Pediatric emergency medicine trisk 1951 1951
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FIGURE 90.7 Swollen fingers of a child with cold exposure.
TABLE 90.6
EFFECT OF BODY TEMPERATURE ON ARTERIAL BLOOD GASES
MEASURED AT 37°C (98.6°F)
pH
Paco2 (mm Hg)
For each elevation of 1
°C
−0.015
+4.4%
For each depression of 1
°C
+0.015
−4.4%
Pao2 (mm Hg)
+7.2%
−7.2%
Management and Diagnostic Studies
Therapy for hypothermia can be divided into two parts: general supportive
measures and specific rewarming techniques ( Table 90.7 ). Once hypothermia is
diagnosed, temperature must be monitored continuously as treatment progresses.
Defibrillation is less effective when body temperature is below 30°C (86°F), and
