Work

The modified crABCDE treatment algorithm as recommendation in extreme cold

Year: 2024

Type: article

Abstract: Trauma care prioritizes life-threatening conditions using the ABCDE algorithm based on the principle "treat first what kills first". As for catastrophic hemorrhage, a leading preventable cause of death in trauma, modifications of this algorithm are necessary in specific cases. In cold climates, life-threatening hypothermia poses additional challenges. Rapid cooling of a patient's core temperature, especially when immobile or poorly insulated, necessitates early prevention. Modified algorithms like the military MhARCH therefore prioritize hypothermia management alongside hemorrhage control in extreme conditions. This article advocates for the crABCDE approach in civilian rescue, emphasizing immediate hypothermia prevention in cold, wet, or high-altitude environments. Tailored protocols that consider environmental risks and patient factors are essential for improving outcomes in both military and civilian trauma care.

Source: Resuscitation Plus

DOI: 10.1016/j.resplu.2024.100850

Authors: Raimund Lechner, Markus Isser, Willi Tröger, Valentin Schiessendoppler, Wolfgang Lederer, Frederik Eisendle

Institutions: Innsbruck Medical University, Universität Innsbruck

Language: English

Topic: Trauma and Emergency Care Studies

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,210