration. Intraoperative, temperature should be measured at least every 15 min. […] In order to decrease perioperative hypothermia patient should be actively pre warmed 20-30 min before surgery and the operation room ambient temperature should be at least 21 C, transfusions rates greater than 500 mL/h should be warmed first and intraoperative irrigation fluids should be prewarmed to 38-40 C.

• #76 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Postoperative hypothermia should be treated by the administration of convective or conductive heat until normothermia is achieved. Active warming should be continued into the postoperative period until the patient’s body temperature is greater than 36 C, and comfortably warm when transfer to recovery room/ward.

• #77 Recommendations | Hypothermia: prevention and management in adults having surgery | Guidance | NICE

  https://www.nice.org.uk/guidance/cg65/chapter/recommendations

  Patients (and their families and carers) should be informed that: staying warm before surgery will lower the risk of postoperative complications […] If the patient’s temperature is below 36.0C, start active warming preoperatively on the ward or in the emergency department (unless there is a need to expedite surgery because of clinical urgency, for example bleeding or critical limb ischaemia). […] Maintain active warming throughout the intraoperative phase. […] Warm patients intraoperatively from induction of anaesthesia, using a forced-air warming device, if they are: having anaesthesia for more than 30 minutes or having anaesthesia for less than 30 minutes and are at higher risk of inadvertent perioperative hypothermia. […] If the patient’s temperature falls below 36.0C while on the ward: they should be warmed using forced-air warming until they are comfortably warm.

• #78 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Postoperative hypothermia should be treated by the administration of convective or conductive heat until normothermia is achieved. Active warming should be continued into the postoperative period until the patient’s body temperature is greater than 36 C, and comfortably warm when transfer to recovery room/ward.

• #79 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Postoperative hypothermia should be treated by the administration of convective or conductive heat until normothermia is achieved. Active warming should be continued into the postoperative period until the patient’s body temperature is greater than 36 C, and comfortably warm when transfer to recovery room/ward.

• #80 Recommendations | Hypothermia: prevention and management in adults having surgery | Guidance | NICE

  https://www.nice.org.uk/guidance/cg65/chapter/recommendations

  Patients (and their families and carers) should be informed that: staying warm before surgery will lower the risk of postoperative complications […] If the patient’s temperature is below 36.0C, start active warming preoperatively on the ward or in the emergency department (unless there is a need to expedite surgery because of clinical urgency, for example bleeding or critical limb ischaemia). […] Maintain active warming throughout the intraoperative phase. […] Warm patients intraoperatively from induction of anaesthesia, using a forced-air warming device, if they are: having anaesthesia for more than 30 minutes or having anaesthesia for less than 30 minutes and are at higher risk of inadvertent perioperative hypothermia. […] If the patient’s temperature falls below 36.0C while on the ward: they should be warmed using forced-air warming until they are comfortably warm.

• #81

  https://patientsafety.pa.gov/ADVISORIES/Pages/200806_44.aspx

  A number of methods and devices may be used to maintain perioperative normothermia. […] Passive insulators readily available in most ORs include cotton blankets, surgical drapes, plastic sheeting, and reflective composites or space blankets. […] Active skin warming systems include forced-air warming, circulating-water garments, and resistive heating. […] Warming of IV fluids and blood is indicated when more than two liters of fluid per hour are administered to an adult, because of potential heat loss from cold IV fluids or blood. […] Prewarming of patients before induction of anesthesia has been studied as a method to maintain perioperative normothermia. […] Professional societies including ASA, the American Society of PeriAnesthesia Nurses (ASPAN), and AORN endorse recommended practices for the prevention and management of unplanned perioperative hypothermia.

• #82

  https://www.scielo.br/j/reeusp/a/cDJHwKDky6Z4hTRY6J48LrJ

  In this study, we focused on the intraoperative period, addressing only the immediate postoperative period. […] Such devices may be classified into passive (blankets, burrows, strapping members with orthopedic bandage and cotton crepe, aluminum blankets, etc.) and active (air, water and radiation heating systems, carbon fiber blankets, among others). […] The aim of the study was to compare the efficiency of the devices thermal blanket and thermal mattress in the prevention of hypothermia during surgery. […] We hope this study may contribute to the optimization of patient care during surgery, related to the prevention of hypothermia, also emphasizing the role of the nurse and their staff for this purpose. […] The results found may be associated with the use of thermal mattress. […] Intra-cavitary surgery, in which the surgical field restricts the heated area, limitation may compromise the maintenance of normothermia, in these cases, thermal mattress are indicated.

• #83

  https://patientsafety.pa.gov/ADVISORIES/Pages/200806_44.aspx

  A number of methods and devices may be used to maintain perioperative normothermia. […] Passive insulators readily available in most ORs include cotton blankets, surgical drapes, plastic sheeting, and reflective composites or space blankets. […] Active skin warming systems include forced-air warming, circulating-water garments, and resistive heating. […] Warming of IV fluids and blood is indicated when more than two liters of fluid per hour are administered to an adult, because of potential heat loss from cold IV fluids or blood. […] Prewarming of patients before induction of anesthesia has been studied as a method to maintain perioperative normothermia. […] Professional societies including ASA, the American Society of PeriAnesthesia Nurses (ASPAN), and AORN endorse recommended practices for the prevention and management of unplanned perioperative hypothermia.

• #84

  https://patientsafety.pa.gov/ADVISORIES/Pages/200806_44.aspx

  A number of methods and devices may be used to maintain perioperative normothermia. […] Passive insulators readily available in most ORs include cotton blankets, surgical drapes, plastic sheeting, and reflective composites or space blankets. […] Active skin warming systems include forced-air warming, circulating-water garments, and resistive heating. […] Warming of IV fluids and blood is indicated when more than two liters of fluid per hour are administered to an adult, because of potential heat loss from cold IV fluids or blood. […] Prewarming of patients before induction of anesthesia has been studied as a method to maintain perioperative normothermia. […] Professional societies including ASA, the American Society of PeriAnesthesia Nurses (ASPAN), and AORN endorse recommended practices for the prevention and management of unplanned perioperative hypothermia.

• #85

  https://patientsafety.pa.gov/ADVISORIES/Pages/200806_44.aspx

  A number of methods and devices may be used to maintain perioperative normothermia. […] Passive insulators readily available in most ORs include cotton blankets, surgical drapes, plastic sheeting, and reflective composites or space blankets. […] Active skin warming systems include forced-air warming, circulating-water garments, and resistive heating. […] Warming of IV fluids and blood is indicated when more than two liters of fluid per hour are administered to an adult, because of potential heat loss from cold IV fluids or blood. […] Prewarming of patients before induction of anesthesia has been studied as a method to maintain perioperative normothermia. […] Professional societies including ASA, the American Society of PeriAnesthesia Nurses (ASPAN), and AORN endorse recommended practices for the prevention and management of unplanned perioperative hypothermia.

