Take Home Points:
- Hypothermia is neuroprotective and patients can survive prolonged periods of cardiac arrest. Termination of resuscitative efforts in cardiac arrest should not considered until the patient is >32°C or has a K > 12 mEq/L
- Active internal rewarming is the keystone of treatment for unstable hypothermic patients. Utilize available resources including ECMO to effectively warm your patient
- Consider alternate causes for hypothermia, especially in patients who fail to respond to warming
REBEL Core Cast 5.0 – Accidental Hypothermia
Click here for Direct Download of Podcast
References/Links:
- REBEL EM: Accidental Hypothermia
- LITFL: Hypothermia
- EMCrit: Podcast 66 – …Until they are warm and dead: Severe Accidental Hypothermia
- EM Basic: Hypothermia
Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)
Cite this article as: Anand Swaminathan, "REBEL Core Cast 5.0 – Accidental Hypothermia", REBEL EM blog, February 20, 2019. Available at: https://rebelem.com/rebel-core-cast-5-0-accidental-hypothermia/.
The following two tabs change content below.
Anand Swaminathan
Clinical Assistant Professor of Emergency Medicine at St. Joe's Regional Medical Center (Paterson, NJ)
REBEL EM Associate Editor and Author
Latest posts by Anand Swaminathan (see all)
- REBEL Core Cast 64.0 – Acute Pancreatitis - September 15, 2021
- REBEL Core Cast 63.0 – Adrenal Crisis - September 1, 2021
- REBEL Core Cast 62.0 – Hemophilia - July 28, 2021
English
Chinese (Simplified)
English
French
German
Italian
Portuguese
Russian
Spanish
Turkish
3 thoughts on “REBEL Core Cast 5.0 – Accidental Hypothermia”
Thank you for this podcast. I live in Michigan and had a case just within the last month and I learned a lot from this. We had a hypothermic patient that arrested at 25 C and rewarmed him with bair hugger, peritoneal lavage, and Warm IVF, then transferred for ECMO and other interventions and he was talking days later I was told, I couldn’t believe it. I am a 3rd year resident and enjoy your podcasts thoroughly and just wanted to again say Thank you!.
Hello Kolton,
TY for the comment and reaching out. Great case and save.
Salim