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Hypothermia management

kmattox at aol.com kmattox at aol.com
Thu Jun 19 15:09:15 BST 2008


Am looking for reports on this and other similiar devices.   Science must drive our judgement, not industry.   

K


Sent via BlackBerry by AT&T

-----Original Message-----
From: "McSwain, Norman E Jr." <nmcswai at tulane.edu>

Date: Thu, 19 Jun 2008 08:39:38 
To:"Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Subject: RE: Hypothermia management


I am not familiar with this device but remember hypothermia is NOT a
disease. It is a symptom or marker of decreased energy production by the
patient. In the trauma patient, the condition usually anaerobic
metabolism secondary to blood loss. The condition (decreased perfusion
and hypoxia to reverse the anaerobic metabolism) should be treated not
try to  treat the symptom. This is like giving a patient, with
appendicitis, morphine and sending them home rather than taking out the
appendix.

Norman
 
Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Milici, Justin J.
Sent: Monday, June 02, 2008 10:34 AM
To: 'traumanurses at listserve.com'; 'traumanurses at traumanurses.org';
'trauma-list at trauma.org'; 'trauma-list-bounces at trauma.org';
'ena_trauma at neptune.serverside.net'
Subject: Hypothermia management

We have recently initiated a protocol for using the Alsius Coolgard to
manage our hypothermic trauma patients and have had excellent outcomes
with it. I was just curious if anyone else out there is also using this
device and have also had similar successes?

Justin Milici, RN, MSN, CCRN, CEN, CFRN, TNS
Trauma Education, Prevention/Outreach Coordinator
Trauma Services - 11 Roberts
Baylor University Medical Center
3500 Gaston Ave.
Dallas, TX 75246
Office: (214) 820-6818
Fax: (214) 820-1086
Pager: (214) 344-3961
JustinM at baylorhealth.edu<mailto:JustinM at baylorhealth.edu>

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