• #86

  https://www.scielo.br/j/reeusp/a/cDJHwKDky6Z4hTRY6J48LrJ

  In this study, we focused on the intraoperative period, addressing only the immediate postoperative period. […] Such devices may be classified into passive (blankets, burrows, strapping members with orthopedic bandage and cotton crepe, aluminum blankets, etc.) and active (air, water and radiation heating systems, carbon fiber blankets, among others). […] The aim of the study was to compare the efficiency of the devices thermal blanket and thermal mattress in the prevention of hypothermia during surgery. […] We hope this study may contribute to the optimization of patient care during surgery, related to the prevention of hypothermia, also emphasizing the role of the nurse and their staff for this purpose. […] The results found may be associated with the use of thermal mattress. […] Intra-cavitary surgery, in which the surgical field restricts the heated area, limitation may compromise the maintenance of normothermia, in these cases, thermal mattress are indicated.

• #87

  https://www.scielo.br/j/reeusp/a/cDJHwKDky6Z4hTRY6J48LrJ

  In this context, it is evident the benefit of thermal mattress in relation to the thermal blanket. […] The assessment conducted by the nursing staff in the preoperative period is essential to facilitate the identification of patients at risk of developing hypothermia. […] Nurses are responsible for planning and implementing effective interventions for the prevention or treatment of hypothermia and consequently the reduction of the complications associated with this event. […] It was noted in this study that the amount of heat transferred to the patient is the main determinant in preventing the onset of perioperative hypothermia. In this context, the thermal mattress was more effective than the thermal blanket to prevent hypothermia in the intra and postoperative period.

• #88 Hypothermia in Neonates – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/perinatal-problems/hypothermia-in-neonates

  Maintaining an appropriate environmental temperature is the most important step in preventing hypothermia in neonates. The World Health Organization (WHO) recommends the delivery room temperature be at least 25 to 28 C (77.0 to 82.4 F) and that neonates be dried immediately and, when possible, placed in skin-to-skin contact with the parent and covered. […] Preterm infants who are hypothermic when admitted to the neonatal intensive care unit (NICU) have increased morbidity and mortality; increasing the temperature in the delivery and operating rooms has been found to reduce the incidence of hypothermia on NICU admission. Thus, the American Academy of Pediatrics and the American Heart Association recommend that delivery and operating rooms where preterm infants are delivered have a temperature of 23 to 25 C (74 to 77 F) (1). Because raising room temperature only when delivery is anticipated may allow radiant heat loss to cool surfaces and convective heat loss caused by rapid airflow, the room should be maintained at the recommended temperature continually.

• #89 Neonatal Hypothermia Prevention | Alabama Perinatal Quality Collaborative

  https://www.alpqc.org/initiatives/nhp/

  Throughout the Neonatal Hypothermia Prevention (NHP) Initiative, the ALPQC will work in collaboration with hospitals and providers throughout Alabama to reduce by 20% the proportion of infants that are hypothermic on admission by July 1, 2025. Our key goals will be to promote standardized, facility-wide protocols and checklists, availability of equipment and supplies, timely debriefs, and education regarding best care practices for hypothermia prevention disseminated to staff, patients and families. […] Promote standardized, facility-wide protocols and checklists […] Promote availability of equipment and supplies […] Promote timely debriefs and education for best care practices […] March 2024 Action Period Call: Preventing Hypothermia | Slides.

• #90 Hypothermia in Neonates – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/perinatal-problems/hypothermia-in-neonates

  Maintaining an appropriate environmental temperature is the most important step in preventing hypothermia in neonates. The World Health Organization (WHO) recommends the delivery room temperature be at least 25 to 28 C (77.0 to 82.4 F) and that neonates be dried immediately and, when possible, placed in skin-to-skin contact with the parent and covered. […] Preterm infants who are hypothermic when admitted to the neonatal intensive care unit (NICU) have increased morbidity and mortality; increasing the temperature in the delivery and operating rooms has been found to reduce the incidence of hypothermia on NICU admission. Thus, the American Academy of Pediatrics and the American Heart Association recommend that delivery and operating rooms where preterm infants are delivered have a temperature of 23 to 25 C (74 to 77 F) (1). Because raising room temperature only when delivery is anticipated may allow radiant heat loss to cool surfaces and convective heat loss caused by rapid airflow, the room should be maintained at the recommended temperature continually.

• #91 Hypothermia in Neonates – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/perinatal-problems/hypothermia-in-neonates

  Maintaining an appropriate environmental temperature is the most important step in preventing hypothermia in neonates. The World Health Organization (WHO) recommends the delivery room temperature be at least 25 to 28 C (77.0 to 82.4 F) and that neonates be dried immediately and, when possible, placed in skin-to-skin contact with the parent and covered. […] Preterm infants who are hypothermic when admitted to the neonatal intensive care unit (NICU) have increased morbidity and mortality; increasing the temperature in the delivery and operating rooms has been found to reduce the incidence of hypothermia on NICU admission. Thus, the American Academy of Pediatrics and the American Heart Association recommend that delivery and operating rooms where preterm infants are delivered have a temperature of 23 to 25 C (74 to 77 F) (1). Because raising room temperature only when delivery is anticipated may allow radiant heat loss to cool surfaces and convective heat loss caused by rapid airflow, the room should be maintained at the recommended temperature continually.

• #92 Hypothermia in Neonates – Pediatrics – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/pediatrics/perinatal-problems/hypothermia-in-neonates

  At the time of birth, neonates should be immediately dried and then swaddled (including the head) in a warm blanket to prevent evaporative, conductive, and convective losses. For a preterm infant, placement into a polyethylene bag immediately after delivery has been found to help maintain the infant’s temperature; some clinicians do not dry the infant before placement in the bag because the increased humidity may be beneficial (2). […] Sick neonates should be maintained in a neutral thermal environment to minimize the metabolic rate. The proper incubator temperature varies depending on the neonates birthweight and postnatal age and on humidity in the incubator. Alternatively, heating can be adjusted with a servomechanism set to maintain skin temperature at 36.5 C.

