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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 distributed under the terms of the CC BY-NC-ND 4.0 license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the license.

lingua: Inglese

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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