User:Nathaniel QMed/sandbox
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Management
The UK National Health Service advises against putting a person in a hot bath, massaging their arms and legs, using a heating pad, or giving them alcohol. These measures can cause a rapid fall in blood pressure and potential cardiac arrest.[1]
edits done. It looks like you are adding one new reference here from the NHS. Please review Wikipedia:MEDHOW and make sure you are using the visual editor when editing Wikipedia (click the pencil)
Rewarming
Passive rewarming is recommended for those with mild hypothermia.[64]
Active external rewarming methods are recommended for moderate hypothermia.[64] these two seem fine. If you are using the same refs as in the text, leave the references and edit the text only.
Survival rates with normal mental functioning have been reported at around 50%.[2] As discussed, find a more appropriate place for this evidence. You can move references once you are in the visual editor mode in the Wikipedia article.
When severe hypothermia has led to cardiac arrest, effective extracorporeal warming results in survival with normal mental function about 50% of the time.[2] See above comment
Rewarming shock (or rewarming collapse) is a sudden drop in blood pressure combined with a low cardiac output which frequently occurs during rewarming of a severely hypothermic person.[66][67] Whilst the real cause of rewarming shock is still unknown, it has been attributed to decreased blood volume, cardiac arrhythmias that arise from muscle movement, and continued core cooling after rescue known as Afterdrop.[2] In cases of rewarming shock, active external and passive external rewarming methods are advised.[2][48]
I adjusted this terminology to match the article when it describes the types of rewarming methods
Fluids
For people who are alert and able to swallow, providing the person with warm sweetened liquids can help raise their temperature.[2] Alcohol and caffeinated drinks should be avoided.[62]
I made a few small adjustments to this. Looks good. Removed ref 81 (mayo).
Many recommend that alcohol and drinks with lots of caffeine be avoided.
Cardiac arrest
In those without signs of life, cardiopulmonary resuscitation (CPR) should be continued during active rewarming.[2] For ventricular fibrillation or ventricular tachycardia, a single defibrillation should be attempted.[69] However, people with severe hypothermia may not respond to pacing or defibrillation.[69] It is not known if further defibrillation should be withheld until core temperature reaches 30 °C (86 °F).[69] In Europe, epinephrine is not recommended until the person's core temperature reaches 30 °C (86 °F), while the American Heart Association recommends up to three doses of epinephrine before a person's core temperature reaches 30 °C (86 °F).[2]
[81] https://www.mayoclinic.org/diseases-conditions/hypothermia/symptoms-causes/syc-20352682
https://www.mayoclinic.org/diseases-conditions/hypothermia/symptoms-causes/syc-20352682
This is both citation 62 and 59: https://www.nhs.uk/conditions/hypothermia/ added above using the citation tool.
references
[edit]- ^ "Hypothermia". nhs.uk. Retrieved 2018-11-17.
Comments
[edit]Thank you for your recommendations and for sharing them here. For some reason your citations link to the Wikipedia article, that is probably what Jytdog meant. As for the Mayo clinic, this is a tough one as per MEDRS. There are no references, no peer review, etc. Sometimes we may be able to use their docs for background info. There has been extensive debate on Wikipedia regarding this if you look at the WP:MEDRS talk page archive. You had no way of knowing this and have not done anything wrong!!
I can help you fix your citations (the ones linked to the WP article) and this may lead to strange coding being added in when you actually edit Wikipedia. I have time to look at this today, so lets work together to get this ready to add. Thanks for your patience in all of this. JenOttawa (talk) 9:32, 16 November 2018 (EST)
JenOttawa (talk) 10:23, 16 November 2018 (EST)