• #93 Neonatal Hypothermia Prevention | Alabama Perinatal Quality Collaborative

  https://www.alpqc.org/initiatives/nhp/

  Throughout the Neonatal Hypothermia Prevention (NHP) Initiative, the ALPQC will work in collaboration with hospitals and providers throughout Alabama to reduce by 20% the proportion of infants that are hypothermic on admission by July 1, 2025. Our key goals will be to promote standardized, facility-wide protocols and checklists, availability of equipment and supplies, timely debriefs, and education regarding best care practices for hypothermia prevention disseminated to staff, patients and families. […] Promote standardized, facility-wide protocols and checklists […] Promote availability of equipment and supplies […] Promote timely debriefs and education for best care practices […] March 2024 Action Period Call: Preventing Hypothermia | Slides.

• #94 Neonatal Hypothermia Prevention | Alabama Perinatal Quality Collaborative

  https://www.alpqc.org/initiatives/nhp/

  Throughout the Neonatal Hypothermia Prevention (NHP) Initiative, the ALPQC will work in collaboration with hospitals and providers throughout Alabama to reduce by 20% the proportion of infants that are hypothermic on admission by July 1, 2025. Our key goals will be to promote standardized, facility-wide protocols and checklists, availability of equipment and supplies, timely debriefs, and education regarding best care practices for hypothermia prevention disseminated to staff, patients and families. […] Promote standardized, facility-wide protocols and checklists […] Promote availability of equipment and supplies […] Promote timely debriefs and education for best care practices […] March 2024 Action Period Call: Preventing Hypothermia | Slides.

• #95 Digital Commons @ Otterbein

  https://digitalcommons.otterbein.edu/stu_doc/160/

  Traumatic injuries present a significant health challenge for providers, often resulting in hypothermia, coagulopathy, and acidosis, referred to as the trauma triad of death. […] The proposed project will create evidence-based guidelines for the prevention of hypothermia in trauma patients arriving to the emergency room and operating room. […] The project team expects the implementation of practice guidelines will decrease the incidence of hypothermia in major trauma patients who require immediate surgery. […] Effective prevention of hypothermia in trauma patients necessitates a multifaceted approach. By integrating innovative temperature control solutions into trauma resuscitation protocols, healthcare providers can mitigate the detrimental effects of hypothermia, ultimately saving lives and improving patient care.

• #96 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #97 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #98 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #99 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #100 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #101 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #102 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #103 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #104 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #105 Prevention/Treatment of Hypothermia | Assessment and Management of Pediatric Trauma

  https://pedtrauma.uw.edu/edition-3/module-7-complications-pediatric-multi-organ-trauma-and-other-injuries-drowning-burns/slide-11

  Remove all wet garments […] Minimize exposure during clinical examination […] Use blankets and head coverings during transport […] Monitor core temperature (rectal, esophageal, Foley) […] Warm ambient temperature (75o – 800o F) […] Warm all IV fluids and blood products […] Forced air heating (Bair Hugger) […] Use radiant warmer for infants and small children […] Heat and humidify supplemental oxygen.

• #106 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Following a bath, dry the person completely, clothe them before leaving the bathing area. […] Encourage exercise to help the person generate heat from muscle activity. […] Provide hot, high protein meals and bedtime snacks to sustain heat production during the day and evening. […] The exposed elderly are at particularly high risk of hypothermia and tissue damage due to heat loss. […] Every effort must be made to protect the elderly from even short exposure to convective heat loss. […] A warm (not hot) air hair dryer should be used to dry the hair of persons prone to hypothermia, allowing the hair to air dry can increase evaporative heat loss.

• #107 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Both in the community and in acute and long-term care institutions, nurses need to be particularly vigilant in protecting frail elderly patients from hypothermia. […] Nursing interventions that can prevent accidental hypothermia in elderly adults include: Maintain the room temperature at 65 degrees Fahrenheit at a minimum; some very frail elderly people will require higher room temperatures to maintain body warmth and comfort. […] Clothe the person adequately and layer both items of clothing and bedcovers to provide optimum insulation. […] Limit the time that the elderly person is exposed to a cold area. […] Minimize heat loss from the head by providing a hat or scarf to cover the head and neck when possible, particularly when the elderly person is outside. […] Cover patients when bathing; a single bath blanket is insufficient protection against hypothermia for a frail elder.

• #108 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Both in the community and in acute and long-term care institutions, nurses need to be particularly vigilant in protecting frail elderly patients from hypothermia. […] Nursing interventions that can prevent accidental hypothermia in elderly adults include: Maintain the room temperature at 65 degrees Fahrenheit at a minimum; some very frail elderly people will require higher room temperatures to maintain body warmth and comfort. […] Clothe the person adequately and layer both items of clothing and bedcovers to provide optimum insulation. […] Limit the time that the elderly person is exposed to a cold area. […] Minimize heat loss from the head by providing a hat or scarf to cover the head and neck when possible, particularly when the elderly person is outside. […] Cover patients when bathing; a single bath blanket is insufficient protection against hypothermia for a frail elder.

• #109 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Both in the community and in acute and long-term care institutions, nurses need to be particularly vigilant in protecting frail elderly patients from hypothermia. […] Nursing interventions that can prevent accidental hypothermia in elderly adults include: Maintain the room temperature at 65 degrees Fahrenheit at a minimum; some very frail elderly people will require higher room temperatures to maintain body warmth and comfort. […] Clothe the person adequately and layer both items of clothing and bedcovers to provide optimum insulation. […] Limit the time that the elderly person is exposed to a cold area. […] Minimize heat loss from the head by providing a hat or scarf to cover the head and neck when possible, particularly when the elderly person is outside. […] Cover patients when bathing; a single bath blanket is insufficient protection against hypothermia for a frail elder.

• #110 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Both in the community and in acute and long-term care institutions, nurses need to be particularly vigilant in protecting frail elderly patients from hypothermia. […] Nursing interventions that can prevent accidental hypothermia in elderly adults include: Maintain the room temperature at 65 degrees Fahrenheit at a minimum; some very frail elderly people will require higher room temperatures to maintain body warmth and comfort. […] Clothe the person adequately and layer both items of clothing and bedcovers to provide optimum insulation. […] Limit the time that the elderly person is exposed to a cold area. […] Minimize heat loss from the head by providing a hat or scarf to cover the head and neck when possible, particularly when the elderly person is outside. […] Cover patients when bathing; a single bath blanket is insufficient protection against hypothermia for a frail elder.

• #111 Hypothermia Prevention

  https://www.cdc.gov/mmwr/preview/mmwrhtml/00001319.htm

  Hypothermia prevention programs should focus on persons particularly susceptible to hypothermia and those likely to be subjected to unusual cold stress. […] Since adequate caloric intake is important in preventing hypothermia, programs designed to improve nutrition in the elderly may also be helpful. Programs that ensure home heating for the elderly may also help prevent hypothermia. […] Younger persons likely to be subjected to cold stress (e.g., skiers and hikers) should be educated concerning the need for adequate clothing and the importance of abstaining from alcohol use during prolonged cold exposure. […] Persons using medications (particularly neuroleptic medications) that are likely to increase susceptibility to the cold should be advised by their physicians regarding their increased vulnerability to cold stress.

