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Temporal artery thermometer use in the prehospital setting

Published online by Cambridge University Press:  11 May 2015

Erica Carleton ,
Brenda Fry ,
Ashlee Mulligan ,
Ali Bell  and
Cory Brossart
Erica Carleton*
Affiliation:
Regina Qu'Appelle Health Region - Research and Performance Support, Regina, SK
Brenda Fry
Affiliation:
Regina Qu'Appelle Health Region - Research and Performance Support, Regina, SK
Ashlee Mulligan
Affiliation:
Regina Qu'Appelle Health Region - Research and Performance Support, Regina, SK
Ali Bell
Affiliation:
Regina Qu'Appelle Health Region - Research and Performance Support, Regina, SK
Cory Brossart
Affiliation:
Regina Qu'Appelle Health Region - Research and Performance Support, Regina, SK
*
Regina Qu'Appelle Health Region - Research and Performance Support, RQHR Wascana Rehabilitation Centre, 2180-23rd Avenue, Regina, SK S4S 0A5

Abstract

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Objectives:

Prehospital vital signs are an important and required component of patient assessment. We compared the temporal artery thermometer (TAT) to the digital thermometer currently used in our emergency medical service (EMS) system and then to the digital thermometer used in the emergency department. The primary objective of this study was to assess the usefulness of the TAT in the prehospital setting. Other outcomes of interest included whether extraneous factors or cold ambient temperatures affected the TAT readings and paramedic satisfaction with the TAT.

Methods:

This was a prospective, observational study. Patient temperature was taken by EMS personnel with both the digital thermometer and the TAT, and a chart review was conducted on a sample of these patients to compare the TAT to the emergency department digital thermometer.

Results:

A total of 818 patients had their temperatures taken with both thermometers in the prehospital setting. The relationship between the TAT and digital thermometer measurement was positive and moderate; however, there was poor agreement between the two devices. Sixty-nine charts were reviewed, and a positive correlation was found between the TAT and the emergency department digital thermometer, with good agreement between the two devices. No extraneous factors were found to have a noticeable effect on the temperature measurements; the TAT performed well in cold weather, and the EMS personnel reported it to be easy to use.

Conclusion:

The TAT appears to be a suitable alternative to digital thermometers currently used in many EMS systems. The paramedics involved in this study liked the TAT better than the in-ambulance digital thermometer and believed it to be more accurate. Further research on this topic is required.

Keywords

ambulanceemergency medical serviceprehospitaltemporal artery thermometerthermometers
Type
Original Research • Recherche originale
Information
Canadian Journal of Emergency Medicine , Volume 14 , Issue 1 , January 2012 , pp. 7 - 13
Copyright
Copyright © Canadian Association of Emergency Physicians 2012

References

REFERENCES

1.Saskatchewan Ministry of Health. Saskatchewan emergency treatment protocol manual. Ministry of Health guidelines for the treatment of emergent and nonemergent patients in the pre-hospital setting. Available at: (accessed April, 2008).Google Scholar
2.Hebbar, K, Fortenberry, JD, Rogers, K, et al. Comparison of temporal artery thermometer to standard temperature measurements in pediatric intensive care unit patients. Pediatr Crit Care Med 2005;6:557–61, doi:10.1097/01.PCC.0000163671.69197.16.CrossRefGoogle ScholarPubMed
3.Lawson, L, Bridges, EJ, Ballou, I, et al. Accuracy and precision of non-invasive temperature measreument in adult intensive care patients. Am J Crit Care 2007;16:485–96.Google Scholar
4.Clumpner, M, Mobley, J. Raising the dead. Prehospital hypothermia for cardiac arrest victims may improve neurological outcome and survival to discharge. EMS Mag 2008;37:52–60.Google ScholarPubMed
5.Exergen Corporation. Frequently asked questions. Available at: http://www.exergen.com/medical/TAT/tatfaq.html (accessed April 28, 2010).Google Scholar
6.Myny, D, De Waele, J, Defloor, T, et al. Temporal scanner thermometry: a new method of core temperature estimation in ICU patients. Scott Med J 2005;50:15–8.CrossRefGoogle ScholarPubMed
7.Bland, JM, Altman, DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;1:307–10, doi:10.1016/S0140-6736(86)90837-8.CrossRefGoogle ScholarPubMed
8.Fetzer, SJ, Lawerence, A. Tympanic membrane versus temporal artery temperatures of adult perianesthesia patients. J Perianesth Nurs 2008;23:230–6, doi:10.1016/j.jopan.2008.01.010.CrossRefGoogle ScholarPubMed
9.Woodrow, P, May, V, Buras-Rees, S, et al. Comparing notouch and tympanic thermometer temperature recordings. Br J Nurs 2006;15:1010–6.Google Scholar
10.Greenes, DS, Fleisher, GR. Accuracy of a non-invasive temporal artery thermometer for use in infants. Arch Pediatr Adolesc Med 2001;155:376–81.CrossRefGoogle Scholar
11.Welch Allyn Inc. Clinical accuracy of a rapid thermistor thermometer. The Welch Allyn SureTemp® clinical thermometer. Available at: http://www.welchallyn.com/documents/Thermometry/Electronic%20Thermometry/SureTemp%20692/Clin_Acc_Stud_Rapid_Therm_OLC.pdf (accessed January 4, 2011).Google Scholar