Book contents
- Frontmatter
- Contents
- Introduction
- 1 Hypothermia as a Disorder
- 2 Epidemiology and Estimating Preventable Deaths in Accidental Hypothermia
- 3 Facts and Myths about Hypothermia and its Treatment
- 4 Measurement of Patient's Body Temperature
- 5 Prehospital Management of Hypothermia
- 6 Thermal Insulation
- 7 Airway Management in Hypothermic Patients
- 8 ECG in Hypothermia
- 9 Hypothermia as a Reversible Cause of Cardiac Arrest
- 10 The Role and Tasks of Polish Medical Air Rescue
- 11 Trauma and Hypothermia
- 12 Prehospital Management of Avalanche Victims
- 13 Prehospital Rewarming in Hypothermia. Indications, Methods, Problems and Pitfalls
- 14 Coagulopathies in Hypothermic Patient
- 15 Changes of Pharmacokinetics and Pharmacodynamics of Medications in Hypothermic Patients
- 16 Extracorporeal Therapy in Patients in Severe Hypothermia
- 17 Vascular Access for Extracorporeal Circulation
- 18 Problems and Pitfalls of Qualification for Extracorporeal Treatment of Patients in Severe Hypothermia
- 19 Procedure of Extracorporeal Treatment of Hypothermic Patients
- 20 Recommendation of National Consultant in the Field on Emergency Medicine
- 21 Accidental Hypothermia: the Need for the International Hypothermia Registry
- 22 Qualification for Extracorporeal Rewarming Medical Report
10 - The Role and Tasks of Polish Medical Air Rescue
Published online by Cambridge University Press: 03 January 2018
- Frontmatter
- Contents
- Introduction
- 1 Hypothermia as a Disorder
- 2 Epidemiology and Estimating Preventable Deaths in Accidental Hypothermia
- 3 Facts and Myths about Hypothermia and its Treatment
- 4 Measurement of Patient's Body Temperature
- 5 Prehospital Management of Hypothermia
- 6 Thermal Insulation
- 7 Airway Management in Hypothermic Patients
- 8 ECG in Hypothermia
- 9 Hypothermia as a Reversible Cause of Cardiac Arrest
- 10 The Role and Tasks of Polish Medical Air Rescue
- 11 Trauma and Hypothermia
- 12 Prehospital Management of Avalanche Victims
- 13 Prehospital Rewarming in Hypothermia. Indications, Methods, Problems and Pitfalls
- 14 Coagulopathies in Hypothermic Patient
- 15 Changes of Pharmacokinetics and Pharmacodynamics of Medications in Hypothermic Patients
- 16 Extracorporeal Therapy in Patients in Severe Hypothermia
- 17 Vascular Access for Extracorporeal Circulation
- 18 Problems and Pitfalls of Qualification for Extracorporeal Treatment of Patients in Severe Hypothermia
- 19 Procedure of Extracorporeal Treatment of Hypothermic Patients
- 20 Recommendation of National Consultant in the Field on Emergency Medicine
- 21 Accidental Hypothermia: the Need for the International Hypothermia Registry
- 22 Qualification for Extracorporeal Rewarming Medical Report
Summary
Continuing advancement of medical science and advent of new technologies have enabled efficient treatment of patients in severe hypothermia. The efficacy of therapeutic process of these patients is possible thanks to organisation of hypothermia treatment system, which encompasses both prehospital as well in-hospital care phases. Emergency medical system, which beside land ambulances includes also air rescue teams, provides medical life-saving capability as well as translocation with intensive care capacity to centres that ensure focused, specialised therapy.
Polish Medical Air Rescue, as a part of National Emergency Medical System, so as to aid successfully developing program of treatment of severe hypothermia has undertaken organisational and educational actions aiming at active participation of medical air rescue teams in saving hypothermic patients.
Medical air rescue teams possess equipment enabling direct invasive blood pressure and core temperature measurements what enables exact monitoring of hypothermic patients. Specialised thermometers for core temperature measurement in oesophagus constitute part of equipment of all rescue helicopters.
As a part of educational project, National Dispatch staff along with all members of medical personnel of Polish Medical Air Rescue received educational materials concerning hypothermia and extracorporeal treatment. Keeping in mind the possibility of further development of hypothermia treatment program into other areas of Poland, Medical Air Rescue plans to introduce training for medical personnel of all HEMS/EMS centres in Poland on this subject based upon currently introduced e-learning platform.
National Dispatch Office of Polish Medical Air Rescue actively participates in coordination of transportation of patients in severe hypothermia, both from place of incident as well as between medical institutions. Joint experience of Severe Hypothermia Treatment Centre in Kraków and Polish Medical Air Rescue shows that air transport may be the preferable method of translocation of patients in severe hypothermia. Speed, stability and capacity to monitor various aspects of patient's condition are among various advantages of medical helicopter. It is worth noting that despite the slowing of metabolism and prolonged tolerance to hypoxia among hypothermic patients, time of arrival at destination treatment centre remains critical condition for patient's survival chances, like in all other life threatening disorders.
- Type
- Chapter
- Information
- Hypothermia: Clinical Aspects Of Body CoolingAnalysis Of Dangers Directions Of Modern Treatment, pp. 87 - 88Publisher: Jagiellonian University PressPrint publication year: 2016