Hypothermie profonde accidentelle et arrêt circulatoire. Traitement par circulation extracorporelle

Feiss, P.; Mora, Cristina; Devalois, Bernard; Gobeaux, R.F.; Christides, C.

doi:10.1016/s0750-7658(87)80085-0

Cited by 10 publications

(4 citation statements)

References 6 publications

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“…Many case reports describe hypothermic patients with vital signs who had core temperatures below 24°C. 21 –25 Individuals with core temperatures below 24°C are very susceptible to VF. Although the Swiss HT system can help guide rescuers in certain situations, we prefer to use the terms mild, moderate, severe, and profound hypothermia.…”

Section: Methodsmentioning

confidence: 99%

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Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Dow

Giesbrecht

Danzl

et al. 2019

Wilderness & Environmental Medicine

144

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To provide guidance to clinicians, the Wilderness Medical Society convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and a balance between benefits and risks/burdens according to the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is

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Section: Methodsmentioning

confidence: 99%

“…Breathing can be very slow and shallow but may be detectible in the absence of palpable pulses. 22 If cardiac monitoring is not available, the diagnosis of cardiac arrest can be difficult.…”

Section: Indication For Cardiopulmonary Resuscitationmentioning

confidence: 99%

Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Dow

Giesbrecht

Danzl

et al. 2019

Wilderness & Environmental Medicine

144

View full text Add to dashboard Cite

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“…There are also many case reports of hypothermic patients with vital signs who had core temperatures below 241C. [18][19][20][21][22] These individuals are very susceptible to ventricular fibrillation. The HT numbering system is difficult to remember.…”

Section: Field Classification Of Hypothermia: the Swiss Systemmentioning

confidence: 99%

“…Breathing can be very slow and shallow, but may be detectible in the absence of palpable pulses. 20 If cardiac monitoring is not available, the diagnosis of cardiac arrest can be difficult.…”

Section: Field Assessmentmentioning

confidence: 99%

Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2014 Update

Zafren

Giesbrecht

Danzl

et al. 2014

Wilderness & Environmental Medicine

131

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To provide guidance to clinicians, the Wilderness Medical Society (WMS) convened an expert panel to develop evidence-based guidelines for the out-of-hospital evaluation and treatment of victims of accidental hypothermia. The guidelines present the main diagnostic and therapeutic modalities and provide recommendations for the management of hypothermic patients. The panel graded the recommendations based on the quality of supporting evidence and the balance between benefits and risks/burdens according the criteria published by the American College of Chest Physicians. The guidelines also provide suggested general approaches to the evaluation and treatment of accidental hypothermia that incorporate specific recommendations. This is an updated version of the original Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia published in Wilderness & Environmental Medicine 2014;25(4):425-445.

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Accidental hypothermia with cardiac arrest: Complete recovery after prolonged resuscitation and rewarming by extracorporeal circulation

et al. 1990

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A 51-year-old male remained immersed in sea water (6 degrees C) for 40 min. Brought ashore, the ECG showed asystole. Advanced life support was immediately commenced. On arrival in hospital his rectal temperature was 27 degrees C, but continued to fall to 24 degrees C. The ECG remained isoelectric. Cardiopulmonary resuscitation was continued until extracorporeal circulation was established 190 min after rescue. Upon rewarming ventricular fibrillation occurred which was converted to sinus rhythm with a bolus of lignocaine followed by D.C. conversion at 31.5 degrees C. When rewarming was complete after 60 min, signs of severe heart failure became evident. Sternotomy and pericardiotomy were performed to exclude cardiac tamponade. After 60 min of re-perfusion the patient was be weaned from bypass supported by a high-dose vasopressor infusion and nitroglycerine. He was discharged after 13 days with no evidence of any permanent organ damage. Given the advantage of providing circulatory support, extracorporeal circulation may be useful when rewarming hypothermic victims with cardiac arrest.

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Hypothermie profonde accidentelle et arrêt circulatoire. Traitement par circulation extracorporelle

Cited by 10 publications

References 6 publications

Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Wilderness Medical Society Clinical Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2019 Update

Wilderness Medical Society Practice Guidelines for the Out-of-Hospital Evaluation and Treatment of Accidental Hypothermia: 2014 Update

Accidental hypothermia with cardiac arrest: Complete recovery after prolonged resuscitation and rewarming by extracorporeal circulation

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