Abstract
A case is presented in which prolonged resuscitation and rewarming was performed following post-rescue cardiopulmonary arrest in severe immersion hypothermia. The rescue and resuscitation techniques necessary to optimise outcome in such cases are described.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brunette D. D., Biros M., Mlinek E. J., Erlandson C., Ruiz E. Internal cardiac massage and mediastinal irrigation in hypothermic cardiac arrest. Am J Emerg Med. 1992 Jan;10(1):32–34. doi: 10.1016/0735-6757(92)90121-d. [DOI] [PubMed] [Google Scholar]
- Danzl D. F., Pozos R. S. Accidental hypothermia. N Engl J Med. 1994 Dec 29;331(26):1756–1760. doi: 10.1056/NEJM199412293312607. [DOI] [PubMed] [Google Scholar]
- Golden F. S. Problems of immersion. Br J Hosp Med. 1980;23(4):371–383. [PubMed] [Google Scholar]
- Hayward J. S., Eckerson J. D., Collis M. L. Thermal balance and survival time prediction of man in cold water. Can J Physiol Pharmacol. 1975 Feb;53(1):21–32. doi: 10.1139/y75-002. [DOI] [PubMed] [Google Scholar]
- Keatinge W. R. Hypothermia: dead or alive? BMJ. 1991 Jan 5;302(6767):3–4. doi: 10.1136/bmj.302.6767.3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Larach M. G. Accidental hypothermia. Lancet. 1995 Feb 25;345(8948):493–498. doi: 10.1016/s0140-6736(95)90587-1. [DOI] [PubMed] [Google Scholar]
- Lloyd E. L. ABC of sports medicine. Temperature and performance. I: Cold. BMJ. 1994 Aug 20;309(6953):531–534. doi: 10.1136/bmj.309.6953.531. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lloyd E. L. Hypothermia and cold. Sci Prog. 1989;73(289 Pt 1):101–116. [PubMed] [Google Scholar]
- Nozaki R., Ishibashi K., Adachi N., Nishihara S., Adachi S. Accidental profound hypothermia. N Engl J Med. 1986 Dec 25;315(26):1680–1680. doi: 10.1056/NEJM198612253152615. [DOI] [PubMed] [Google Scholar]
- Otto R. J., Metzler M. H. Rewarming from experimental hypothermia: comparison of heated aerosol inhalation, peritoneal lavage, and pleural lavage. Crit Care Med. 1988 Sep;16(9):869–875. [PubMed] [Google Scholar]
- Reuler J. B. Hypothermia: pathophysiology, clinical settings, and management. Ann Intern Med. 1978 Oct;89(4):519–527. doi: 10.7326/0003-4819-89-4-519. [DOI] [PubMed] [Google Scholar]
- Southwick F. S., Dalglish P. H., Jr Recovery after prolonged asystolic cardiac arrest in profound hypothermia. A case report and literature review. JAMA. 1980 Mar 28;243(12):1250–1253. [PubMed] [Google Scholar]
- Walpoth B. H., Locher T., Leupi F., Schüpbach P., Mühlemann W., Althaus U. Accidental deep hypothermia with cardiopulmonary arrest: extracorporeal blood rewarming in 11 patients. Eur J Cardiothorac Surg. 1990;4(7):390–393. doi: 10.1016/1010-7940(90)90048-5. [DOI] [PubMed] [Google Scholar]
- Webb P. Afterdrop of body temperature during rewarming: an alternative explanation. J Appl Physiol (1985) 1986 Feb;60(2):385–390. doi: 10.1152/jappl.1986.60.2.385. [DOI] [PubMed] [Google Scholar]
- Weinberg A. D. Hypothermia. Ann Emerg Med. 1993 Feb;22(2 Pt 2):370–377. doi: 10.1016/s0196-0644(05)80467-6. [DOI] [PubMed] [Google Scholar]