Wilderness medical society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia: 2014 update

Ken Zafren, Gordon G. Giesbrecht, Daniel F. Danzl, Hermann Brugger, Emily B. Sagalyn, Beat Walpoth, Eric A. Weiss, Paul S. Auerbach, Scott E. McIntosh, Mária Némethy, Marion McDevitt, Jennifer Dow, Robert Blair Schoene, George W. Rodway, Peter H. Hackett, Brad L. Bennett, Colin K. Grissom

Research output: Contribution to journalArticle

67 Scopus citations

Abstract

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

Original languageEnglish (US)
Pages (from-to)S66-S85
JournalWilderness and Environmental Medicine
Volume25
Issue number4
DOIs
StatePublished - Dec 1 2014

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Public Health, Environmental and Occupational Health

Keywords

  • accidental hypothermia
  • avalanche
  • cold
  • hypothermia
  • resuscitation
  • rewarming
  • wilderness medicine

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    Zafren, K., Giesbrecht, G. G., Danzl, D. F., Brugger, H., Sagalyn, E. B., Walpoth, B., Weiss, E. A., Auerbach, P. S., McIntosh, S. E., Némethy, M., McDevitt, M., Dow, J., Schoene, R. B., Rodway, G. W., Hackett, P. H., Bennett, B. L., & Grissom, C. K. (2014). Wilderness medical society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia: 2014 update. Wilderness and Environmental Medicine, 25(4), S66-S85. https://doi.org/10.1016/j.wem.2014.10.010