Iced gastric lavage for treatment of heatstroke: Efficacy in a canine model

✍ Scribed by S Syverud; W Barker; JT Amsterdam; D Goltra; JC Armao; J Hedges

• Publisher: Elsevier Science
• Year: 1984
• Tongue: English
• Weight: 153 KB
• Volume: 13
• Category: Article
• ISSN: 1097-6760
• DOI: 10.1016/s0196-0644(84)80228-0

✦ Synopsis

ICP was more common in patients with HI + MT. However, death was nearly 3 times more common in patients with HI + MT (10.5% versus 30%). In the IHI group, 2 of 9 deaths (22%) were associated with hypoxia, hypercarbia, or hypotension; all but 4 patients (88%) in the HI + MT group had hypoxia, hypercarbia, or hypotension. Among all patients, those with hypoxia, hypercarbia, or hypotension had a 62% mortality. The following data correlated significantly with outcome (P < .01): GCS, increased ICP, MISS score, and presence of hypoxia, hypercarbia, or hypotensi0n. These data indicate that overall mortality from severe head injury in pediatric patients is good (21.5%). However, the majority of deaths were associated either with extremely severe initial injury or with increased intracranial pressure, severe multiple trauma, or presence of hypoxia, hypercarbia, or hypotension. Thus, while the primary impact injury dictates outcome for some pediatric patients, many patients die of the secondary injury. In this sense, the emergency physician may be more critical to patient salvage than is the neurosurgeon.