++++++ Exergen Corporation ++++++

Table of Contents

SECTION 1: CLINICAL INFRARED THERMOMETRY AT THE EAR

1.1	Masked Fevers Leading to 50,000 Deaths and Life Threatening Infections per Year	1
1.2	Fever Definition and Detection: the Old and the New	9
1.3	How Arterial Temperature is Measured Via Heat Balance at the Ear	37
1.4	Why Use Arterial Temperature?	39
1.5	Converting Oral and Rectal Protocol to Arterial	45
1.6	Comparisons Between Arterial and Oral or Rectal Temperatures Can Be Misleading	49
1.7	Rectal Temperature Can Lag Arterial Temperature by Many Hours	51
1.8	Extreme Rectal Temperature Elevation Above Arterial Due to Anaerobic Muscle Energy	57
1.9	Cool Skin Is Misleading in Early Stage Fever	61
1.10	Pediatric Infrared Thermometry	63
1.11	Cerumen, Otitis, and Hairy Ear Canals	69
1.12	Reproducing Readings: Same Ear and Contralaterally	71

SECTION 2. CLINICAL STUDIES OF INFRARED THERMOMETRY AT THE EAR

2.1	Method of Evaluating Accuracy: Compare to PulmonaryArtery Temperature	75
2.2	Arterial Temperature via Heat Balance at the Ear vs. Esophageal Temperature: Comparison Study	81
2.3	ArterialOral via Heat Balance at the Ear vs. Sublingual Oral	83
2.4	Tympanic vs. Pulmonary Artery Temperature Comparison Study	87
2.5	Rectal vs. Tympanic and Pulmonary Artery Temperature: Comparison Study	89
2.6	Effect of Cold Exposure on Patient Temperature Measurement	93
2.7	Effect of Occult Seizure Activity on Tympanic, Pulmonary Artery and Rectal Temperatures	97
2.8	Comparison Study Between Tympanic, Pulmonary Artery, Esophageal, and Bladder Temperature Under the Quiescent and Dynamic Conditions of CABG Procedures	101
2.9	Indication of Inaccurate Pulmonary Artery Temperature	107

SECTION 3. NEONATAL TEMPERATURE AT THE AXILLA

3.1	Neonates: Axillary Infrared Thermometry is Best	111
3.2	Verifying Axillary Infrared Temperature Readings	129
3.3	Determining Rectal Patency Without Rectal Thermometers	135

SECTION 4. BODY SURFACE TEMPERATURE

4.1	Body Surface Temperature	137
4.2	Determining Fluid Warmer and Environmental Temperature	159

SECTION 5. THERMOPHYSIOLOGY, THERMOPHYSICS, AND MATHEMATICAL MODELLING

5.1	Tutorial on Arterial Thermometry By Infrared Measurement at the Ear	161
5.2	A Mathematical Simulation Model of Thermal Transport and Temperature Distribution via the Circulation	173
5.3	High Rectal Temperatures in Athletes Produced by Anaerobic Processes: A Mathematical Model	191

SECTION 6. HOSPITAL CONVERSION TO THE NEW MODULITY

6.1	Patients as Satisfied Customers Create Revenue	205
6.2	Cost Savings	211
6.3	Conducting an Evaluation	215
6.4	Physicians' Lounge Article: Why the Change, and How Accurate Is the New Thermometry System?	217
6.5	Hospital Policy Statement by Senior Physician	223
6.6	User Training and Proficiency Certification	225


	ABOUT THE AUTHORS	231
	INDEX	233