• #112 Hypothermia Prevention

  https://www.cdc.gov/mmwr/preview/mmwrhtml/00001319.htm

  Hypothermia prevention programs should focus on persons particularly susceptible to hypothermia and those likely to be subjected to unusual cold stress. […] Since adequate caloric intake is important in preventing hypothermia, programs designed to improve nutrition in the elderly may also be helpful. Programs that ensure home heating for the elderly may also help prevent hypothermia. […] Younger persons likely to be subjected to cold stress (e.g., skiers and hikers) should be educated concerning the need for adequate clothing and the importance of abstaining from alcohol use during prolonged cold exposure. […] Persons using medications (particularly neuroleptic medications) that are likely to increase susceptibility to the cold should be advised by their physicians regarding their increased vulnerability to cold stress.

• #113 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  When Inside […] Keep your home warm. Set the thermostat to at least 68 degrees Fahrenheit. Even homes at 60 to 65 degrees can trigger hypothermia in older adults. […] At home, wear long underwear under clothes as well as socks and slippers. Use a blanket to keep your legs and shoulders warm and wear a hat indoors. […] Set your home’s thermostat to at least 68 degrees. Even mildly cool homes with temperatures from 60 to 65 degrees can trigger hypothermia in older people. […] To stay warm at home, wear long underwear under your clothes, along with socks and slippers. Use a blanket to keep your legs and shoulders warm. […] Know Your Risk […] Some prescription and over-the-counter meds may increase your risk for hypothermia, including antidepressants, pain medications and antipsychotics. Ask your doctor if this pertains to you.

• #114 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #115 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #116 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  When Inside […] Keep your home warm. Set the thermostat to at least 68 degrees Fahrenheit. Even homes at 60 to 65 degrees can trigger hypothermia in older adults. […] At home, wear long underwear under clothes as well as socks and slippers. Use a blanket to keep your legs and shoulders warm and wear a hat indoors. […] Set your home’s thermostat to at least 68 degrees. Even mildly cool homes with temperatures from 60 to 65 degrees can trigger hypothermia in older people. […] To stay warm at home, wear long underwear under your clothes, along with socks and slippers. Use a blanket to keep your legs and shoulders warm. […] Know Your Risk […] Some prescription and over-the-counter meds may increase your risk for hypothermia, including antidepressants, pain medications and antipsychotics. Ask your doctor if this pertains to you.

• #117 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  When Inside […] Keep your home warm. Set the thermostat to at least 68 degrees Fahrenheit. Even homes at 60 to 65 degrees can trigger hypothermia in older adults. […] At home, wear long underwear under clothes as well as socks and slippers. Use a blanket to keep your legs and shoulders warm and wear a hat indoors. […] Set your home’s thermostat to at least 68 degrees. Even mildly cool homes with temperatures from 60 to 65 degrees can trigger hypothermia in older people. […] To stay warm at home, wear long underwear under your clothes, along with socks and slippers. Use a blanket to keep your legs and shoulders warm. […] Know Your Risk […] Some prescription and over-the-counter meds may increase your risk for hypothermia, including antidepressants, pain medications and antipsychotics. Ask your doctor if this pertains to you.

• #118 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  When Inside […] Keep your home warm. Set the thermostat to at least 68 degrees Fahrenheit. Even homes at 60 to 65 degrees can trigger hypothermia in older adults. […] At home, wear long underwear under clothes as well as socks and slippers. Use a blanket to keep your legs and shoulders warm and wear a hat indoors. […] Set your home’s thermostat to at least 68 degrees. Even mildly cool homes with temperatures from 60 to 65 degrees can trigger hypothermia in older people. […] To stay warm at home, wear long underwear under your clothes, along with socks and slippers. Use a blanket to keep your legs and shoulders warm. […] Know Your Risk […] Some prescription and over-the-counter meds may increase your risk for hypothermia, including antidepressants, pain medications and antipsychotics. Ask your doctor if this pertains to you.

• #119 Hypothermia Prevention

  https://www.cdc.gov/mmwr/preview/mmwrhtml/00001319.htm

  Hypothermia prevention programs should focus on persons particularly susceptible to hypothermia and those likely to be subjected to unusual cold stress. […] Since adequate caloric intake is important in preventing hypothermia, programs designed to improve nutrition in the elderly may also be helpful. Programs that ensure home heating for the elderly may also help prevent hypothermia. […] Younger persons likely to be subjected to cold stress (e.g., skiers and hikers) should be educated concerning the need for adequate clothing and the importance of abstaining from alcohol use during prolonged cold exposure. […] Persons using medications (particularly neuroleptic medications) that are likely to increase susceptibility to the cold should be advised by their physicians regarding their increased vulnerability to cold stress.

• #120 Hypothermia Prevention Program | Homelessness, Office to Prevent and End

  https://www.fairfaxcounty.gov/homeless/hypothermia-prevention-program

  Since 2005, the Hypothermia Prevention Program has prevented death and serious injuries among Fairfax County most vulnerable residents by ensuring that no one must sleep outside during the winter months. The program is available to any adult in need of immediate shelter. […] Accommodations are provided within existing shelters that serve single adults as well as in auxiliary programs that are administered in partnership with various faith communities throughout the county. The program provides warm shelter, food, and other supportive services to connect guests to a variety of basic needs to include clothing, employment, housing and more. […] While many individuals who are experiencing homelessness may have access to warm, safe accommodations through friends, family and other programs and services, the Hypothermia Prevention Program still typically serves over 1,000 people over the course of each season.

• #121 Hypothermia Prevention Program Now Open Through March 31 | News Center

  https://www.fairfaxcounty.gov/news/hypothermia-prevention

  Hypothermia Prevention Program Now Open Through March 31 […] Our Hypothermia Prevention Program is in place to ensure no one experiencing homelessness sleeps outside during the winter. The program provides warm shelter, food, clothing, connections to supportive services and more for unhoused individuals. […] If you see someone who is unsheltered and you think is at risk for hypothermia, call 703-691-2131 TTY 711. This is the non-emergency police number. A police officer will respond and conduct a wellness check. […] Unhoused adults in need of immediate shelter are welcome at any of our adult shelters or one of the regional Hypothermia Prevention Program locations. Simply go straight to the shelter. […] The program operates Dec. 1, 2024 March 31, 2025, but overflow shelter capacity is also available now if unseasonably cold weather occurs. […] Ending homelessness is a team effort. The Hypothermia Prevention Program is administered in partnership with nonprofits, faith organizations and community groups.

