{"id":2391,"date":"2012-11-15T12:18:32","date_gmt":"2012-11-15T12:18:32","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/utihyp\/"},"modified":"2025-05-13T20:28:18","modified_gmt":"2025-05-13T20:28:18","slug":"utihyp","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/utihyp\/","title":{"rendered":"Estadificaci\u00f3n Suiza de la Hipotermia"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"hps\">La hipotermia<\/span>\u00a0<span class=\"hps\">se puede determinar<\/span>\u00a0<span class=\"hps\">cl\u00ednicamente<\/span>\u00a0<span class=\"hps\">sobre la base<\/span>\u00a0<span class=\"hps\">de los signos vitales<\/span>\u00a0<span class=\"hps\">con<\/span>\u00a0<span class=\"hps\">el uso<\/span>\u00a0<span class=\"hps\">del sistema de estadificaci\u00f3n\u00a0<\/span><span class=\"hps\">suizo (<\/span>Swiss staging system).<br \/>\n<!--more--><br \/>\n<strong><span class=\"hps\">Sistema de estadificaci\u00f3n<\/span><\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>\u00a0Estadio<\/strong><\/td>\n<td><strong>\u00a0S\u00edntomas<\/strong><\/td>\n<td><strong>\u00a0<span class=\"hps\">Temperatura central<\/span><\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0<span class=\"hps\">Hipotermia I<br \/>\n<\/span><\/td>\n<td>\u00a0<span class=\"hps\">Paciente<\/span><span class=\"hps\">\u00a0alerta<\/span>, temblando<\/td>\n<td>\u00a0<span class=\"hps\">entre<\/span>\u00a0<span class=\"hps\">35-32<\/span>\u00a0<span class=\"hps\">\u00ba<\/span>\u00a0<span class=\"hps atn\">C [<\/span>95-89,6\u00a0<span class=\"hps\">\u00ba F<\/span>]<\/td>\n<\/tr>\n<tr>\n<td>\u00a0<span class=\"hps\">Hipotermia II<br \/>\n<\/span><\/td>\n<td>\u00a0<span class=\"hps\">paciente<\/span>\u00a0<span class=\"hps\">somnoliento<\/span><span class=\"hps\">,<\/span>\u00a0sin\u00a0<span class=\"hps\">temblor<\/span><\/td>\n<td>\u00a0<span class=\"hps\">entre<\/span>\u00a0<span class=\"hps\">32-28<\/span>\u00a0<span class=\"hps\">\u00ba<\/span>\u00a0<span class=\"hps atn\">C [<\/span>89,6-82,4\u00a0<span class=\"hps\">\u00ba F<\/span>]<\/td>\n<\/tr>\n<tr>\n<td>\u00a0<span class=\"hps\">Hipotermia III<br \/>\n<\/span><\/td>\n<td>\u00a0<span class=\"hps\">paciente inconsciente<\/span><\/td>\n<td>\u00a0<span class=\"hps\">entre<\/span>\u00a0<span class=\"hps\">28-24<\/span>\u00a0<span class=\"hps\">\u00ba<\/span>\u00a0<span class=\"hps atn\">C [<\/span>82,4-75,2\u00a0<span class=\"hps\">\u00ba F<\/span>]<\/td>\n<\/tr>\n<tr>\n<td>\u00a0<span class=\"hps\">Hipotermia<\/span>\u00a0<span class=\"hps\">IV<\/span><\/td>\n<td>\u00a0<span class=\"hps\">paciente<\/span>\u00a0<span class=\"hps\">sin respirar<\/span><\/td>\n<td>\u00a0<span class=\"hps\">&lt;24<\/span>\u00a0<span class=\"hps\">\u00ba<\/span>\u00a0<span class=\"hps atn\">C [<\/span><span class=\"atn\">&lt;<\/span>75,2\u00a0<span class=\"hps\">\u00ba F<\/span>]<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"hps\">La medici\u00f3n de la<\/span>\u00a0<span class=\"hps\">temperatura central del cuerpo<\/span>\u00a0<span class=\"hps\">es \u00fatil, pero<\/span>\u00a0<span class=\"hps\">no es obligatorio.<\/span>\u00a0<span class=\"hps\">El riesgo de<\/span><span class=\"hps\">\u00a0paro cardiaco<\/span>\u00a0<span class=\"hps\">se incrementa cuando la temperatura central<\/span>\u00a0<span class=\"hps\">desciende por debajo de<\/span>\u00a0<span class=\"hps\">32 \u00b0C<\/span>\u00a0<span class=\"hps\">y<\/span>\u00a0<span class=\"hps\">aumenta<\/span>\u00a0<span class=\"hps\">sustancialmente<\/span>\u00a0<span class=\"hps\">si la temperatura<\/span>\u00a0<span class=\"hps\">es inferior a<\/span>\u00a0<span class=\"hps\">28 \u00b0C<\/span><span class=\"hps\">.<\/span>\u00a0<span class=\"hps\">Para convertir<\/span>\u00a0<span class=\"hps\">los valores de<\/span>\u00a0<span class=\"hps\">temperatura<\/span>\u00a0<span class=\"hps\">en grados<\/span>\u00a0<span class=\"hps\">Fahrenheit<\/span>, multiplique por\u00a0<span class=\"hps\">9\/5 y<\/span>\u00a0<span class=\"hps\">sume 32.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Durrer B, Brugger H, Syme D; International Commission for Mountain Emergency Medicine. The medical on-site treatment of hypothermia: ICAR-MEDCOM recommendation. High Alt Med Biol. 2003 Spring;4(1):99-103.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12713717\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Brown D, Brugger H, Boyd J, Paal P. Accidental Hypothermia. N Engl J Med 2012;367:1930-1938. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23150960\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Nov 15, 2012<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La hipotermia\u00a0se puede determinar\u00a0cl\u00ednicamente\u00a0sobre la base\u00a0de los signos vitales\u00a0con\u00a0el uso\u00a0del sistema de estadificaci\u00f3n\u00a0suizo (Swiss staging system).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[1071,1072,1073,835,1074,1075],"class_list":["post-2391","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-estadio","tag-hipotermia","tag-hypothermia","tag-staging","tag-suizo","tag-swiss"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2391"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2391\/revisions"}],"predecessor-version":[{"id":9313,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2391\/revisions\/9313"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2391"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}