| Severe exposure hypothermia: a resuscitation protocol. | |
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MedLine Citation:
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PMID: 3985447 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although hypothermia has been described as an emergency in suspended animation, severe degrees of hypothermia mandate appropriate aggressive intervention. Because of cardiac instability with core temperature below 28 C, aggressive invasive rewarming by F-F partial bypass is often ideal in this setting. In contrast, a gentle approach in other therapeutic maneuvers is equally important to prevent iatrogenic induction of VF in nonarrested victims. If the only definite criterion for diagnosis of death in hypothermia is failure to respond to resuscitation and rewarming, successful resuscitation must carefully balance aggressive and gentle interventions. Because CPR protocols involve legal as well as medical questions, additional prospective data are especially critical for resolving controversies in the initial management of profound exposure hypothermia. |
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Authors:
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S C Zell; K J Kurtz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of emergency medicine Volume: 14 ISSN: 0196-0644 ISO Abbreviation: Ann Emerg Med Publication Date: 1985 Apr |
Date Detail:
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Created Date: 1985-04-29 Completed Date: 1985-04-29 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 339-45 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arrhythmias, Cardiac
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etiology,
therapy Critical Care Emergency Service, Hospital Environmental Exposure Extracorporeal Circulation First Aid Heart Arrest / etiology, therapy Hemodynamics Hospitalization Hot Temperature / therapeutic use Humans Hypothermia / physiopathology, therapy* Monitoring, Physiologic Prognosis Respiration, Artificial / methods Resuscitation / methods* |
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