PMID: 8601876Mar 1, 1996Paper

Resuscitation of severe hypothermia by extracorporeal rewarming in a child

The Journal of Trauma
J A Dobson, J J Burgess

Abstract

We report a case of accidental severe hypothermia from cold exposure in a 31-month-old girl. The rectal temperature was 14.2 degrees C on presentation, and was accompanied by cardiac arrest. Other ominous laboratory markers for poor prognosis were also present. The child was successfully rewarmed by median sternotomy and full cardiopulmonary bypass. An amputation of one leg was required, but neurologic recovery was full. We emphasize the importance of timely, aggressive management in victims of severe hypothermia because of the tremendous potential for salvage despite catastrophic presentation.

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Citations

Feb 3, 2007·Der Anaesthesist·M PlatzerH-V Schalk
Mar 3, 2004·Journal of the American College of Surgeons·Davida A RobinsonKenneth G Warner
Nov 16, 2012·The New England Journal of Medicine·Douglas J A BrownPeter Paal
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Jun 17, 2016·Critical Care Medicine·Raphael Briot, Marc Blancher
Sep 17, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Peter PaalHermann Brugger
Apr 23, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Aurélien Ledoux, Piehr Saint Leger
Aug 8, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Yohei OkadaTaku Iwami
Sep 5, 2006·Archives of Pathology & Laboratory Medicine·Allison Nixdorf-MillerJohn C Hunsaker

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