The Resus Room April 2024; papers of the month
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Apr 1, 2024 This podcast episode covers important topics such as the effectiveness of removing wet clothes in trauma care, comparing different analgesics for limb fractures, and the association between end-tidal CO2 levels and mortality in brain injury cases. The hosts discuss key findings from each study and emphasize the importance of proper patient care practices.
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Strip Wet Clothes To Rewarm Faster
- Removing wet clothes speeds skin rewarming significantly compared to leaving them on under a vapor barrier.
- Mean return to baseline skin temperature was ~12.5 min with clothes removed vs ~28.1 min when left on.
Prioritize Drying When Time Allows
- Prioritize getting patients dry when the situation allows, especially if prolonged extrication or transfer is expected.
- Defer rapid stripping if transport is imminent or resources limit a safe, quick removal.
Skin Versus Core Temperature Difference
- The study measured skin, not core, temperature so core hypothermia effects may differ.
- Subjective comfort and shivering did not differ despite skin temperature changes.