RT Journal Article SR Electronic T1 Dead? Or just cold: profoundly hypothermic patient with no signs of life JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 478 OP 479 DO 10.1136/emj.19.5.478 VO 19 IS 5 A1 C S Ko A1 J Alex A1 S Jeffries A1 J M Parmar YR 2002 UL http://emj.bmj.com/content/19/5/478.abstract AB A 37 year old man was found in his garden cold with no signs of life. Pupils were fixed and dilated. Electrocardiography showed asystole initially. The paramedic crew started cardiopulmonary resuscitation and transferred him to the accident and emergency department. His temperature was 17.0°C. Cardiopulmonary resuscitation was continued for three hours before rewarming using partial cardiopulmonary bypass. He eventually regained spontaneous cardiac output and made a full neurological recovery. Hypothermic patients with no evidence of life cannot be assumed to be dead as there is a chance of full recovery when fully warmed.