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
- 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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Clinical Assistant Professor of Emergency Medicine at St. Joe's Regional Medical Center (Paterson, NJ)
REBEL EM Associate Editor and Author