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Looking at a trauma database of over 3 million patients, 1% presented with prehospital hypothermia (<35 degrees C). These patients had longer hospital stays, higher resource utilization and higher mortality. Even isolated head injury patients with hypothermia had worse outcomes. Rewarming did increase survival slightly for all patients.
Take away: rewarm hypothermic trauma patients as soon as possible to improve mortality.
References
Anna Mary Jose, Aryan Rafieezadeh, Muhammad Zeeshan, Jordan Kirsch, Gabriel Froula, Kartik Prabhakaran, Bardiya Zangbar,
Hypothermia on admission predicts poor outcomes in adult trauma patients,
Injury,
Volume 56, Issue 5,
2025,
112076,
ISSN 0020-1383,
https://doi.org/10.1016/j.injury.2024.112076