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Titolo:
TYMPANIC MEMBRANE THERMOMETRY IN THE CARE OF OUT-OF-HOSPITAL PATIENTS
Autore:
WEISS SJ; HANHART EJ; MCBRIDE R; JOHNSON H; DENNINGHOF K; JOHNSON WD;
Indirizzi:
LOUISIANA STATE UNIV,DEPT MED,EMERGENCY MED SECT,CHNO 13TH FLOOR,1542TULANE AVE NEW ORLEANS LA 70112
Titolo Testata:
Annals of emergency medicine
fascicolo: 1, volume: 25, anno: 1995,
pagine: 41 - 47
SICI:
0196-0644(1995)25:1<41:TMTITC>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
S.J. Weiss et al., "TYMPANIC MEMBRANE THERMOMETRY IN THE CARE OF OUT-OF-HOSPITAL PATIENTS", Annals of emergency medicine, 25(1), 1995, pp. 41-47

Abstract

Study objectives: To determine the effectiveness of tympanic membrane(TM) thermometry in the out-of-hospital setting and to characterize the patients with abnormal out-of-hospital temperatures. Design: Prospective, randomized, single-month study. Setting: Inner city. Participants: Subjects transported by ambulance for whom consent was obtainable. Results: TM probes set to rectal equivalent were assigned to three ofthe ambulance units of the local health department on randomly selected shifts during August 1992, one half at night and one half during the day. Simultaneous left and right ear temperatures at the scence and at the hospital, ambient temperatures, and patient's hospital temperatures were recorded. Other data recorded included each patient's mentalstatus, activity level, and environment temperature. Paramedics notedwhether they suspected a temperature problem before using the probe and whether any treatment was directed toward the patient's temperature. Regression, bias analysis, and chi2 testing were performed; P was considered significant if it was less than .05. Right and left ear TM temperatures were correlated both at the scene and at the hospital (r=.91 and .92, respectively). TM temperatures and hospital temperatures were also correlated (r=.83 for right ear and .78 for left ear). Evaluation of agreement indicated that TM and hospital methods were equal, with a bias of -0.55-degrees-F for oral and +0.66-degrees-F for rectal temperatures. Thirty-two subjects (17%) were hyperthermic at the scene;of these, 9 of 32 (28%) were suspected before use of the probe. The paramedics initially treated 5 of the 9 suspected to have a temperature-related problem before using the probe and none of the 23 who were not suspected before using the probe (chi2, P<.001). Conclusion: The TM probe functioned well despite a month of vigorous handling. Temperature correlation with the gold standard and between ears was acceptable in this setting. Presence of the probe did not help with the managementof hyperthermic patients in this study.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 20:08:07