Successful Treatment of Accidental Hypothermia with Injury: A Case Report / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 110-113, 2011.
Article
in English
| WPRIM
| ID: wpr-644241
ABSTRACT
Accidental hypothermia is an uncommon health issue that can cause fatal problems. Mortality related to hypothermia has been reported to be up to 50%. Prognosis of hypothermia depends on the grade of hypothermia, interval of re-warming from the accident and the re-warming rate. Hypothermic patients with injury show worse prognosis. A 66 year-old man with history of cerebrovascular accident was rescued in the mountains. His Glasgow coma scale (GCS) was 3, core temperature was 25.2degrees C and he had a right lateral malleolar fracture. The second patient was a 45 year-old man whose GCS was 8 and core temperature 17.2degrees C. Blood pressure was unmeasurable with only palpable pulse and showed Osborn J wave on electrocardiography for both patients. Active re-warming was performed with forced warm air, warm saline infusion and bladder irrigation. Patient core temperature raised by 1.5degrees C/hour and 3.3degrees C/hour, respectively. The two patients were discharged without any other sequelae and disability.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Urinary Bladder
/
Blood Pressure
/
Glasgow Coma Scale
/
Stroke
/
Electrocardiography
/
Hypothermia
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Critical Care Medicine
Year:
2011
Type:
Article
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