Abstract
Background As a component of the lethal triad in trauma; hypothermia is associated with a significantly worse outcome. It is an independent indicator of mortality, and early recognition and aggressive management is therefore critically important. St. Georges is a major trauma centre and currently sees around 120 trauma patients per month. We designed an audit to determine our current practice of temperature measurement in trauma, and to evaluate our management of hypothermia in trauma.
Highlights
As a component of the lethal triad in trauma; hypothermia is associated with a significantly worse outcome
Data was collected from all patients triaged to the ED as “Major trauma” during a three month period (October-December 2012 inclusive)
24% of trauma patients arrived with a pre-hospital temperature recorded. 67% had a primary survey temperature; of these 31% had no further temperature recorded. 17% of patients did not have any recorded temperatures during their time in the ED
Summary
As a component of the lethal triad in trauma; hypothermia is associated with a significantly worse outcome. Method A retrospective audit of 93 case notes. Data was collected from all patients triaged to the ED as “Major trauma” during a three month period (October-December 2012 inclusive).
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