{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T20:59:21Z","timestamp":1774904361725,"version":"3.50.1"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"\n Background<\/jats:title>\n Hypothermia is a critical component of the trauma triad of death and has been shown to increase morbidity and mortality among severely injured patients. Early recognition and effective temperature management are essential to improving outcomes, yet clinical knowledge and implementation remain inconsistent. Understanding healthcare professionals\u2019 preparedness for hypothermia management is therefore of great importance. To examine the knowledge, attitudes, and practices (KAP) of medical staff in emergency departments and trauma centers in Shanghai regarding the management of hypothermia in patients with severe trauma.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This cross-sectional study enrolled doctors, nurses, and technicians within their emergency and trauma centers from 13 tertiary and 2 secondary hospitals in Shanghai between April and May 2023. Demographic characteristics and KAP scores were collected through a self-made questionnaire.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 439 participants were enrolled, 192 (43.7%) were aged between 26 and 34\u202fyears, 365 (83.1%) were females, of whom 426 (97.0%) were nurses. The mean knowledge, attitude, and practice scores were 13.00 [11.00, 17.00] (possible range: 0\u201326), 30.00 [28.00, 34.00] (possible range: 7\u201335), and 28.00 [25.00, 33.00] (possible range: 9\u201345), respectively. Pearson correlation analysis revealed significant positive relationships between knowledge and attitude (\n r<\/jats:italic>\n \u202f=\u202f0.419,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001), knowledge and practice (\n r<\/jats:italic>\n \u202f=\u202f0.490,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001), and attitude and practice (\n r<\/jats:italic>\n \u202f=\u202f0.337,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). Path analysis demonstrated that handling patients (\n \u03b2<\/jats:italic>\n \u202f=\u202f\u22120.206,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001) and patient volume (\n \u03b2<\/jats:italic>\n \u202f=\u202f0.178,\n p<\/jats:italic>\n \u202f=\u202f0.001) had direct effects on knowledge. Knowledge had direct effect on attitude (\n \u03b2<\/jats:italic>\n \u202f=\u202f0.357,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001) and practice (\n \u03b2<\/jats:italic>\n \u202f=\u202f0.480,\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). Furthermore, handling patients (\n \u03b2<\/jats:italic>\n \u202f=\u202f\u22120.074 and \u22120.097, both\n p<\/jats:italic>\n \u202f&lt;\u202f0.001) and patient volume (\n \u03b2<\/jats:italic>\n \u202f=\u202f0.064,\n p<\/jats:italic>\n \u202f=\u202f0.002 and\n \u03b2<\/jats:italic>\n \u202f=\u202f0.085,\n p<\/jats:italic>\n \u202f=\u202f0.001) had indirect effects on attitude and practice, respectively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Medical staff in Shanghai\u2019s emergency and trauma centers generally exhibit positive attitudes toward hypothermia management in severe trauma patients, but significant gaps remain in knowledge and practical application. These deficiencies suggest an urgent need for targeted educational interventions, incorporating evidence-based training, hands-on clinical experiences, and interdisciplinary collaboration to improve knowledge, practice, and patient outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fmed.2026.1629603","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:55:45Z","timestamp":1769064945000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Knowledge, attitude, and practice toward hypothermia in severe trauma patients among healthcare professionals in emergency departments and trauma centers in Shanghai: a cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Jun","family":"Lv","sequence":"first","affiliation":[{"name":"Department of Emergency, The Second Affiliated Hospital of Naval Medical University","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanyun","family":"Tan","sequence":"additional","affiliation":[{"name":"Affiliated Huishan Hospital of Xinglin College, Nantong University","place":["Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Naval Medical University","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Naval Medical University","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Liu","sequence":"additional","affiliation":[{"name":"Affliated Central Hospital of Huzhou Normal University","place":["Huzhou, Zhejiang, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhuojuan","family":"Jiang","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, The Second Affiliated Hospital of Naval Medical University","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"Cd012669","DOI":"10.1002\/14651858.CD012669.pub2","article-title":"Point-of-care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma","volume":"12","author":"Stengel","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1186\/s13017-020-00330-3","article-title":"Global changes in mortality rates in polytrauma patients admitted to the ICU-a systematic review","volume":"15","author":"van Breugel","year":"2020","journal-title":"World J 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