0
Critical Care |

Accidental Hypothermia: A Medical Emergency With Multidisciplinary Implications

Diana Cimpoesu*, PhD; Irina Ciumanghel, MD; Ovidiu Popa, MD
Author and Funding Information

University of Medicine and Pharmacy, Iasi, Romania


Chest. 2012;142(4_MeetingAbstracts):397A. doi:10.1378/chest.1390224
Text Size: A A A
Published online

Abstract

SESSION TYPE: Non Pulmonary Critical Care Posters

PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM

PURPOSE: To asses the profile, the survival rate and the complications in the patients with accidental hypothermia admitted in the Emergency Department (ED).

METHODS: Analysis of the accidental hypothermia cases presented in the ED of St. Spiridon Hospital Iasi between November 1st 2011 and February 29th 2012, winter weather with 10 days of yellow code and 6 days of orange code.

RESULTS: The study included 14 patients: 28,5% with mild hypothermia, 42,86% with moderate hypothermia, 28,5% with severe hypothermia. The profile of our study’s hypothermic patient: mean age 64,93 years, 57,1% men, 28,6% homeless people, associated pathology 64,3%. The mortality rate in our ED was 14,3% and after 30 days 28,6%. The most frequent cardiac arrhythmia at presentation in ED was sinusal bradycardia (28,6%) followed by PVC. The frequency of cardiac arrest was 28,6% and the most frequent arrest rhythm was VF (50%). The mean central temperature was 29,7 °C and the J wave (Osborne) was recorded at 14,8% of the patients. 28,6% were transferred to ICU, 14,3% needed hemodialysis. There is a statistically significant correlation between the initial temperature, the survival rate and GCS at presentation in the ED. All patients benefited from combined reheating therapy (external and internal). The survival rate was 25% for those with severe hypothermia, 83,4% for those with moderate hypothermia and 100% for those with mild hypothermia.

CONCLUSIONS: The correct application of the resuscitation and therapy guidelines on the hypothermic patient leads to a reduced mortality. The evolution depends on the severity of hypothermia and the type of complications.

CLINICAL IMPLICATIONS: Accidental hypothermia requires a complex therapy centered on reheating and maintaining the vital functions, including sometimes prolonged cardiopulmonary resuscitation.

DISCLOSURE: The following authors have nothing to disclose: Diana Cimpoesu, Irina Ciumanghel, Ovidiu Popa

No Product/Research Disclosure Information

University of Medicine and Pharmacy, Iasi, Romania

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543