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Warmed fluids in the bus

Bjorn, Pret pbjorn at emh.org
Tue Aug 29 16:57:07 BST 2006


Most commercial fluid warmers default to 40C, but IV tubing is a poor
insulator, so when it comes to exit temperature all bets are off.
During a typical Maine winter, wilderness infusions literally risk
freezing en route to the patient.

Plus, the manufacturers won't stand behind any expiration dates when
their products are stored heated.  

Add these to your list of reasons to limit prehospital crystalloids as
much as possible.

Pret Bjorn, RN
Bangor, ME USA



-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Anthony Caruso
Sent: Tuesday, August 29, 2006 11:48 AM
To: 'Trauma & Critical Care mailing list'
Subject: RE: Warmed fluids in the bus

Oh yes, we do have fluid warmers in the ambulance's here in
Massachusetts.
They can accommodate 2 1000M/L bags or 4 to 5 500M/L bags.  Or a
combination
of both.  I do know of some systems that use the defroster of the
windshield
to keep there fluid warm as well.  They are rotated out once 30 days
have
passed or until they get used.  With both methods I'm not sure of what
the
exact tempters may reach.  Dose anyone have any suggestions on what
optimal
fluid tempters should be when the colder weather is upon us?  Thanks'

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]
On Behalf Of oded private
Sent: Monday, August 28, 2006 5:14 PM
To: trauma-list at trauma.org
Subject: Warmed fluids in the bus


Hi

I'm intressted to know whether in any of your local EMS systems fluid 
warmers/devices that keep fluids previously heated warm are prevelant?

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