Document Detail


A case of hypothermic cardiac arrest treated with an external chest compression device (LUCAS) during transport to re-warming.
MedLine Citation:
PMID:  16129539     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The recommended treatment for severe hypothermia with circulatory collapse is re-warming using cardiopulmonary by-pass. This may require transporting a patient to hospital with on-going cardiopulmonary resuscitation (CPR). Manual CPR during patient transport may result in sub-optimal chest compressions and can be a hazard for the ambulance crew. We report a case of a patient with a core temperature of 22.2 degrees C and crew-witnessed cardiac arrest due to hypothermia. After unsuccessful initial resuscitation he was transported to hospital for re-warming with cardiopulmonary by-pass. CPR was continued during transport using a mechanical active compression-decompression device (the LUCAS-device). During cardiopulmonary by-pass ROSC was achieved after 90 min of cardiac arrest. The patient recovered with a cerebral performance category of 3. Using a mechanical device for chest compressions during transport of a hypothermic patient with on-going CPR is feasible, effective and safe.
Authors:
Peter Holmström; James Boyd; Marko Sorsa; Markku Kuisma
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Resuscitation     Volume:  67     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-03     Completed Date:  2006-01-20     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  139-41     Citation Subset:  IM    
Affiliation:
Helsinki Emergency Medical Services, Helsinki University Central Hospital, Helsinki, P.O. Box 112, FIN-00099 Helsinki City, Finland. peter.holmstrom@hel.fi
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MeSH Terms
Descriptor/Qualifier:
Cardiopulmonary Resuscitation / instrumentation*,  methods
Combined Modality Therapy
Emergency Medical Services / methods
Equipment Design
Equipment Safety
Follow-Up Studies
Heart Arrest / etiology,  therapy*
Heart Massage / instrumentation*
Humans
Hypothermia / complications*
Male
Middle Aged
Rewarming
Risk Assessment
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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