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Background <p>Accidental hypothermia is associated with increased transfusion requirements and poor outcomes in severely injured patients. Therefore, the earliest possible diagnosis and targeted treatment are among the most important basic measures in the trauma resuscitation room.</p> Methods <p>With support from the German Society of Trauma Surgery, Anesthesiology, and Intensive Care Medicine (<i>Deutsche Gesellschaft für Unfallchirurgie, Anästhesiologie und Intensivmedizin</i>) and the German Society of Emergency Medicine (<i>Deutsche Gesellschaft für Notfallmedizin</i>), a&#xa0;voluntary online survey was conducted at trauma centers. The survey asked about locally accepted procedures for heat management in acute care in the trauma resuscitation room.</p> Results <p>A&#xa0;total of 626&#xa0;complete datasets were evaluated, 57% of which came from level&#xa0;1 trauma centers. Of the participants, 77% were physicians/surgeons, and 23% were from nursing. A&#xa0;standardized procedure for temperature management in the resuscitation room was reported by 16%. Temperature measurement in the resuscitation room is mandatory in 92%, usually via tympanic measurement (91%) or a&#xa0;urinary catheter (8%). The average rate of hypothermic polytrauma patients in the respective centers is reported to be 20–40%. Warming measures are always performed in 19% of cases, in 38% of cases with a&#xa0;body temperature &lt; 36 °C, and in 31% with &lt; 35 °C. Infusion warming cabinets (84%), infusion warming systems (80%), and warm air blowers (67%) are common, while heating mats (25%) and radiant heaters (14%) are rare. Two-thirds (66%) state that the resuscitation room can be heated, with CT scanners inside (in 25% of cases) cited as a&#xa0;limiting factor. Blood gas analyzers are adjusted to the current body temperature in 29% of cases.</p> Conclusion <p>Although there is widespread awareness of the problem of hypothermia and its management, current data also show room for improvement. Temperature management in the resuscitation room should be further integrated into clinical routine and scientifically monitored.</p>

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Stellenwert des Wärmemanagements im traumatologischen Schockraum

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月3日

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  • Manuel F. Struck,
  • Christian Kleber,
  • Dan Bieler,
  • Michael Bernhard,
  • Peter Hilbert-Carius,
  • Mandy Grätz,
  • Dustin Pfefferkorn,
  • Gunther Hempel

摘要

Background

Accidental hypothermia is associated with increased transfusion requirements and poor outcomes in severely injured patients. Therefore, the earliest possible diagnosis and targeted treatment are among the most important basic measures in the trauma resuscitation room.

Methods

With support from the German Society of Trauma Surgery, Anesthesiology, and Intensive Care Medicine (Deutsche Gesellschaft für Unfallchirurgie, Anästhesiologie und Intensivmedizin) and the German Society of Emergency Medicine (Deutsche Gesellschaft für Notfallmedizin), a voluntary online survey was conducted at trauma centers. The survey asked about locally accepted procedures for heat management in acute care in the trauma resuscitation room.

Results

A total of 626 complete datasets were evaluated, 57% of which came from level 1 trauma centers. Of the participants, 77% were physicians/surgeons, and 23% were from nursing. A standardized procedure for temperature management in the resuscitation room was reported by 16%. Temperature measurement in the resuscitation room is mandatory in 92%, usually via tympanic measurement (91%) or a urinary catheter (8%). The average rate of hypothermic polytrauma patients in the respective centers is reported to be 20–40%. Warming measures are always performed in 19% of cases, in 38% of cases with a body temperature < 36 °C, and in 31% with < 35 °C. Infusion warming cabinets (84%), infusion warming systems (80%), and warm air blowers (67%) are common, while heating mats (25%) and radiant heaters (14%) are rare. Two-thirds (66%) state that the resuscitation room can be heated, with CT scanners inside (in 25% of cases) cited as a limiting factor. Blood gas analyzers are adjusted to the current body temperature in 29% of cases.

Conclusion

Although there is widespread awareness of the problem of hypothermia and its management, current data also show room for improvement. Temperature management in the resuscitation room should be further integrated into clinical routine and scientifically monitored.