Monday, March 9, 2020
Hypothermia essays
Hypothermia essays Hypothermia, defined as a core body temperature less than 95 F(35C) occurs when heat loss exceeds the bodys heat production. (Ruffolo p.47) Thermal stability in humans depends on the bodys ability to adapt to changes in internal and external temperatures. Heat is transferred throughout tissues and fat, and is released at a rate directly related to the temperature of the environment through radiation, conduction, Hypothermia is typically seen as a bad thing; however, various studies have been proving it to be very useful. Traumatic brain injury initiates several metabolic processes that can exacerbate the injury. There is evidence that hypothermia may limit some of these deleterious metabolic responses. In a randomized controlled trial researchers compared the effect of moderate hypothermia and normhypothermia in 82 patients with severe closed head injuries (score of 3 to 7 on the Glasgow Coma Scale) The patients assigned to hypothermia were cooled to 33 degrees C an average of 10 hours after injury, kept at 32 degrees to 33 degrees C for 24 hours, and then re-warmed. A specialist in physical medicine and rehabilitation who was unaware of the treatment assignments evaluated the patients 3, 6, and 12 months later with the use of the Glasgow Outcome Scale. The demographic characteristics, causes, and severity of injury were similar in the hypothermia group and the normothermia groups. At 12 months 62% of the patients in the hypothermia group and 38% in the normothermia had good outcomes (moderate, mild, or no disabilities). The researchers concluded that Treatment with moderate hypothermia for 24hours in patients with severe traumatic brain injury and coma scores of 5 to 7 hastened neurological recovery and may have improved the outcome. (Marion et all) Two studies done (one in Australia and the other in Europe) showed the therapeutic v...
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