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CASE REPORT  NON-COVID-19 SECTION Open accessopen access

Italian Journal of Emergency Medicine 2021 April;10(1):42-5

DOI: 10.23736/S2532-1285.21.00071-9

Copyright © 2021 THE AUTHORS

This is an open access article under the CC BY-NC-ND license

language: English

Accidental hypothermia: “nobody is dead until warm and dead”

Fiorenza FERRARI 1, 2 , Nicholas S. BIANCHI BOSISIO 3, Michele PAGANI 1, Fabio SCIUTTI 1, Silvia MONGODI 1, Matteo BRAMBAT I 3, Francesca COLOMBO 3, Francesco MOJOLI 1, 3

1 Department of Anesthesiology and Intensive Care Unit, IRCCS San Matteo Hospital and University of Pavia, Pavia, Italy; 2 Department of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza (IRRIV), Vicenza, Italy; 3 Unit of Anaesthesia and Intensive Care, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy

We described a full recovery from profound accidental hypothermia with cardiac arrest, in a patient of fifty-eight-year-old. The emergency medical service found the patient unconscious, in spontaneous breathing, on the floor of his home. In Emergency Room, he had a sudden cardiac arrest. Immediately, he received Advance Cardiac Life Support. As soon as we have ascertained a sever hypothermia, we started a re-warming strategy based on warm fluids infusion and by using forced-air device. After fifty-three minutes from the beginning of resuscitation, the patient underwent to return of spontaneous circulation. He made a full recovery at the Intensive Care Unit discharge.

KEY WORDS: Hypothermia; Rewarming; Cardiopulmonary resuscitation; Emergency medicine; Intensive Care Units; Extracorporeal membrane oxygenation

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