REVIEW PAPER
The effect of hypothermia on the human body
 
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1
Department of Emergency Medical Services, Public Health School, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
 
2
Department of Surgery, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
 
3
Small Animal Clinic Białystok, Poland
 
 
Submission date: 2021-04-26
 
 
Final revision date: 2022-03-11
 
 
Acceptance date: 2022-03-11
 
 
Online publication date: 2022-04-05
 
 
Corresponding author
Paweł Jastrzębski   

Department of Emergency Medical Services, Public Health School University of Warmia and Mazury in Olsztyn, Żołnierska 14c, 10-900 Olsztyn, Poland.
 
 
Pol. Ann. Med. 2022;29(2):262-266
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Hypothermia may appear to be a benign condition, but it is an insidious and life-threatening dysfunction of the thermoregulatory system that occurs in all regions of the world, regardless of season. Hypothermia is caused by cooling when core body temperature decreases below 35°C. The information obtained during a patient interview is also helpful in establishing the causes of hypothermia. The pathophysiology of hypothermia has not been fully elucidated to date. It is rarely diagnosed, in particular in the temperate climate. Hypothermia poses a serious challenge for medical personnel, in particular medical rescue teams who arrive first at the scene.

Aim:
The aim of this study was to present new information concerning hypothermia and the management of this condition.

Material and methods:
This article reviews the available literature and statistical data relating to hypothermia, and it discusses various approaches to managing hypothermia, in particular in pre-hospital care.

Results and discussion:
In homeotherms, significant changes in body temperature affect the functioning of most organs and disrupt homeostasis. According to the European Resuscitation Council, hypothermia is one of the reversible causes of sudden cardiac arrest, which is why hypothermic patients should be adequately managed. Further research is also needed to expand our knowledge about hypothermia.

Conclusions:
Hypothermia is an important cause of death particularly in the elderly, infants, and persons suffering from thermoregulatory disorders or diseases that influence thermogenesis. Therefore, education should be continued in this area and clinical studies should be conducted to deepen our understanding of this problem.

FUNDING
No funding.
CONFLICT OF INTEREST
Authors declare no conflict of interest.
 
REFERENCES (27)
1.
The Police Headquarters of the Polish Police. Deaths due to Hypothermia [in Polish]. https://statystyka.policja.pl/.... Published: February, 2022.
 
2.
Sosnowski P, Mikrut K, Krauss H. Hypothermia – mechanism of action and pathophysiological changes in the human body [in Polish]. Postepy Hig Med Dosw (online). 2015;69(9):69–79. https://doi.org/10.5604/173226....
 
3.
Brown DJ, Brugger H, Boyd J, Paal P. Accidental hypothermia. N Engl J Med. 2012;367(20):1930–1938. https://doi.org/10.1056/NEJMra....
 
4.
Godlewska I, Jalali R, Bandurska-Stankiewicz E, et al. Prolonged mechanical CPR of a 48-year old male patient in severe hypothermia conducted in the emergency department – case report. Pol Ann Med. 2018;25(1):144–147. https://doi.org/10.29089/2017.....
 
5.
Lefant JY, Muller L, de La Coussaye JE, et al. Temperature measurement in intensive care patients: comparison of urinary bladder, oespophageal, rectal, axillary, and inguinal methods versus pulmonary artery core method. Intensive Care Med. 2003;29(2):414–418. https://doi.org/10.1007/s00134....
 
6.
Wajtryt O, Zielonka TM, Życińska K. Osborn J wave in a patient with accidental hypothermia — case report. Folia Cardiol. 2019;14(1):71–74. https://doi.org/10.5603/FC.201....
 
7.
Osborn JJ. Experimental hypothermia; respiratory and blood pH changes in relation to cardiac function. Am J Physiol. 1953;175(3):389–398. https://doi.org/10.1152/ajpleg....
 
8.
Yan GX, Antzelevitch C. Cellular basis for the electrocardiographic J wave. Circulation. 1996;93(2):372–379. https://doi.org/10.1161/01.cir....
 
9.
Fisher AD, Washbum G, Powell D et al. Damage control resuscitation in prolonged field CareDamage control resuscitation in prolonged field care. J Spec Oper Med. 2018;18(3):109–119.
 