• #122 Hypothermia Prevention Program | Homelessness, Office to Prevent and End

  https://www.fairfaxcounty.gov/homeless/hypothermia-prevention-program

  Since 2005, the Hypothermia Prevention Program has prevented death and serious injuries among Fairfax County most vulnerable residents by ensuring that no one must sleep outside during the winter months. The program is available to any adult in need of immediate shelter. […] Accommodations are provided within existing shelters that serve single adults as well as in auxiliary programs that are administered in partnership with various faith communities throughout the county. The program provides warm shelter, food, and other supportive services to connect guests to a variety of basic needs to include clothing, employment, housing and more. […] While many individuals who are experiencing homelessness may have access to warm, safe accommodations through friends, family and other programs and services, the Hypothermia Prevention Program still typically serves over 1,000 people over the course of each season.

• #123 Hypothermia Prevention Program | Homelessness, Office to Prevent and End

  https://www.fairfaxcounty.gov/homeless/hypothermia-prevention-program

  Since 2005, the Hypothermia Prevention Program has prevented death and serious injuries among Fairfax County most vulnerable residents by ensuring that no one must sleep outside during the winter months. The program is available to any adult in need of immediate shelter. […] Accommodations are provided within existing shelters that serve single adults as well as in auxiliary programs that are administered in partnership with various faith communities throughout the county. The program provides warm shelter, food, and other supportive services to connect guests to a variety of basic needs to include clothing, employment, housing and more. […] While many individuals who are experiencing homelessness may have access to warm, safe accommodations through friends, family and other programs and services, the Hypothermia Prevention Program still typically serves over 1,000 people over the course of each season.

• #124 Hypothermia Prevention Program | Homelessness, Office to Prevent and End

  https://www.fairfaxcounty.gov/homeless/hypothermia-prevention-program

  Since 2005, the Hypothermia Prevention Program has prevented death and serious injuries among Fairfax County most vulnerable residents by ensuring that no one must sleep outside during the winter months. The program is available to any adult in need of immediate shelter. […] Accommodations are provided within existing shelters that serve single adults as well as in auxiliary programs that are administered in partnership with various faith communities throughout the county. The program provides warm shelter, food, and other supportive services to connect guests to a variety of basic needs to include clothing, employment, housing and more. […] While many individuals who are experiencing homelessness may have access to warm, safe accommodations through friends, family and other programs and services, the Hypothermia Prevention Program still typically serves over 1,000 people over the course of each season.

• #125 Hypothermia Prevention Program | Homelessness, Office to Prevent and End

  https://www.fairfaxcounty.gov/homeless/hypothermia-prevention-program

  Since 2005, the Hypothermia Prevention Program has prevented death and serious injuries among Fairfax County most vulnerable residents by ensuring that no one must sleep outside during the winter months. The program is available to any adult in need of immediate shelter. […] Accommodations are provided within existing shelters that serve single adults as well as in auxiliary programs that are administered in partnership with various faith communities throughout the county. The program provides warm shelter, food, and other supportive services to connect guests to a variety of basic needs to include clothing, employment, housing and more. […] While many individuals who are experiencing homelessness may have access to warm, safe accommodations through friends, family and other programs and services, the Hypothermia Prevention Program still typically serves over 1,000 people over the course of each season.

• #126 Hypothermia Prevention Program | Homelessness, Office to Prevent and End

  https://www.fairfaxcounty.gov/homeless/hypothermia-prevention-program

  All locations will be operated in consultation with the Fairfax County Health Department to ensure appropriate precautionary measures are being taken to prevent the spread of COVID-19. […] Questions or concerns related to the Hypothermia Prevention Program can be directed to the Office to Prevent and End Homelessness at 703-324-9492, TTY 711, or by email at [email protected].

• #127 Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37963694/

  Objectives: To develop a consensus on evidence-based principles and recommendations for perioperative hypothermia prevention in the Australian context. […] A total of 23 papers (12 guidelines, 6 evidence summaries, 3 standards, 1 best practice sheet and 1 evidence-based bundle) formed the evidence base. After evidence synthesis and development of draft recommendations, 219 perioperative clinicians provided feedback. Following refinement, three simple principles for perioperative hypothermia prevention were developed with supporting practice recommendations: (1) actively monitor core temperature for all patients at all times; (2) warm actively to keep body temperature above 36C and patients comfortable and (3) minimise exposure to cold at all stages of perioperative care. […] This consensus process has generated principles and practice recommendations for hypothermia prevention that are ready for implementation with local adaptation. Further evaluation will be undertaken in a large-scale implementation trial across Australian hospitals.

• #128 Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach | BMJ Open

  https://bmjopen.bmj.com/content/13/11/e077472

  Objectives To develop a consensus on evidence-based principles and recommendations for perioperative hypothermia prevention in the Australian context. […] A total of 23 papers (12 guidelines, 6 evidence summaries, 3 standards, 1 best practice sheet and 1 evidence-based bundle) formed the evidence base. After evidence synthesis and development of draft recommendations, 219 perioperative clinicians provided feedback. Following refinement, three simple principles for perioperative hypothermia prevention were developed with supporting practice recommendations: (1) actively monitor core temperature for all patients at all times; (2) warm actively to keep body temperature above 36C and patients comfortable and (3) minimise exposure to cold at all stages of perioperative care. […] This consensus process has generated principles and practice recommendations for hypothermia prevention that are ready for implementation with local adaptation. Further evaluation will be undertaken in a large-scale implementation trial across Australian hospitals.

• #129 Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach – PubMed

  https://pubmed.ncbi.nlm.nih.gov/37963694/

  Objectives: To develop a consensus on evidence-based principles and recommendations for perioperative hypothermia prevention in the Australian context. […] A total of 23 papers (12 guidelines, 6 evidence summaries, 3 standards, 1 best practice sheet and 1 evidence-based bundle) formed the evidence base. After evidence synthesis and development of draft recommendations, 219 perioperative clinicians provided feedback. Following refinement, three simple principles for perioperative hypothermia prevention were developed with supporting practice recommendations: (1) actively monitor core temperature for all patients at all times; (2) warm actively to keep body temperature above 36C and patients comfortable and (3) minimise exposure to cold at all stages of perioperative care. […] This consensus process has generated principles and practice recommendations for hypothermia prevention that are ready for implementation with local adaptation. Further evaluation will be undertaken in a large-scale implementation trial across Australian hospitals.

