Volume 8, Issue 2 (9-2018)                   PCNM 2018, 8(2): 26-33 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Pourrezaei S, Dinmohammadi M, Jafari rouhi A. The Effect of Thermal Care Workshop on EMS Staff Readiness in managing Accidental Hypothermia in Trauma Patients. PCNM 2018; 8 (2) :26-33
URL: http://nmcjournal.zums.ac.ir/article-1-585-en.html
Department of Nursing, Associate Professor, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , mdinmohammadi@zums.ac.ir
Abstract:   (9553 Views)
Background: Hypothermia is a common complication in trauma patients. Studies show that the management of hypothermia in trauma patients in the pre-hospital phase may be underestimated.
Objectives: The purpose of this study was to evaluate the effect of thermal care workshop on the staff readiness to manage hypothermia in trauma patients.
This quasi-experimental study utilized convenience sampling after obtaining the approval of the Research Ethics Committee and involved 60 qualified EMS staff who were divided into two groups including: intervention group (30 technicians) and control group (30 technicians). The intervention group received the treatment in the form of a workshop. Nonetheless, the control group did not receive any educational intervention. The data were collected before, immediately after and 45 days after the workshop to determine EMS staff readiness using a validated researcher-made questionnaire. In this study, the significance level was 0.5.Results: There was a significant difference between the posttest results of the control group and the intervention group (p<0.001). Moreover, in the intervention group, there were significant differences between the pretest results and the two posttest results (p<0.001). Finally, the readiness gained after the workshop lasted for 45 days.
Conclusion: The thermal care workshop enhanced the readiness of emergency medical personnel. The generalization of the results of this study is restricted due to the fact that random selection and random assignment of participants were not possible in the present study. It is recommended that more robust studies be designed to evaluate, prevent and manage hypothermia in trauma patients in the pre-hospital phase
Full-Text [PDF 519 kb]   (2179 Downloads)    
Type of Study: Orginal research | Subject: Nursing
Received: 2019/09/2 | Accepted: 2018/09/17 | Published: 2018/09/17

References
1. Mommsen P, Andruszkow H, Frömke C, et al. Effects of accidental hypothermia on posttraumatic complications and outcome in multiple trauma patients. Injury. 2013; 44(1): 86-90. [Crossref]
2. Lapostolle F, Couvreur J, Koch FX, et al. Hypothermia in trauma victims at first arrival of ambulance personnel: an observational study with assessment of risk factors. Scand J Trauma Resusc Emerg Med. 2017; 25(1): 43. [Crossref]
3. Ireland S, Endacott R, Cameron P, Fitzgerald M, Paul E. The incidence and significance of accidental hypothermia in major trauma: a prospective observational study. Resuscitation. 2011; 82(3): 300-306. [Crossref]
4. Kosiński S, Darocha T, Gałązkowski R, Drwiła RJSjot, resuscitation, medicine e. Accidental hypothermia in Poland–estimation of prevalence, diagnostic methods and treatment. Scand J Trauma Resusc Emerg Med. 2015; 23(1): 13. [Crossref]
5. Weuster M, Brück A, Lippross S, et al. Epidemiology of accidental hypothermia in polytrauma patients: An analysis of 15,230 patients of the TraumaRegister DGU. J Trauma Acute Care Surg. 2016; 81(5): 905-12. [Crossref]
6. Aitkena L, Hendrikzc J. Hypothermia and associated outcomes in seriously injured trauma patients in a predominantly sub-tropical climate. Resuscitation. 2009; 80 (2): 217–23. [Crossref]
7. Perlman R, Callum J, Laflamme C, et al. A recommended early goal-directed management guideline for the prevention of hypothermia-related transfusion, morbidity, and mortality in severely injured trauma patients. Crit Care. 2016; 20(1): 107. [Crossref]
8. Brown DJ, Brugger H, Boyd J, Paal P. Accidental Hypothermia. N Engl J Med. 2012; 367(20): 1930-38. [Crossref]
9. Tintinalli JE, Stapczynski JS, Ma OJ, Cline DM, Meckler GD. Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8th ed. New York: McGraw-Hill Education; 2015.
