Hypothermie extrême : Défis évidents pour le traitement et la gestion d'un kayakiste intoxiqué et défoncé en hypothermie profonde.

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Instructeur: Matthew D White, Alana Hawley, Gordon Giesbrecht, Doug Brown
Date: Samedi 2 novembre
Heure: 1430-1600
Coût: GRATUIT
Type: Virtuel et en personne

Four presentations and panel discussion with 2 emergency department (ED) physicians and 2 thermal physiologists. The session topic is an extremely hypothermic, intoxicated, and stoned kayaker who capsized and subsequently cooled rapidly in Okanagan Lake with a water temperature of 3°C. The challenges to assess and treat the patient based on the different hypothermic staging systems of this patient, who continued to shiver at a core temperature of 22.9°C, will first be described by the ED physician (A. Hawley). Next will be a presentation (M. White) on a summary of characteristics and responses of previously reported surviving hypothermic patients, with core temperatures < 32°C, who in some cases were still shivering. The third presentation (G. Giesbrecht) will include recommended practices and underlying mechanisms of post-rescue collapse of hypothermic patients. The session will conclude with a presentation (D. Brown) summarizing and reviewing the different hypothermic staging systems and their potential or suggested revisions. The presentations will be followed by a panel discussion including Q&A from the audience.

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Description

Instructeur: Matthew D White, Alana Hawley, Gordon Giesbrecht, Doug Brown
Date: Samedi 2 novembre
Heure: 1430-1600
Coût: GRATUIT
Type: Virtuel et en personne

Aucune inscription n'est requise, vous pouvez participer à cet atelier le samedi 2 novembre 2024 en personne lors de la session plénière principale ou numériquement à partir de la page CAWM2024.

Four presentations and panel discussion with 2 emergency department (ED) physicians and 2 thermal physiologists. The session topic is an extremely hypothermic, intoxicated, and stoned kayaker who capsized and subsequently cooled rapidly in Okanagan Lake with a water temperature of 3°C. The challenges to assess and treat the patient based on the different hypothermic staging systems of this patient, who continued to shiver at a core temperature of 22.9°C, will first be described by the ED physician (A. Hawley). Next will be a presentation (M. White) on a summary of characteristics and responses of previously reported surviving hypothermic patients, with core temperatures < 32°C, who in some cases were still shivering. The third presentation (G. Giesbrecht) will include recommended practices and underlying mechanisms of post-rescue collapse of hypothermic patients. The session will conclude with a presentation (D. Brown) summarizing and reviewing the different hypothermic staging systems and their potential or suggested revisions. The presentations will be followed by a panel discussion including Q&A from the audience.

Objectifs d'apprentissage

À la fin de cette session, les participants seront en mesure de :

  1. Comprendre que les patients hypothermiques peuvent présenter un niveau de conscience, une chute de la température centrale et des frissons qui ne correspondent pas aux groupes des systèmes de stadification de l'hypothermie de la Suisse originale, de la Suisse révisée proposée ou de la Wilderness Medical Society (WMS).
  2. Recognize characteristics and responses, including shivering, in patients surviving extreme hypothermic with core temperatures < 32°C.
  3. Comprendre les mécanismes sous-jacents de l'effondrement post-sauvetage et les meilleures pratiques à employer pendant le sauvetage des patients hypothermiques pour éviter cet effondrement.
  4. Reconnaître et apprécier les limites possibles ainsi que les révisions suggérées pour les systèmes de stades d'hypothermie pour les patients qui ne font pas partie des groupes de ces systèmes de stades.