Hypothermia and the Global War on Terror: 18 Years of Minimal Progress

The association between hypothermia, coagulopathy, and acidosis in trauma is well described. Hypothermia mitigation starts in the prehospital setting; however, it is often a secondary focus after other life-saving interventions. The deployed environment further compounds the problem due to prolonged...

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Bibliographic Details
Published in:Military medicine 2024-08, Vol.189 (Supplement_3), p.190-195
Main Authors: Pumiglia, Luke, Williams, James M, Prey, Beau J, Francis, Andrew D, Lammers, Daniel T, Zhang, Bobby Z, Palmerton, Hannah M, Pak, Grace E, Gurney, Jennifer M, Bingham, Jason R, McClellan, John M
Format: Article
Language:English
Subjects:
Adult
Female
Humans
Hypothermia - complications
Hypothermia - etiology
Male
Military Personnel - statistics & numerical data
Registries - statistics & numerical data
Resuscitation - methods
Resuscitation - statistics & numerical data
Resuscitation - trends
Retrospective Studies
Wounds and Injuries - complications
Wounds and Injuries - therapy
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Summary:The association between hypothermia, coagulopathy, and acidosis in trauma is well described. Hypothermia mitigation starts in the prehospital setting; however, it is often a secondary focus after other life-saving interventions. The deployed environment further compounds the problem due to prolonged evacuation times in rotary wing aircraft, resource limitations, and competing priorities. This analysis evaluates hypothermia in combat casualties and the relationship to resuscitation strategy with blood products. Using the data from the Department of Defense Joint Trauma Registry from 2003 to 2021, a retrospective analysis was conducted on adult trauma patients. Inclusion criteria was arrival at the first military treatment facility (MTF) hypothermic (
ISSN:0026-4075
1930-613X
1930-613X
DOI:10.1093/milmed/usae072