The effect of rewarming on injury outcome, injury severity and arterial blood gases of trauma patients hospitalized in emergency department

Study of the effect of rewarming on the outcome of injury, injury severity and arterial blood gases in hospitalized patients in the emergency department

In this study, 70 trauma patients referred to the Mousavi Hospital of Zanjan, by using a Poisson model and a randomized block (randomized) block design with two groups of control and test in blocks of 6 whose block number Randomized random number tables, entry and arrangement of patients to each of the groups based on the criteria for entering the number of blocks, respectively.

Patients with trauma who will be admitted in the Mousavi Hospital of Zanjan after being randomly assigned to two groups, the Trauma Control usual treatment and the Test Group as intervention. Intervention is based on intervention rewarming strategies in the form of a temperature control package that includes several rewarming strategies (based on clinical parameters and active or passive techniques rewarm up with an intervention strategy for wounding the injured, avoiding the placement Getting to the cold, warm, and setting the ambient temperature, using a blanket of linen with a waterproof layer and disposable elastic cap with foil, injections of warm liquids by heating the blood and fluids by checking and recording the Signs of vital importance include central body temperature, heart rate, respiratory rate and blood pressure per hour First (every 15 minutes) and 6 hours later, until the normal temperature is reached, the test is performed for the test group. For the control group, the usual care is taken and the patient's patient care unit is installed. The research data were first collected during and after the intervention using a questionnaire prepared by the researcher including demographic and traumatic information are collected in two groups..

The criteria for entering the study include trauma patients aged 18-65 years old, with a central temperature of less than 38 ° C and above 28 ° C, without loss of consciousness, a transfer time to the center of less than one hour, and a higher ISS score 9 and less than 40. Exclusion criteria: progression toward severe hypothermia (body temperature below 28 ° C), exiting from the emergency room earlier than 6 hours, death less than 24 hours after admission to the emergency room, decreased GCS alertness Less than 13 at each stage of the intervention, cardiopulmonary arrest before reaching the center or at any stage of the intervention and dissatisfaction of the patient or his family.

The study population consisted of all trauma patients admitted to the emergency department of Ayatollah Mousavi Hospital in Zanjan. After the random sampling (random block), the blocks were randomly assigned to control and test groups. Six blocks were selected from the random numbers table. The arrangement of patients to each group will be based on the criteria for entry in the order number of the blocks.

Injury outcome; injury severity; arterial blood gases of trauma patients

This study was a clinical trial with control group. The reheat approach is carried out by the researcher responsible for the study at the time until the sample size is completed. The study population consisted of all trauma patients admitted to emergency department of Ayatollah Mousavi Hospital in Zanjan. After determining the sample size, this study was performed using Poisson's model (so that according to the sample size the duration of intervention was determined) and by random sampling (block) randomized block with two groups of control and test in Blocks 6 The number of blocks from the random number table, the entry and arrangement of patients to each of the groups will be based on the criteria for entering the number of blocks, respectively. The usual care group will receive the trauma and reheat test group as intervention.

The data on the primary and secondary consequences can be shared.

Start of access from the second half of 1397

For researchers working in academic and scientific institutions

It can be used in coordination with the scientific authority

mdinmohammadi@zums.ac.ir

Contact by email with the scientific project manager