The Field Management of Hypothermic Casualties Arising from Scottish Mountain Accidents

The purpose of this review is to examine the current literature on hypothermia as it applies to exposure hypothermia of the type encountered in the mountains of Scotland. A brief overview of the problem, illustrated by a case example, is given. The current literature is then explored and then a set of guidelines for mountain rescue personnel is proposed. It is hoped that this article will stimulate debate on the subject to facilitate the development and dissemination of any such guidelines.

[1]  L. Rubenstein,et al.  Falling syndromes in elderly persons. , 1989, Comprehensive therapy.

[2]  W. Long,et al.  Prognostic factors in severe accidental hypothermia: experience from the Mt. Hood tragedy. , 1987, The Journal of trauma.

[3]  F. Åbyholm,et al.  Accidental hypothermia Review of the literature , 1986, Acta anaesthesiologica Scandinavica.

[4]  H. Southwick,et al.  A model for the treatment of accidental severe hypothermia. , 1986, The Journal of trauma.

[5]  S. Zell,et al.  Severe exposure hypothermia: a resuscitation protocol. , 1985, Annals of emergency medicine.

[6]  A. Rankin,et al.  Cardiac arrhythmias during rewarming of patients with accidental hypothermia. , 1984, British medical journal.

[7]  K. C. Wong Physiology and pharmacology of hypothermia. , 1983, The Western journal of medicine.

[8]  W. Mills Summary of treatment of the cold injured patient. Hypothermia. , 1983, Alaska medicine.

[9]  A. Steinman The hypothermic code. CPR controversy revisited. , 1983, JEMS Journal of Emergency Medical Services.

[10]  J. White Hypothermia: the Bellevue Experience. , 1982, Annals of emergency medicine.

[11]  F. Southwick Cardiac Arrest in Hypothermia-Reply , 1980 .

[12]  J. Miller,et al.  Urban accidental hypothermia: 135 cases. , 1980, Annals of emergency medicine.

[13]  F. Southwick,et al.  Recovery after prolonged asystolic cardiac arrest in profound hypothermia. A case report and literature review. , 1980, JAMA.

[14]  A. N. Exton-smith,et al.  Oral temperature and hypothermia. , 1979, British medical journal.

[15]  A. M. Steinman,et al.  Accidental hypothermia: an experimental study of practical rewarming methods. , 1976, Aviation, space, and environmental medicine.

[16]  William Francis Ganong,et al.  Review of Medical Physiology , 1969 .

[17]  D. Emslie-Smith,et al.  ACCIDENTAL HYPOTHERMIA A COMMON CONDITION WITH A PATHOGNOMONIC ELECTROCARDIOGRAM , 1958 .

[18]  J. R. Kenyon,et al.  A comparison of temperatures measured in the rectum, œsophagus, and on the surface of the aorta during hypothermia in man , 1957 .

[19]  J. Talbott The Physiologic and Therapeutic Effects of Hypothermia , 1941 .