Fatal hypothermia: an analysis from a sub-arctic region.

International Journal of Circumpolar Health
Helge BrändströmMichael Haney

Abstract

To determine the incidence as well as contributing factors to fatal hypothermia. Retrospective, registry-based analysis. Cases of fatal hypothermia were identified in the database of the National Board of Forensic Medicine for the 4 northernmost counties of Sweden and for the study period 1992-2008. Police reports, medical records and autopsy protocols were studied. A total of 207 cases of fatal hypothermia were noted during the study period, giving an annual incidence of 1.35 per 100,000 inhabitants. Seventy-two percent occurred in rural areas, and 93% outdoors. Many (40%) were found within approximately 100 meters of a building. The majority (75%) occurred during the colder season (October to March). Some degree of paradoxical undressing was documented in 30%. Ethanol was detected in femoral vein blood in 43% of the victims. Contributing co-morbidity was common and included heart disease, earlier stroke, dementia, psychiatric disease, alcoholism, and recent trauma. With the identification of groups at high risk for fatal hypothermia, it should be possible to reduce risk through thoughtful interventions, particularly related to the highest risk subjects (rural, living alone, alcohol-imbibing, and psychiatric diagnosis-carrying...Continue Reading

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Citations

Jan 23, 2016·Autonomic Neuroscience : Basic & Clinical·William P Cheshire
Jan 28, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Helge BrändströmMichael F Haney
May 16, 2012·International Journal of Circumpolar Health·Helge BrändströmMichael Haney
Aug 11, 2018·Geriatrics & Gerontology International·Sachiko MoritaYasuyuki Hayashi
Sep 12, 2018·Scandinavian Journal of Medicine & Science in Sports·Emily ProcterMartin Burtscher
Nov 7, 2018·International Clinical Psychopharmacology·Anna M Szota, Aleksander S Araszkiewicz
Dec 17, 2014·Thrombosis Journal·Sven Van PouckeMarcus Lancé
Jul 28, 2020·Journal of Forensic Sciences·Gregory M DickinsonHannah C Jarvis
Jun 11, 2018·Emergency Medicine Journal : EMJ·Tasuku MatsuyamaBon Ohta
Jul 1, 2018·International Journal of Legal Medicine·Takahiro UmeharaKazuya Ikematsu
Nov 16, 2012·The New England Journal of Medicine·Douglas J A BrownPeter Paal
Sep 13, 2014·World Journal of Emergency Medicine·Douglas G Sward, Brad L Bennett
Aug 28, 2021·Nutrients·Tanya Chikritzhs, Michael Livingston

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