• #130 Perioperative hypothermia prevention: development of simple principles and practice recommendations using a multidisciplinary consensus-based approach | BMJ Open

  https://bmjopen.bmj.com/content/13/11/e077472

  Objectives To develop a consensus on evidence-based principles and recommendations for perioperative hypothermia prevention in the Australian context. […] A total of 23 papers (12 guidelines, 6 evidence summaries, 3 standards, 1 best practice sheet and 1 evidence-based bundle) formed the evidence base. After evidence synthesis and development of draft recommendations, 219 perioperative clinicians provided feedback. Following refinement, three simple principles for perioperative hypothermia prevention were developed with supporting practice recommendations: (1) actively monitor core temperature for all patients at all times; (2) warm actively to keep body temperature above 36C and patients comfortable and (3) minimise exposure to cold at all stages of perioperative care. […] This consensus process has generated principles and practice recommendations for hypothermia prevention that are ready for implementation with local adaptation. Further evaluation will be undertaken in a large-scale implementation trial across Australian hospitals.

• #131

  https://www.aorn.org/article/the-essential-role-of-perioperative-nurses-in-preventing-hypothermia–strategies-and-guidelines-for-maintaining-normothermia

  Perioperative nurses, along with the entire perioperative team, are responsible for managing patient temperature and preventing hypothermia during surgery. […] The Association of periOperative Registered Nurses (AORN) emphasizes the importance of maintaining normothermia keeping the patient’s body temperature within the normal range throughout the perioperative period to ensure optimal surgical outcomes. […] During the preoperative phase, nurses perform a thorough evaluation to identify patients at higher risk for hypothermia, such as those with low body mass index, older adults, or those undergoing procedures longer than two hours. […] The AORN Guideline for Prevention of Hypothermia recommends evidence-based strategies to prevent adverse patient outcomes. […] One method is prewarming patients with forced air warming systems for at least 30 minutes before anesthesia induction.

• #132 Airway and Hypothermia Prevention: and Treatment via STEAM The System for Thermogenic Emergency Airway Management – Journal of Special Operations Medicine

  https://jsomonline.org/product/airway-and-hypothermia-prevention-and-treatment-via-steam-the-system-for-thermogenic-emergency-airway-management/

  Airway and Hypothermia Prevention: and Treatment via STEAM The System for Thermogenic Emergency Airway Management Stevens R, Pierce B, Tilley L 22(4). 72 Publication Type: Journal Article (Feature Articles) […] Hypothermia prevention is anticipated to become more critical in future operations due to a predicted increase in evacuation times and reliance on Prolonged Casualty Care (PCC). This is likely secondary to increasingly distanced battlespaces and the mobility challenges of operating in semi-/non-permissive environments. Innovation is essential to combat this threat via active airway rewarming in the vulnerable patient. Thus, we propose the development, fabrication, and efficacy testing of a device in which we estimate being able to control temperature and humidity at physiologic levels in the PCC setting and beyond.

• #133 3M Bair Hugger Temperature Management Solutions | Solventum

  https://www.3m.co.uk/3M/en_GB/Medical-GB/prevention/hypothermia-prevention-patient-warming/

  Temperature management is an essential part of patient care, to help keep a patients core temperature within the normothermic range of 36.0 to 37.5C.12,13 If youre not monitoring the bodys core temperature continuously and managing it consistently, you could be putting patients at risk for unintended perioperative hypothermia. However, this complication can be prevented or minimised by transferring heat to the body before, during and after surgery. […] Unintended perioperative hypothermia is a common yet avoidable complication of anaesthesia, known to increase the risk of surgical site infection (SSI),6,7 prolong recovery time,8 and even elevate mortality rates.9 However, by following a normothermia protocol which includes vigilant temperature monitoring and proactive warming measures prior to anaesthesia induction through to recovery, hypothermia can be preventable.

• #134

  https://www.aorn.org/article/the-essential-role-of-perioperative-nurses-in-preventing-hypothermia–strategies-and-guidelines-for-maintaining-normothermia

  Perioperative nurses, along with the entire perioperative team, are responsible for managing patient temperature and preventing hypothermia during surgery. […] The Association of periOperative Registered Nurses (AORN) emphasizes the importance of maintaining normothermia keeping the patient’s body temperature within the normal range throughout the perioperative period to ensure optimal surgical outcomes. […] During the preoperative phase, nurses perform a thorough evaluation to identify patients at higher risk for hypothermia, such as those with low body mass index, older adults, or those undergoing procedures longer than two hours. […] The AORN Guideline for Prevention of Hypothermia recommends evidence-based strategies to prevent adverse patient outcomes. […] One method is prewarming patients with forced air warming systems for at least 30 minutes before anesthesia induction.

• #135

  https://www.scielo.br/j/reeusp/a/cDJHwKDky6Z4hTRY6J48LrJ

  In this context, it is evident the benefit of thermal mattress in relation to the thermal blanket. […] The assessment conducted by the nursing staff in the preoperative period is essential to facilitate the identification of patients at risk of developing hypothermia. […] Nurses are responsible for planning and implementing effective interventions for the prevention or treatment of hypothermia and consequently the reduction of the complications associated with this event. […] It was noted in this study that the amount of heat transferred to the patient is the main determinant in preventing the onset of perioperative hypothermia. In this context, the thermal mattress was more effective than the thermal blanket to prevent hypothermia in the intra and postoperative period.

• #136 Hypothermia Prevention & Management | North American Rescue

  https://www.narescue.com/nar-hypothermia-prevention-and-management-kit-hpmk.html

  Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind rain. […] TCCC-recommended hypothermia prevention solution during casualty care. […] Sustains 10 hours of continuous dry heat with oxygen-activated, self-heating liner (no external power supply required). […] Constructed of 4-ply composite fabric with protected non-conductive reflective layer that provides excellent thermal insulation. […] Tapered shape from top to bottom to maximize isothermal capabilities. […] Continuous 1.5 in. hook and loop closures for rapid 360 access to the casualty with minimal exposure to the elements.

• #137 First Aid – M.A.R.C.H. – Hypothermia Prevention – Off Grid Warehouse

  https://offgridwarehouse.com/first-aid/m-a-r-c-h/hypothermia-prevention/?srsltid=AfmBOorREvNE86OQTPz2mLfenm4KAMg8btKiIRNlrA9iD0Ly4OZXgytc

  North American Rescue Hypothermia Prevention and Management Kit (HPMK) Recommended by CoTCCC for the prevention of hypothermia during casualty care, the patented HPMK with reinforced Heat Reflective Shell is strong, flexible, lightweight impervious to wind […] The HAWK Advanced Hypothermia Management Set is designed to help prevent and manage hypothermia by combining the advanced technology of adjustable, air-activated warming grids and the Thermal Patient Litter System.

