{"id":"https://openalex.org/W7163003226","doi":"https://doi.org/10.5281/zenodo.20487061","title":"Prevention of Accidental Hypothermia in Pre-Hospital Care: The Critical Role of Head Protection","display_name":"Prevention of Accidental Hypothermia in Pre-Hospital Care: The Critical Role of Head Protection","publication_year":2026,"publication_date":"2026-05-27","ids":{"openalex":"https://openalex.org/W7163003226","doi":"https://doi.org/10.5281/zenodo.20487061"},"language":"en","primary_location":{"id":"doi:10.5281/zenodo.20487061","doi":"https://doi.org/10.5281/zenodo.20487061","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.20487061","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.5281/zenodo.20487061","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5137513336","display_name":"Ednei Fernando dos Santos*","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ednei Fernando dos Santos*","raw_affiliation_strings":["Fire Department of the Military Police of the State of S\u00e3o Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fire Department of the Military Police of the State of S\u00e3o Paulo","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121763870","display_name":"Jean de Oliveira Pascoal","orcid":"https://orcid.org/0009-0000-6594-6030","observed_orcids":["https://orcid.org/0009-0000-6594-6030"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jean de Oliveira Pascoal","raw_affiliation_strings":["Fire Department of the Military Police of the State of S\u00e3o Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fire Department of the Military Police of the State of S\u00e3o Paulo","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022049370","display_name":"Rodrigo Silva Lacerda","orcid":"https://orcid.org/0009-0009-5405-3910","observed_orcids":["https://orcid.org/0009-0009-5405-3910"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rodrigo Silva Lacerda","raw_affiliation_strings":["Rescue Training Department of the Firefighters Academy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rescue Training Department of the Firefighters Academy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115878151","display_name":"JAMILE GREGORIO MORELO","orcid":"https://orcid.org/0000-0002-3580-8435","observed_orcids":["https://orcid.org/0000-0002-3580-8435"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jamile Gregorio Morelo","raw_affiliation_strings":["Senac Tiradentes University Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Senac Tiradentes University Center","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115878150","display_name":"Eliseu Aleixo","orcid":"https://orcid.org/0009-0000-4671-324X","observed_orcids":["https://orcid.org/0009-0000-4671-324X"]},"institutions":[{"id":"https://openalex.org/I4210140661","display_name":"Senac University Center","ror":"https://ror.org/04m4fy391","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210140661"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Eliseu Aleixo","raw_affiliation_strings":["Senac University Center S\u00e3o Paulo - Tiradentes Unit"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Senac University Center S\u00e3o Paulo - Tiradentes Unit","institution_ids":["https://openalex.org/I4210140661"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084614922","display_name":"Maria C\u00e9lia Barcellos Dalr\u00ed","orcid":"https://orcid.org/0000-0002-8173-8642","observed_orcids":["https://orcid.org/0000-0002-8173-8642"]},"institutions":[{"id":"https://openalex.org/I17974374","display_name":"Universidade de S\u00e3o Paulo","ror":"https://ror.org/036rp1748","country_code":"BR","type":"education","lineage":["https://openalex.org/I17974374"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Maria Celia Barcellos Dalri","raw_affiliation_strings":["Ribeir\u00e3o Preto School of Nursing, University of S\u00e3o Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ribeir\u00e3o Preto School of Nursing, University of S\u00e3o Paulo","institution_ids":["https://openalex.org/I17974374"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5001961567","display_name":"Marcelo Donizeti Silva","orcid":"https://orcid.org/0000-0002-3672-7741","observed_orcids":["https://orcid.org/0000-0002-3672-7741"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marcelo Donizeti Silva","raw_affiliation_strings":["School of Physical Education of the Military Police of the State of S\u00e3o Paulo"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Physical Education of the Military Police of the State of S\u00e3o Paulo","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11861","display_name":"Thermal Regulation in Medicine","score":0.6503999829292297,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11861","display_name":"Thermal Regulation in Medicine","score":0.6503999829292297,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.2612000107765198,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11109","display_name":"Thermoregulation and physiological responses","score":0.05490000173449516,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/accidental-hypothermia","display_name":"accidental hypothermia","score":0.9959999918937683},{"id":"https://openalex.org/keywords/prehospital-care","display_name":"prehospital care","score":0.9900000095367432},{"id":"https://openalex.org/keywords/head-protection","display_name":"head protection","score":0.9860000014305115},{"id":"https://openalex.org/keywords/thermal-protection","display_name":"thermal protection","score":0.6959999799728394},{"id":"https://openalex.org/keywords/heat-loss","display_name":"heat loss","score":0.8859999775886536},{"id":"https://openalex.org/keywords/radiative-heat-loss","display_name":"radiative heat loss","score":0.8399999737739563},{"id":"https://openalex.org/keywords/ground-insulation","display_name":"ground insulation","score":0.5619999766349792},{"id":"https://openalex.org/keywords/vapor-barrier","display_name":"water vapor