Core temperature (Tcore) measurement is the only diagnostic tool to accurately assess the severity of hypothermia. International recommendations for management of accidental hypothermia encourage Tcore measurement for triage, treatment, and transport decisions, but they also recognize that lack of equipment may be a limiting factor, particularly in the field. The aim of this nonsystematic review is to highlight the importance of field measurement of Tcore and to provide practical guidance for clinicians on pre-hospital temperature measurement in accidental and therapeutic hypothermia. Clinicians should recognize the difference between alternative measurement locations and available thermometers, tailoring their decision to the purpose of the measurement (i.e., intermittent vs. continual measurement),
and the impact on management decisions. The importance of Tcore measurement in therapeutic
hypothermia protocols during early cooling and monitoring of target temperature is discussed.

Authors: Giacomo Strapazzon, Emily Procter, Peter Paal and Hermann Brugger

Key Words: accidental hypothermia; core temperature measurement; pre-hospital triage, treatment and transport decisions; thermometer; therapeutic hypothermia