院前冻伤管理与Iloprost：两个案例报告在加拿大北部直升机疏散。

IF 1.1 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Wilderness & Environmental Medicine Pub Date : 2025-08-11 DOI:10.1177/10806032251364149

Pierre-Marc Dion, Josianne Gauthier, Ryan Soucy, Domhnall O'Dochartaigh, Alexander Poole

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引用次数: 0

摘要

本病例报告描述了伊洛前列素输注开始在院前设置治疗冻伤。在加拿大北部育空地区的极端寒冷天气耐力赛期间，根据结构化直升机紧急医疗服务（HEMS）协议管理了两个病例。这些病例表明，静脉输注伊洛前列素在院前环境下是可行的。在现场开始给药，在现场降温后的直升机运输期间继续给药，并在医院完成，无并发症。在偏远或恶劣的环境中，现场施用伊洛前列素可以缩短治疗冻伤的时间，并可能减少热缺血时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Prehospital Frostbite Management With Iloprost: Case Reports of Two Helicopter Evacuations in Northern Canada.

This case report describes iloprost infusion initiated in the prehospital setting to treat frostbite. Two cases were managed under a structured helicopter emergency medical services (HEMS) protocol during an extreme cold weather endurance race in the Yukon Territory in northern Canada. These cases demonstrate that intravenous iloprost delivery is operationally feasible in the prehospital setting. Administration was initiated on site and continued during helicopter transport following field rewarming and was completed in the hospital without complication. In remote or austere settings, field administration of iloprost can lower the time to treatment of frostbite injuries and may reduce warm ischemia time.

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来源期刊

Wilderness & Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.10

自引率

7.10%

发文量

审稿时长

>12 weeks

期刊介绍： Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.