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VegasFOAM

Baby It’s Cold Outside: Review of Current Literature and Protocols of Resuscitation of the Accidental Hypothermic Patient

12/19/2017

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By M. Subramanian, MD and J. Haber, MD

​With Punxsutawney Phil predicting another 6 weeks of winter, it’s time for a review of literature on resuscitation of the hypothermic patient. Hypothermia can be a source of anxiety for the emergency physician. The risk of malignant arrest or arrhythmia is very high (and should be expected to occur) in any patient with a core body temperature under 32 degrees Celsius, despite rewarming and resuscitation; this is due to a phenomenon called Rescue Collapse or Afterdrop. Morbidity and mortality are very high in these patients, with less than 50-60% of patients survive neurologically intact after experiencing hypothermic arrest. While there are very few studies on hypothermia resuscitation, there exists some interesting opinions on protocols.
​

Let’s start at the beginning….

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  • Home
  • About Us
    • Curriculae
    • Orientation
    • Salary & Benefits
    • Training Sites
    • Resident Life
    • PEM Fellowship
  • Who We Are
    • Faculty
    • Residents >
      • PGY1
      • PGY2
      • PGY3
    • PEM Fellowship
    • Alumni
  • What We Do
    • Events Medicine
    • Tactical Medicine
    • Wilderness Medicine
    • EMS
    • Ski Patrol
    • Ultrasound
  • Students
    • Residency Applicants
    • Military Applicants
    • Diversity & Inclusion
    • Social EM Elective
    • URM Second Look
  • Research
    • Recent Research & Publications
    • Research Assistant Program
  • VegasFOAM
  • Student Evaluations