A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass

After missing for seven days, a 34-year-old female was found with a rectal temperature of 19.8oC. Instead of attempting aggressive rewarming in the emergency department she was directly transferred to the operating room for extracorporeal rewarming. She received cardiopulmonary bypass (CPB) for 66 m...

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Main Authors:	Erfun M. Hatam, Andrew Cameron, Dimitri Petsikas, David Messenger, Ian M. Ball
Format:	Article
Language:	English
Published:	eScholarship Publishing, University of California 2017-01-01
Series:	Clinical Practice and Cases in Emergency Medicine
Online Access:	https://escholarship.org/uc/item/1jr5w8js

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spelling	doaj-022fe75709424dd78d325a0a8a1e259e2020-11-24T21:54:43ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2017-01-011110.5811/cpcem.2016.11.32919cpcem-01-33A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary BypassErfun M. Hatam0Andrew Cameron1Dimitri Petsikas2David Messenger3Ian M. Ball4Western University, Schulich School of Medicine and Dentistry, London, Ontario, CanadaUniversity of Toronto, Department of Emergency Medicine, Toronto, Ontario, CanadaQueen’s University, Kingston General Hospital, Division of Cardiac Surgery, Kingston, Ontario, CanadaQueen’s University, Department of Emergency Medicine & Critical Care Medicine, Kingston, Ontario, CanadaWestern University, Department of Epidemiology and Biostatistics, Division of Critical Care Medicine, London, Ontario, CanadaAfter missing for seven days, a 34-year-old female was found with a rectal temperature of 19.8oC. Instead of attempting aggressive rewarming in the emergency department she was directly transferred to the operating room for extracorporeal rewarming. She received cardiopulmonary bypass (CPB) for 66 minutes at an initial warming rate of 12oC/ hour and warmed to 36.2oC. Her postoperative course was complicated by sepsis, which eventually led to bilateral below-knee amputations after refusing antibiotics. She was discharged 22 days after admission, with full neurologic recovery. This remarkable case highlights the emerging role of CPB as the definitive therapy for severe accidental hypothermia.https://escholarship.org/uc/item/1jr5w8js
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Erfun M. Hatam Andrew Cameron Dimitri Petsikas David Messenger Ian M. Ball
spellingShingle	Erfun M. Hatam Andrew Cameron Dimitri Petsikas David Messenger Ian M. Ball A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass Clinical Practice and Cases in Emergency Medicine
author_facet	Erfun M. Hatam Andrew Cameron Dimitri Petsikas David Messenger Ian M. Ball
author_sort	Erfun M. Hatam
title	A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass
title_short	A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass
title_full	A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass
title_fullStr	A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass
title_full_unstemmed	A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass
title_sort	case of severe accidental hypothermia successfully treated with cardiopulmonary bypass
publisher	eScholarship Publishing, University of California
series	Clinical Practice and Cases in Emergency Medicine
issn	2474-252X
publishDate	2017-01-01
description	After missing for seven days, a 34-year-old female was found with a rectal temperature of 19.8oC. Instead of attempting aggressive rewarming in the emergency department she was directly transferred to the operating room for extracorporeal rewarming. She received cardiopulmonary bypass (CPB) for 66 minutes at an initial warming rate of 12oC/ hour and warmed to 36.2oC. Her postoperative course was complicated by sepsis, which eventually led to bilateral below-knee amputations after refusing antibiotics. She was discharged 22 days after admission, with full neurologic recovery. This remarkable case highlights the emerging role of CPB as the definitive therapy for severe accidental hypothermia.
url	https://escholarship.org/uc/item/1jr5w8js
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A Case of Severe Accidental Hypothermia Successfully Treated with Cardiopulmonary Bypass

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