Document Detail

Resuscitation of the hypothermic patient.
MedLine Citation:
PMID:  3415744     Owner:  NLM     Status:  MEDLINE    
A case of cardiac arrest following hypothermia due to cold-water immersion is presented. Following rescue and initiation of cardiopulmonary resuscitation, the patient was transported by helicopter to a facility where rewarming using cardiopulmonary bypass was possible. Initial rectal temperature in the emergency department was 28 degrees C. Initial prehospital rhythm was ventricular fibrillation persisting approximately 1.5 hours until the patient was successfully cardioverted after 25 minute of femoral artery/femoral venous partial cardiopulmonary bypass rewarming. Temperature at the time of cardioversion was 30 degrees C (esophageal). Despite extended cardiac arrest and profound metabolic acidosis (pH = 6.41 at 37 degrees C), he recovered uneventfully and is neurologically normal. A protocol for the management of a patient with hypothermic cardiac arrest is included.
D J Cohen; J R Cline; S M Lepinski; H M Bowman; K Ireland
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  6     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  1988 Sep 
Date Detail:
Created Date:  1988-10-20     Completed Date:  1988-10-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  475-8     Citation Subset:  IM    
Department of Internal Medicine, University of Wisconsin School of Medicine, Madison.
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MeSH Terms
Cardiopulmonary Bypass*
Heart Arrest / complications,  therapy*
Heparin / therapeutic use
Hypothermia / complications,  therapy*
Immersion / complications
Reg. No./Substance:

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