• #138 Airway and Hypothermia Prevention: and Treatment via STEAM The System for Thermogenic Emergency Airway Management – Journal of Special Operations Medicine

  https://jsomonline.org/product/airway-and-hypothermia-prevention-and-treatment-via-steam-the-system-for-thermogenic-emergency-airway-management/

  Airway and Hypothermia Prevention: and Treatment via STEAM The System for Thermogenic Emergency Airway Management Stevens R, Pierce B, Tilley L 22(4). 72 Publication Type: Journal Article (Feature Articles) […] Hypothermia prevention is anticipated to become more critical in future operations due to a predicted increase in evacuation times and reliance on Prolonged Casualty Care (PCC). This is likely secondary to increasingly distanced battlespaces and the mobility challenges of operating in semi-/non-permissive environments. Innovation is essential to combat this threat via active airway rewarming in the vulnerable patient. Thus, we propose the development, fabrication, and efficacy testing of a device in which we estimate being able to control temperature and humidity at physiologic levels in the PCC setting and beyond.

• #139 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  The early recognition and prevention of hypothermia are essential during trauma assessment and care. […] Remember that ALL trauma casualties in shock or at risk of shock are at risk for trauma-induced hypothermia even when operating in a warm environment. […] In other words, prevent and/or treat hypothermia! […] Due to the physics of heat transfer, it is much easier to prevent hypothermia than to treat it. […] Prevention of hypothermia in casualties is an essential element of care, and simple interventions have proven effective in decreasing the incidence of hypothermia during trauma assessment, treatment, and prolonged evacuations. […] Take early and aggressive steps to prevent additional body heat loss and add external heat, when possible, for trauma and severely burned casualties.

• #140 How To Avoid, Recognize and Treat Hypothermia — Washington Trails Association

  https://www.wta.org/go-outside/trail-smarts/how-to/how-to-avoid-prevent-and-recognize-hypothermia

  Hydration, nutrition, proper clothing, layering and good rest management are all key to preventing hypothermia. […] It’s important to know how to prevent hypothermia, how to identify if someone is hypothermic, and how to treat that person. […] As a mountain guide, I focus most of my efforts against hypothermia in the prevention stage. […] To understand prevention, it’s best to know what causes hypothermia: Inadequate protection from exposure, Lack of proper hydration and nutrition, Improper planning for the activity or the conditions. […] Always remember that for the hiker, prevention is your first line of defense against hypothermia. […] Preventative steps: Hydration and nutrition. Have extra snacks and water, and keep them handy. Proper clothing. Remember that “cotton kills.” When you might run into rain or snow, it’s best to wear synthetic materials or wool, which, unlike cotton, can keep you warm even when wet. Proper layering. Know how and when to make adjustments. Good rest management. Pick rest stops that are sheltered, encourage eating and hydration at each stop, but keep break times short.

• #141 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #142 Hypothermia | US Forest Service

  https://www.fs.usda.gov/visit/know-before-you-go/hypothermia

  Before you spend time outside in the cold, do not drink alcohol or smoke. […] Drink plenty of fluids and get adequate food and rest. Water helps turn calories into heat and food high in carbohydrates helps keep you powered. […] Wear proper clothing in cold temperatures to protect your body. These include: […] One word: Layers. The outermost clothing layer should be wind-proof and water-resistant; inner layers should be wool or synthetics that are warm when wet. […] Scarf and hat that cover the ears to help you avoid major heat loss through the top of your head. […] If you have diabetes or circulatory problems, see your doctor regularly and maintain good health habits in order to reduce the risk of blood vessel complications that may put you at risk for hypothermia. […] Provide the victim with non-alcoholic warm beverages but no alcohol to help increase body temperature. Do not try to give beverages to an unconscious person. […] Keep the person dry and wrapped including the head and neck in a warm blanket even if the body temperature has increased.

• #143 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #144 Hypothermia | US Forest Service

  https://www.fs.usda.gov/visit/know-before-you-go/hypothermia

  Before you spend time outside in the cold, do not drink alcohol or smoke. […] Drink plenty of fluids and get adequate food and rest. Water helps turn calories into heat and food high in carbohydrates helps keep you powered. […] Wear proper clothing in cold temperatures to protect your body. These include: […] One word: Layers. The outermost clothing layer should be wind-proof and water-resistant; inner layers should be wool or synthetics that are warm when wet. […] Scarf and hat that cover the ears to help you avoid major heat loss through the top of your head. […] If you have diabetes or circulatory problems, see your doctor regularly and maintain good health habits in order to reduce the risk of blood vessel complications that may put you at risk for hypothermia. […] Provide the victim with non-alcoholic warm beverages but no alcohol to help increase body temperature. Do not try to give beverages to an unconscious person. […] Keep the person dry and wrapped including the head and neck in a warm blanket even if the body temperature has increased.

• #145 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #146 Hypothermia: Understanding and Prevention | Minnesota Sea Grant

  https://seagrant.umn.edu/programs/recreation-and-water-safety-program/hypothermia

  Accidental hypothermia affects and kills more than 1,000 people every year. […] Appropriate clothing, staying dry, and being active can help. […] One of the best ways to prevent hypothermia is to dress in appropriate outdoor clothing, use heat packs or other body warmers as necessary, keep as little skin exposed as possible, stay dry, and move to a warm environment when there are signs of body cooling (e.g., numbness, instability, confusion). […] Everyone should avoid alcohol and recreational stimulant drugs when they are going to be in a cold environment. […] The U.S. Navy developed a compact hypothermia prevention management kit (HPMK) that is commercially available. […] If you are frequently outdoors in the winter, especially around water and ice, consider assembling and bringing with you a cold-safety readiness kit.

• #147 Preventing Hypothermia | Maine Emergency Management Agency

  https://www.maine.gov/mema/hazards/natural-hazards/severe-winter-storms/hypothermia-prevention

  Stay Warm Prevent Hypothermia […] What You Can Do to Prevent Hypothermia […] Dress in layers. […] Wear a warm hat 30% of heat loss is through the head. […] Wear a scarf and gloves. […] Infants should be in a room in which the temperature is 61-68 degrees Fahrenheit. […] Drink plenty of fluids and warm/hot drinks. […] Eat regular balanced meals to give you energy good nutrition is important. […] Keep active when its cold, but not to the point where youre sweating. […] Keep dry and change out of wet clothes as soon as possible. […] Cut down on alcohol, caffeine, and nicotine, since all three cause heat loss. […] Try to keep one room in the house warm. […] Ask your doctor if you are on any medications that affect your ability to maintain a steady body temperature (such as neuroleptic medications and sedative hypnotics).

