TY - JOUR T1 - Full neurological recovery from profound (18.0°C) acute accidental hypothermia: successful resuscitation using active invasive rewarming techniques JF - Emergency Medicine Journal JO - Emerg Med J SP - 511 LP - 512 DO - 10.1136/emj.2006.040261 VL - 24 IS - 7 AU - Amy Hughes AU - Peter Riou AU - Christopher Day Y1 - 2007/07/01 UR - http://emj.bmj.com/content/24/7/511.abstract N2 - 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. ER -