BACKGROUND Some crucial decisions in treatment of hypothermic patients are closely linked to core body temperature. They concern modification of resuscitation algorithms and choosing the target hospital. Under- as well as over-estimation of a patient's temperature may limit his chances for survival. Only thermometers designed for core temperature measurement can serve as a guide in such decision making. The aim of the study was to assess whether ambulance teams are equipped properly to measure core temperature. METHODS A survey study was conducted in collaboration with the Health Ministry in April 2018. Questionnaires regarding the model, number, and year of production of thermometers were sent to each pre-hospital unit of the National Emergency Medical System in Poland. RESULTS A total of 1523 ground ambulances are equipped with 1582 thermometers. 53.57% are infrared-based ear thermometers, 23.02% are infrared-based surface thermometers, and 20.13% are conventional medical thermometers. Only 3.28% of devices are able to measure core body temperature. Most of analyzed thermometers (91.4%) are not allowed to operate in ambient temperature below 10 °C. CONCLUSIONS There are only 3.28% of ground ambulances that are able to follow precisely international guidelines regarding a patient's core body temperature. A light, reliable thermometer designed to measure core temperature in pre-hospital conditions is needed.

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救护车中的体温测量：21世纪的挑战？

背景技术治疗低温患者的一些关键决定与核心体温密切相关。他们关注复苏算法的修改和目标医院的选择。对患者体温的低估和高估可能会限制其生存的机会。只有为核心温度测量而设计的温度计才能作为此类决策的指南。这项研究的目的是评估救护车队是否具备适当的装备来测量核心温度。方法2018年4月与卫生部合作进行了一项调查研究。关于温度计的型号，数量和生产年份的调查表已发送至波兰国家紧急医疗系统的各个院前部门。结果总共有1523辆地面救护车配备了1582台温度计。红外线耳温计占53.57％，红外线表面温湿度计占23.02％，传统医疗温度计占20.13％。只有3.28％的设备能够测量核心体温。大部分分析温度计（91.4％）不允许在低于10°C的环境温度下运行。结论只有3.28％的地面救护车能够严格遵循有关患者核心体温的国际准则。需要一种轻便，可靠的温度计，旨在在院前条件下测量核心温度。28％的设备能够测量核心体温。大部分分析温度计（91.4％）不允许在低于10°C的环境温度下运行。结论只有3.28％的地面救护车能够严格遵循有关患者核心体温的国际准则。需要一种轻便，可靠的温度计，旨在在院前条件下测量核心温度。28％的设备能够测量核心体温。大部分分析温度计（91.4％）不允许在低于10°C的环境温度下运行。结论只有3.28％的地面救护车能够严格遵循有关患者核心体温的国际准则。需要一种轻便，可靠的温度计，旨在在院前条件下测量核心温度。