February 20, 2019
REBEL Core Cast 5.0 – Accidental Hypothermia
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/.
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Anand Swaminathan
Clinical Assistant Professor of Emergency Medicine at St. Joe's Regional Medical Center (Paterson, NJ)
REBEL EM Associate Editor and Author
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Kolton Brusveen
Posted at 10:21h, 11 MarchThank 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!.
Salim Rezaie
Posted at 10:23h, 11 MarchHello Kolton,
TY for the comment and reaching out. Great case and save.
Salim
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