<p>Case of Severe Accidental Hypothermia Cardiac Arrest in a Subtropical Climate and Review of Management</p>

Use of the Arctic Sun™ 5000 targeted temperature management system to achieve rewarming during a prolonged hypothermic cardiorespiratory arrest

“…The Arctic Sun is a non‐invasive and widely available temperature management device which is commonly used for cooling patients and preventing hyperthermia post‐cardiac arrest. Several case studies have demonstrated its use as a rewarming device in severe accidental hypothermia [5–7]. We believe this case to be the longest reported successful CPR in a severely hypothermic patient without the use of ECLS.…”

“…There are many case reports of patients presenting with severe accidental hyperthermia with spontaneous circulation where rewarming via the Arctic Sun in conjunction with other non‐invasive rewarming techniques have been employed [5–7]. Chau et al.…”

Management of hypothermic submersion associated cardiac arrest in a 5-year-old child: A case report

“…Key management principles of severe accidental hypothermia include: prevention of further heat loss, initiation of rewarming, supporting airway, breathing and circulation and, in cardiac arrest, providing cardiopulmonary support until completely rewarmed. 11 Rewarming is a vital cornerstone of treatment and should begin as soon as possible. It is divided into passive external, active external and active internal rewarming methods.…”

“… 2. , 11. Extracorporeal life support [ECLS] is the preferred technique in arrested patients not only because it is a more effective rewarming strategy but mostly because it supports the circulation and therefore better than any other active internal technique supports blood supply and oxygenation of the brain and heart.…”

“… 17 Human trials of medication use in accidental hypothermia do not exist, although case reports of survival with use of intra-arrest medication have been reported. 11. , 18.…”