EMERGENCY CASEBOOK
Full neurological recovery from profound (18.0°C) acute accidental hypothermia: successful resuscitation using active invasive rewarming techniques
Royal Devon and Exeter Hospital, Exeter, Devon, UK
Correspondence to:
Correspondence to:
Dr A Hughes
Royal Devon and Exeter Hospital, Exeter, Devon, UK; amyhughes{at}doctors.org.uk
The case of a 17-year-old girl brought into the emergency department (ED) having been found in a field semi-clad and overtly hypothermic is reported. A weak carotid pulse, agonal breathing and fixed dilated pupils were noted. On arrival in the ED she was in asystolic cardiopulmonary arrest. Initial core body temperature was 18°C. After 4 h of closed cardiopulmonary resuscitation and rewarming using a haemofiltration circuit, she made a full recovery with no adverse neurological sequelae. In this case report, the importance of prolonged resuscitation in cardiopulmonary arrest secondary to acute severe environmental hypothermia and the successful use of a haemofiltration circuit to deliver active core rewarming are highlighted.
Abbreviations: CPB, cardiopulmonary bypass; CPR, cardiopulmonary resuscitation; ED, emergency department
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This article has been cited by other articles:
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Headdon, W G, Wilson, P M, Dalton, H. R
(2009). The management of accidental hypothermia. BMJ
338: b2085-b2085
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Alfonzo, A., Lomas, A., Drummond, I., McGugan, E.
(2009). Survival after 5-h resuscitation attempt for hypothermic cardiac arrest using CVVH for extracorporeal rewarming. Nephrol Dial Transplant
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