Severe accidental hypothermia.
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- Shibata Keizo
- Department of Emergency Medicine and Critical Care Medicine, Kanazawa University School of Medicine
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- Sahara Hiroyuki
- Department of Emergency Medicine and Critical Care Medicine, Kanazawa University School of Medicine
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- Furuki Isao
- Department of Emergency Medicine and Critical Care Medicine, Kanazawa University School of Medicine
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- Yoshita Yutaka
- Department of Emergency Medicine and Critical Care Medicine, Kanazawa University School of Medicine
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- Kita Yoshihito
- Department of Emergency Medicine and Critical Care Medicine, Kanazawa University School of Medicine
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- Ishise Jun
- Department of Emergency Medicine and Critical Care Medicine, Kanazawa University School of Medicine
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- Aizawa Yoshiki
- Department of Emergency Medicine and Critical Care Medicine, Kanazawa University School of Medicine
Bibliographic Information
- Other Title
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- 偶発性高度低体温症の3例
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Description
Severe accidental hypothermia is associated with marked depression of the brain and cardiovascular function and carries a high risk of mortality. We present three such cases with core temperatures between 18 and 27°C. Two of these patients had cardiac arrest on arrival at the emergency department. Rapid rewarming and successful recovery of spontaneous circulation was accomplished by a combination of direct cardiac compression and continuous irrigation of the pericardial cavity with warm fluids (42°C) in one of the patients with cardiac arrest. The best choice of treatment for severe hypothermia complicated by cardiac arrest is partial cardiopulmonary bypass, but this modality is not readily available in many settings. In such cases, a combination of direct cardiac compression and continuous pericardial irrigation is the best available alternative. Other rewarming modalities for severe hypothermia syndrome are also reviewed.
Journal
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- Nihon Kyukyu Igakukai Zasshi
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Nihon Kyukyu Igakukai Zasshi 5 (4), 384-388, 1994
Japanese Association for Acute Medicine
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Details 詳細情報について
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- CRID
- 1390282679346535680
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- NII Article ID
- 130003626156
- 80007748168
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- ISSN
- 18833772
- 0915924X
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed