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The person should be kept at the goal temperature plus or minus half a degree Celsius for 24 hours. [24] Rewarming should be done slowly with suggested speeds of 0.1 to 0.5 °C (0.18 to 0.90 °F) per hour. [24] Targeted temperature management should be started as soon as possible. [25] The goal temperature should be reached before 8 hours. [24]
Aggressiveness of treatment is matched to the degree of hypothermia. [2] Treatment ranges from noninvasive, passive external warming to active external rewarming, to active core rewarming. [ 16 ] In severe cases resuscitation begins with simultaneous removal from the cold environment and management of the airway, breathing, and circulation.
The temperature can vary, but is usually in the range of 50–59 degrees Fahrenheit [22] [21] or between 10 and 15 degrees Celsius. [18] [23] Some athletes wear booties to keep their toes warm [22] or rubberized coverings around their midsection while immersed. Some drink a warm beverage such as tea. [22]
In hypothermia, body temperature drops below that required for normal metabolism and bodily functions. In humans, this is usually due to excessive exposure to cold air or water, but it can be deliberately induced as a medical treatment. Symptoms usually appear when the body's core temperature drops by 1–2 °C (1.8–3.6 °F) below normal ...
Hypothermic neural rescue therapy is an evidence-based clinical treatment which increases a severely injured full term infant's chance of surviving without brain damage detectable at 18 months by about 50%, an effect which seems to be sustained into later childhood.
Treatment of heat stroke involves rapid mechanical cooling along with standard resuscitation measures. [22] The body temperature must be lowered quickly via conduction, convection, or evaporation. [4] During cooling, the body temperature should be lowered to less than 39 degrees Celsius, ideally less than 38-38.5 degrees Celsius. [5]
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