ICAR MED REC 0040 2021
Clinical staging of accidental hypothermia: The Revised Swiss System
Nr. | ICAR-MED-REC-0040-2021 |
Version | 1.0 |
Title | Clinical staging of accidental hypothermia: The Revised Swiss System Recommendation of the International Commission for Mountain Emergency Medicine (ICAR MedCom) |
Author(s) |
Musi Martin, Sheets Alison, Zafren Ken, Brugger Hermann, Paal Peter, Hölzl Natalie, Pasquier Mathieu |
Responsible person | Martin Musi |
Originally based on | N/A |
Date of publication | 03/03/2021 |
Valid Until | 02/03/2026 |
Background
Clinical staging of accidental hypothermia is used to guide out-of-hospital treatment and transport decisions. Most clinical systems utilize core temperature, by measurement or estimation, to stage hypothermia, despite the challenge of obtaining accurate field measurements. Recent studies have demonstrated that field estimation of core temperature is imprecise.
We propose a revision of the original Swiss Staging system. The revised system uses the risk of cardiac arrest, instead of core temperature, to determine the staging level. Our revised system simplifies assessment by using the level of responsiveness, based on the AVPU scale, and by removing shivering as a stage-defining sign.
Downloads
 | Clinical Staging of Accidental Hypothermia (Short Version) Clinical staging of accidental hypothermia: The Revised Swiss System: Recommendation of the International Commission for Mountain Emergency Medicine (ICAR MedCom) MED REC 0040 2021 Clinical Staging of Accidental Hypothermia.PDF (875.52KB) |
Clinical staging of accidental hypothermia: The Revised Swiss System: Recommendation of the International Commission for Mountain Emergency Medicine (ICAR MedCom)
| MED REC 0040 2021 Clinical Staging of Accidental Hypothermia.PDF (875.52KB) |
| ICAR MED REC 0040 2021 B Clinical Staging of accidentat hypothermia : The Revised Swiss System (RESCUER SUMMARY) ICAR MED REC 40 2021 B Clinical Staging of Accidental Hypothermia - The Revised Swiss Sys.pdf (606.74KB) |
Clinical Staging of accidentat hypothermia : The Revised Swiss System (RESCUER SUMMARY)
| ICAR MED REC 40 2021 B Clinical Staging of Accidental Hypothermia - The Revised Swiss Sys.pdf (606.74KB) |
*Please note that this download is the General ICAR Recommendation designed primarily for the Rescuer community.
Link to the original publication online
https://www.resuscitationjournal.com/article/S0300-9572(21)00096-4/fulltext
