Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Wilderness Environ Med. 2019 Dec;30(4S):S47-S69. doi: 10.1016/j.wem.2019.10.002. Epub 2019 Nov 15.

Abstract

To provide guidance to clinicians, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and a balance between benefits and risks/burdens according to the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is the 2019 update of the Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2014 Update.

Keywords: cold; resuscitation; rewarming; shivering; wilderness medicine.

Publication types

  • Practice Guideline

MeSH terms

  • Humans
  • Hypothermia / diagnosis*
  • Hypothermia / physiopathology
  • Hypothermia / therapy*
  • Practice Patterns, Physicians'*
  • Societies, Medical
  • Wilderness Medicine / methods
  • Wilderness Medicine / standards*