Evidence map›Paper›PMID 39839829›Full record

ArticleResuscitation plus2025

The modified crABCDE treatment algorithm as recommendation in extreme cold.

Raimund Lechner, Markus Isser, Willi Tröger, Valentin Schiessendoppler, Wolfgang Lederer, Frederik Eisendle

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Raimund LechnerMedical Service Police Baden-Württemberg, 70372 Stuttgart, Germany.
Markus IsserAustrian Mountain Rescue Service - Tyrol, 6410 Telfs, Austria.
Willi TrögerAustrian Mountain Rescue Service - Tyrol, 6410 Telfs, Austria.
Valentin SchiessendopplerAustrian Mountain Rescue Service - Tyrol, 6410 Telfs, Austria.
Wolfgang LedererDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Frederik EisendleDepartment of Anesthesiology and Intensive Care Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trauma care prioritizes life-threatening conditions using the ABCDE algorithm based on the principle "treat first what kills first". As for catastrophic hemorrhage, a leading preventable cause of death in trauma, modifications of this algorithm are necessary in specific cases. In cold climates, life-threatening hypothermia poses additional challenges. Rapid cooling of a patient's core temperature, especially when immobile or poorly insulated, necessitates early prevention. Modified algorithms like the military MhARCH therefore prioritize hypothermia management alongside hemorrhage control in extreme conditions. This article advocates for the crABCDE approach in civilian rescue, emphasizing immediate hypothermia prevention in cold, wet, or high-altitude environments. Tailored protocols that consider environmental risks and patient factors are essential for improving outcomes in both military and civilian trauma care.

Indexed as

Accidental hypothermiaEmergency medicineMountain rescueSearch and rescue

Identifiers

PMID39839829
PMCPMC11750272

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.