Severe Accidental Hypothermia with Prolonged Cardiac Arrest: Report of a Case with Successful Treatment;
Hipotermia accidental grave con paro circulatorio prolongado: descripción de un caso con tratamiento exitoso
Severe accidental hypothermia is a condition in which body temperature decreases bellow 28 degrees. Mortality rates are very high . We present a case of a 63 years old lady discovered naked in the bush with a nasal temperature of 23 degrees and in cardiac arrest. When the technicians arrived to the scene, she was intubated and CPR was initiated. After 2 hours of CPR, at arrival at the hospital, decision was taken to proceed with re-warming using Cardiopulmonary by pass (CPB). Spontaneous recovery of circulation was achieved during re-warming. The patient was discharged at the 9th postoperative day without neurological sequel. This case demonstrates that CPB must be considered an effective therapeutic treatment to deal with patients with severe hypothermia and cardiac arrest.
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- Argentine Journal of Cardiology
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