barrier","score":0.8399999737739563},{"id":"https://openalex.org/keywords/trauma-physical-injury","display_name":"trauma (physical injury)","score":0.3840000033378601},{"id":"https://openalex.org/keywords/environmental-exposure","display_name":"environmental exposure","score":0.7749999761581421},{"id":"https://openalex.org/keywords/hypothermia-prevention","display_name":"hypothermia prevention","score":0.718999981880188}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8057000041007996},{"id":"https://openalex.org/C2777390192","wikidata":"https://www.wikidata.org/wiki/Q1036696","display_name":"Hypothermia","level":2,"score":0.757099986076355},{"id":"https://openalex.org/C3019016323","wikidata":"https://www.wikidata.org/wiki/Q1036696","display_name":"Accidental hypothermia","level":3,"score":0.6039999723434448},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5913000106811523},{"id":"https://openalex.org/C126965237","wikidata":"https://www.wikidata.org/wiki/Q816335","display_name":"Accidental","level":2,"score":0.4075999855995178},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.39879998564720154},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.3700000047683716},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3465000092983246},{"id":"https://openalex.org/C2777975874","wikidata":"https://www.wikidata.org/wiki/Q2920572","display_name":"Head injury","level":2,"score":0.31299999356269836},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.31029999256134033},{"id":"https://openalex.org/C2780312720","wikidata":"https://www.wikidata.org/wiki/Q5689100","display_name":"Head (geology)","level":2,"score":0.29919999837875366},{"id":"https://openalex.org/C2776433176","wikidata":"https://www.wikidata.org/wiki/Q1191065","display_name":"Heat illness","level":2,"score":0.2720000147819519},{"id":"https://openalex.org/C3019520628","wikidata":"https://www.wikidata.org/wiki/Q2920572","display_name":"Head trauma","level":2,"score":0.26269999146461487},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2623000144958496},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2538999915122986}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.5281/zenodo.20487061","doi":"https://doi.org/10.5281/zenodo.20487061","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.20487061","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},{"id":"doi:10.5281/zenodo.20487062","doi":"https://doi.org/10.5281/zenodo.20487062","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.20487062","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"}],"best_oa_location":{"id":"doi:10.5281/zenodo.20487061","doi":"https://doi.org/10.5281/zenodo.20487061","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.20487061","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2428071388","https://openalex.org/W2587485717","https://openalex.org/W3115278392","https://openalex.org/W2767150348","https://openalex.org/W1979546602","https://openalex.org/W7159107528","https://openalex.org/W1941814731","https://openalex.org/W4361279369","https://openalex.org/W830784292","https://openalex.org/W2086316823"],"abstract_inverted_index":{"Abstract:":[0],"-":[1],"Introduction:":[2],"Accidental":[3],"hypothermia":[4,62,188],"in":[5,46,63,118,189],"pre-hospital":[6],"care":[7,219],"(PHC)":[8],"worsens":[9],"the":[10,22,42,52,69,85,159,162,204],"prognosis":[11],"of":[12,14,21,25,41,72,89,100,136,154,161,169,203],"victims":[13],"trauma":[15,26],"and":[16,30,57,91,111,114,126,134,174,183,194],"environmental":[17],"exposure,":[18],"forming":[19],"part":[20],"\"Lethal":[23],"Diamond\"":[24],"(hypothermia,":[27],"acidosis,":[28],"coagulopathy,":[29],"hypocalcemia).":[31],"Despite":[32],"its":[33,131,198],"severity,":[34],"simple":[35],"preventive":[36],"measures\u2014such":[37],"as":[38,95,97,140],"thermal":[39],"protection":[40,202],"head\u2014are":[43],"frequently":[44],"neglected":[45],"clinical":[47,55,210],"practice.":[48],"Objective:":[49],"To":[50],"review":[51,81],"pathophysiological":[53],"underpinnings,":[54],"impact,":[56],"prevention":[58],"strategies":[59],"for":[60,144,150],"accidental":[61],"PHC,":[64],"with":[65],"an":[66,98],"emphasis":[67],"on":[68],"critical":[70,142],"role":[71],"head":[73,175,205],"protection.":[74],"Methods:":[75],"This":[76],"is":[77,164,191,206],"a":[78,141,207],"narrative":[79],"literature":[80],"involving":[82],"searches":[83],"across":[84],"PubMed,":[86],"Scopus,":[87],"Web":[88],"Science,":[90],"Google":[92],"Scholar":[93],"databases,":[94],"well":[96],"analysis":[99],"international":[101],"guidelines":[102],"(PHTLS,":[103],"ERC,":[104],"WMS),":[105],"prioritizing":[106],"publications":[107],"dated":[108],"between":[109],"2010":[110],"2025.":[112],"Results":[113],"Discussion:":[115],"Heat":[116],"loss":[117,157],"PHC":[119,190],"occurs":[120],"rapidly":[121],"through":[122],"conduction,":[123],"convection,":[124],"radiation,":[125],"evaporation.":[127],"The":[128,166],"head\u2014due":[129],"to":[130,152,221],"rich":[132],"vascularization":[133],"lack":[135],"significant":[137],"cold-induced":[138],"vasoconstriction\u2014acts":[139],"zone":[143],"heat":[145,156,178],"dissipation;":[146],"it":[147],"can":[148],"account":[149],"up":[151],"50%":[153],"radiant":[155],"when":[158],"rest":[160],"body":[163],"insulated.":[165],"early":[167],"use":[168],"ground":[170],"insulation,":[171],"vapor":[172],"barriers,":[173],"coverings":[176],"interrupts":[177],"loss,":[179],"thereby":[180],"preventing":[181],"hemodynamic":[182],"hemostatic":[184],"deterioration.":[185],"Conclusion:":[186],"Preventing":[187],"more":[192],"effective":[193],"feasible":[195],"than":[196],"attempting":[197],"delayed":[199],"reversal.":[200],"Thermal":[201],"low-cost,":[208],"high-impact":[209],"intervention":[211],"that":[212],"should":[213],"be":[214],"systematically":[215],"incorporated":[216],"into":[217],"initial":[218],"protocols":[220],"improve":[222],"patient":[223],"survival.":[224]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-06-02T00:00:00"}