• #148 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Following a bath, dry the person completely, clothe them before leaving the bathing area. […] Encourage exercise to help the person generate heat from muscle activity. […] Provide hot, high protein meals and bedtime snacks to sustain heat production during the day and evening. […] The exposed elderly are at particularly high risk of hypothermia and tissue damage due to heat loss. […] Every effort must be made to protect the elderly from even short exposure to convective heat loss. […] A warm (not hot) air hair dryer should be used to dry the hair of persons prone to hypothermia, allowing the hair to air dry can increase evaporative heat loss.

• #149 Hypothermia prevention

  https://www.rnceus.com/hypo/hypoprev.html

  Both in the community and in acute and long-term care institutions, nurses need to be particularly vigilant in protecting frail elderly patients from hypothermia. […] Nursing interventions that can prevent accidental hypothermia in elderly adults include: Maintain the room temperature at 65 degrees Fahrenheit at a minimum; some very frail elderly people will require higher room temperatures to maintain body warmth and comfort. […] Clothe the person adequately and layer both items of clothing and bedcovers to provide optimum insulation. […] Limit the time that the elderly person is exposed to a cold area. […] Minimize heat loss from the head by providing a hat or scarf to cover the head and neck when possible, particularly when the elderly person is outside. […] Cover patients when bathing; a single bath blanket is insufficient protection against hypothermia for a frail elder.

• #150 Hypothermia Signs, First Aid and Prevention | Franciscan Health

  https://www.franciscanhealth.org/community/blog/hypothermia-signs-first-aid-and-prevention

  When Inside […] Keep your home warm. Set the thermostat to at least 68 degrees Fahrenheit. Even homes at 60 to 65 degrees can trigger hypothermia in older adults. […] At home, wear long underwear under clothes as well as socks and slippers. Use a blanket to keep your legs and shoulders warm and wear a hat indoors. […] Set your home’s thermostat to at least 68 degrees. Even mildly cool homes with temperatures from 60 to 65 degrees can trigger hypothermia in older people. […] To stay warm at home, wear long underwear under your clothes, along with socks and slippers. Use a blanket to keep your legs and shoulders warm. […] Know Your Risk […] Some prescription and over-the-counter meds may increase your risk for hypothermia, including antidepressants, pain medications and antipsychotics. Ask your doctor if this pertains to you.

• #151

  https://patientsafety.pa.gov/ADVISORIES/Pages/200806_44.aspx

  A number of methods and devices may be used to maintain perioperative normothermia. […] Passive insulators readily available in most ORs include cotton blankets, surgical drapes, plastic sheeting, and reflective composites or space blankets. […] Active skin warming systems include forced-air warming, circulating-water garments, and resistive heating. […] Warming of IV fluids and blood is indicated when more than two liters of fluid per hour are administered to an adult, because of potential heat loss from cold IV fluids or blood. […] Prewarming of patients before induction of anesthesia has been studied as a method to maintain perioperative normothermia. […] Professional societies including ASA, the American Society of PeriAnesthesia Nurses (ASPAN), and AORN endorse recommended practices for the prevention and management of unplanned perioperative hypothermia.

• #152 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Prevention and maintaining body temperature should be started 12hrs before induction of anesthesia, to do this both active and passive warming system are effective to prevent complications associated with perioperative hypothermia. […] Active and passive warming systems are highly recommended to prevent hypothermia, so it is possible to use effectively the available resource with a protocol is crucial, as a result this systematic review have a nice contribution for better management and prevention of perioperative hypothermia. […] Preoperative hypothermia prevention and identification should be started 12 h before anesthesia administration. Intraoperative, temperature should be measured at least every 15 min. […] In order to decrease perioperative hypothermia patient should be actively pre warmed 20-30 min before surgery and the operation room ambient temperature should be at least 21 C, transfusions rates greater than 500 mL/h should be warmed first and intraoperative irrigation fluids should be prewarmed to 38-40 C.

• #153 Prevention and management of perioperative hypothermia in adult elective surgical patients: A systematic review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC8605381/

  Prevention and maintaining body temperature should be started 12hrs before induction of anesthesia, to do this both active and passive warming system are effective to prevent complications associated with perioperative hypothermia. […] Active and passive warming systems are highly recommended to prevent hypothermia, so it is possible to use effectively the available resource with a protocol is crucial, as a result this systematic review have a nice contribution for better management and prevention of perioperative hypothermia. […] Preoperative hypothermia prevention and identification should be started 12 h before anesthesia administration. Intraoperative, temperature should be measured at least every 15 min. […] In order to decrease perioperative hypothermia patient should be actively pre warmed 20-30 min before surgery and the operation room ambient temperature should be at least 21 C, transfusions rates greater than 500 mL/h should be warmed first and intraoperative irrigation fluids should be prewarmed to 38-40 C.

• #154 75. Hypothermia: Prevention and Treatment

  https://tccc.org.ua/en/guide/hypothermia-prevention-and-treatment-cpg

  On patient arrival to the Role 2/3 facility, every effort must be made to prevent hypothermia; this should be a priority throughout resuscitative efforts and operative procedures. Control of ambient air temperature should be utilized to maintain a warm environment. […] Continuous temperature monitoring is preferred, and temperatures should be documented on arrival to and discharge from the facility.

• #155 Hypothermia Prevention & Treatment

  https://tccc.org.ua/en/guide/module-12-hypothermia-prevention-treatment-cmc

  The early recognition and prevention of hypothermia are essential during trauma assessment and care. […] Remember that ALL trauma casualties in shock or at risk of shock are at risk for trauma-induced hypothermia even when operating in a warm environment. […] In other words, prevent and/or treat hypothermia! […] Due to the physics of heat transfer, it is much easier to prevent hypothermia than to treat it. […] Prevention of hypothermia in casualties is an essential element of care, and simple interventions have proven effective in decreasing the incidence of hypothermia during trauma assessment, treatment, and prolonged evacuations. […] Take early and aggressive steps to prevent additional body heat loss and add external heat, when possible, for trauma and severely burned casualties.

• #156 Hypothermia: Prevention and Treatment – North Central Surgical Hospital

  https://northcentralsurgical.com/hypothermia-prevention-and-treatment/

  If you or someone you know is experiencing symptoms of hypothermia, do not wait to call for medical help. While you wait for help to arrive, the tips above can help lessen the severity of hypothermia and perhaps save a life. Most importantly, be smart. If it’s cold and wet outside, don’t step out the door until you’re clothed appropriately.

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