10. Hsieh T-M, Kuo P-J, Hsu S-Y, Chien P-C, Hsieh H-Y, Hsieh C-H. Effect of Hypothermia in the Emergency Department on the Outcome of Trauma Patients: A Cross-Sectional Analysis. Int J Environ Res Public Health. 2018; 15(8): 1769. [Crossref]
11. Block J, Lilienthal M, Cullen L, White A. Evidence-based thermoregulation for adult trauma patients. Crit care Nurs Q. 2012; 35(1): 50-63. [Crossref]
12. Zafren K. Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia. Emerg Med Clin North Am. 2017; 35(2): 261-79. [Crossref]
13. Haverkamp FJC, Giesbrecht GG, Tan E. The prehospital management of hypothermia - An up-to-date overview. Injury. 2018; 49(2): 149-64. [Crossref]
14. Vardon F, Mrozek S, Geeraerts T, Fourcade O. Accidental hypothermia in severe trauma. Anaesth Crit Care Pain Med. 2016; 35(5): 355-61. [Crossref]
15. Zafren K, Giesbrecht GG, Danzl DF, et al. Wilderness Medical Society practice guidelines for the out-of-hospital evaluation and treatment of accidental hypothermia: 2014 update. Wilderness Environ Med. 2014; 25(4): 425-45. [Crossref]
16. Kaafarani HM, Velmahos GC. Damage Control Resuscitation In Trauma. Scand J Surg. 2014; 103(2): 81-88. [Crossref]
17. Mattox KL, Moore EE, Feliciano DV. Trauma, 7th ed. New York: McGraw-Hill Education; 2012.
18. Waibel BH, Durham CA, Newell MA, Schlitzkus LL, Sagraves SG, Rotondo MF. Impact of hypothermia in the rural, pediatric trauma patient. Pediatr crit care Med. 2010; 11(2): 199-204. [Crossref]
19. Shafi S, Elliott AC, Gentilello L. Is hypothermia simply a marker of shock and injury severity or an independent risk factor for mortality in trauma patients? Analysis of a large national trauma registry. J Trauma. 2005; 59(5): 1081-85. [Crossref]
20. Beilman GJ, Blondet JJ, Nelson TR, et al. Early hypothermia in severely injured trauma patients is a significant risk factor for multiple organ dysfunction syndrome but not mortality. Ann Surg. 2009; 249(5): 845-50. [Crossref]
21. Khaji A. Trauma research in Iran: a report of the Sina Trauma Data Bank. Arch Iran Med. 2010; 13(1): 17-20.
22. Hegarty J, Walsh E, Burton A, Murphy S, O'gorman F, McPolin G. Nurses' knowledge of inadvertent hypothermia. AORN J. 2009; 89(4): 701-13. [Crossref]
23. Rischall M, Rowland-Fisher A. Evidence-Based Management Of Accidental Hypothermia In The Emergency Department. Emerg Med Pract. 2016; 18(1): 1-18 ; quiz -9.
24. Saqe-Rockoff A, Schubert FD, Ciardiello A, Douglas E. Improving Thermoregulation for Trauma Patients in the Emergency Department: An Evidence-Based Practice Project. J Trauma Nurs. 2018; 25(1): 14-20. [Crossref]
25. Giuliano KK, Hendricks J. Inadvertent Perioperative Hypothermia: Current Nursing Knowledge. AORN J. 2017; 105(5): 453-63. [Crossref]
26. Ireland S, Murdoch K, Ormrod P, et al. Nursing and medical staff knowledge regarding the monitoring and management of accidental or exposure hypothermia in adult major trauma patients. Int J Nurs Pract. 2006; 12(6): 308-18. [Crossref]
27. Collins S, Budds M, Raines C, Hooper V. Risk Factors for Perioperative Hypothermia: A Literature Review. J Perianesth Nurs. 2019; 34(2): 338-46. [Crossref]
28. Rabari AS, Shamseddini MT, Anari SMS, Heidari FG. Assessing Educational Needs of Emergency Medical Technicians. Iran J Emerg Med. 2017; 4(3): 111-17.
29. Häske D, Beckers SK, Hofmann M, et al. The effect of paramedic training on pre-hospital trauma care (EPPTC-study): a study protocol for a prospective semi-qualitative observational trial. BMC Med Educ. 2014; 14(1): 32. [Crossref]
30. Mendoza IY, Peniche Ade C, Puschel VA. Knowledge of hypothermia in nursing professionals of surgical center. Rev Esc Enferm USP. 2012; 46 Spec No:123-29. [Crossref]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Preventive Care in Nursing & Midwifery Journal

Designed & Developed by : Yektaweb