Trauma Patients and Hypothermia in the Emergency Room: ReadyHeat® Versus Cotton Wool Blanket
Study Details
Study Description
Brief Summary
Hypothermia is a common problem in traumatized patients leading to severe complications such as impaired coagulation, increased rate of wound infections and overall patient discomfort among others. Therefore, the investigators test out the new self warming ReadyHeat® blanket device against the currently used cotton wool blanket in terms of effects on the prevention and treatment of hypothermia.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Hypothermia is a common problem in traumatized patients leading to severe complications such as impaired coagulation, increased rate of wound infections and overall patient discomfort among others. Therefore, the investigators test out the new self warming (via an exothermic reaction) ReadyHeat® blanket device against the currently used cotton wool blanket in terms of effects on the prevention and treatment of hypothermia. Near body core temperature is measured by a sublingual sensor as the "gold standard" of body core temperature measurement - the pulmonary artery catheter - is too invasive and not suited for this collective of patients in the emergency room setting. Blanket use will be randomized. Temperature will be taken at emergency room admission, after 15, 30 and 45 minutes of treatment as well as right before handing the patient over to the next caring unit (ICU, IMC, operating theatre etc.). If treatment time is shorter than expected measurement will stop at the latest possible point. Blankets will be applied to the patient once admission in the emergency room is complete and will only be lifted for interventions.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: ReadyHeat® blanket Patient warming with ReadyHeat® blanket |
Device: ReadyHeat® blanket
Using ReadyHeat® blanket for patient warming
|
| Active Comparator: Cotton wool blanket Patient warming with cotton wool blanket |
Device: Cotton wool blanket
Using cotton wool blanket for patient warming
|
Outcome Measures
Primary Outcome Measures
- Body core temperature at the end of completed emergency room treatment [When handing the patient over to the next caring unit (ICU, operating theatre etc.) n most cases an average time frame < 60 min is maintained]
Body core temperature taken after completed emergency room treatment incl. imaging. In most cases an average time frame < 60 min is maintained.
Secondary Outcome Measures
- Body core temperature during emergency room treatment [Temperature measurement: Admission, after 15, 30, 45 minutes]
Body core temperature taken after emergency room admission and 15, 30 and 45 minutes after beginning of treatment
Eligibility Criteria
Criteria
Inclusion Criteria:
- Trauma patients ≥ 18 years of all severity stages including poly traumatized patients admissioned through the emergency room
Exclusion Criteria:
-
Patients < 18 years
-
Patients after pre-hospital cardiac arrest or ongoing CPR at time of admission
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University Hospital Schleswig-Holstein, Campus Kiel | Kiel | Schleswig-Holstein | Germany | 24105 |
Sponsors and Collaborators
- University Hospital Schleswig-Holstein
Investigators
- Study Director: Jan Höcker, M.D., Klinik für Anästhesiologie und Operative Intensivmedizin, Arnold-Heller-Str. 3, Haus 12, 24105 Kiel
Study Documents (Full-Text)
None provided.More Information
Publications
- Curry N, Davis PW. What's new in resuscitation strategies for the patient with multiple trauma? Injury. 2012 Jul;43(7):1021-8. doi: 10.1016/j.injury.2012.03.014. Epub 2012 Apr 7. Review.
- Kapan M, Onder A, Oguz A, Taskesen F, Aliosmanoglu I, Gul M, Tacyildiz I. The effective risk factors on mortality in patients undergoing damage control surgery. Eur Rev Med Pharmacol Sci. 2013 Jun;17(12):1681-7.
- Sessler DI. Temperature monitoring and perioperative thermoregulation. Anesthesiology. 2008 Aug;109(2):318-38. doi: 10.1097/ALN.0b013e31817f6d76. Review.
- ReadyHeat