10.
Kosiński S, Darocha T, Sadowski J, Drwiła R. Hypothermia. Clinical Aspects of Body Cooling. Mechanisms of Threats and Directions of Modern Treatment. Krakow: Jagiellonian University Publishing House; 2016.
 
11.
Goheen MS, Ducharme MB, Kenny GP, et al. Efficacy of forced-air and inhalation rewarming by using a human model for severe hypothermia. J Appl Physiol. 1997;83(5):1635–1640. https://doi.org/10.1152/jappl.....
 
12.
Hayward JS, Steinman AM. Accidental hypothermia: an experimental study of inhalation rewarming. Aviat Space Environ Med. 1975;46(10):1236–1240.
 
13.
Henriksson O, Lundgren JP, Kuklane K, Holmér I, Bjornstig U. Protection against cold in prehospital care-thermal insulation properties of blankets and rescue bags in different wind conditions. Prehosp Disaster Med. 2009;24(5):408–415. https://doi.org/10.1017/s10490....
 
14.
Haverkamp FJC, Giesbrecht GG, Tan EC. The prehospital management of hypothermia – an up-to-date overview. Injury. 2017;49(2):149–164. https://doi.org/10.1016/j.inju....
 
15.
Lundgren P, Henriksson O, Naredi P, Björnstig U. The effect of active warming in prehospital trauma care during road and air ambulance transportation – a clinical randomized trial. Scand J Trauma Resusc Emerg Med. 2011;11(2):19–59. https://doi.org/10.1186/1757-7....
 
16.
Mikhail J. The trauma triad of death: hypothermia, acidosis, and coagulopathy. AACN ClinIssues. 1999;10(1):85–94.
 
17.
Valeri CR, Feingiold H, Cassidy G, Ragno G, Khuri S, Altschule MD. Hypothermia-induced reversible platelet dysfunction. Ann Surg. 1987;205(2):175–181.
 
18.
Bukur M, Hadjibashi AA, Ley EJ, et al. Impact of prehospital hypothermia on transfusion requirements and outcomes. J Trauma Acute Care Surg. 2012;73(5):1195–1201. https://doi.org/10.1097/ta.0b0....
 
19.
ERC. European Resuscitation Council Guidelines for Resuscitation. https://cprguidelines.eu. Accessed: February 4, 2022.
 
20.
Soar J, Perkins GD, Abbas G. Cardiac arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution. Resuscitation. 2010;81(10):1400–1423. https://doi.org/10.1016/j.resu....
 
21.
Niven DJ, Gaudet JE, Laupland KB, Mrklas KJ, Roberts DJ, Stelfox HT. Accuracy of peripheral thermometers for estimating temperature: a systematic review and meta-analysis. Ann Intern Med. 2015;163(10):768–777. https://doi.org/10.7326/m15-11....
 
22.
Bijur PE, Shah PD, Esses D. Temperature measurement in the adult emergency department: Oral, tympanic membrane and temporal artery temperatures versus rectal temperature. Emerg Med J. 2016;33(12):843–847. https://doi.org/10.1136/emerme....
 
23.
Zaborowski M, Kopański Z, Leszczyński P. Ergonomics at work in the ambulance – the opinion of paramedics. J Public Health Nursing Medical Res. 2015;3(1):27–32.
 
24.
Henriksson O, Lundgren PJ, Kuklane K, et al. Protection against cold in prehospital care: wet clothing removal or addition of a vapor barrier. Wilderness Environ Med. 2015;26(1):11–20. https://doi.org/10.1016/j.wem.....
 
25.
Henriksson O, Lundgren P, Kuklane K, Holmér I, Naredi P, Bjornstig U. Protection against cold in prehospital care: evaporative heat loss reduction by wet clothing removal or the addition of a vapor barrier – a thermal manikin study. Prehosp Disaster Med. 2012;27(1):53–58. https://doi.org/10.1017/s10490....
 
26.
Durrer B, Brugger H, Syme D. The medical on-site treatment of hypothermia: ICAR-MEDCOM recommendation. High Alt Med Biol. 2003;4(1):99–103. https://doi.org/10.1089/152702....
 
27.
Karlsen A, Thomassen Ø, Vikenes B, Brattebø G. Equipment to prevent, diagnose, and treat hypothermia: a survey of Norwegian pre-hospital services. Scand J Trauma Resusc Emerg Med. 2013;3(5)21:63–69. https://doi.org/10.1186/1757-7....
 
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