Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2006 / Cilt: 12 - Sayı: 3

Accidental hypothermia (A case report)

Donma (Olgu sunumu)

Pages
249–253
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report reviews the epidemiology, pathophysiology, clinical presentation, and treatment of accidental hypothermia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Severe accidental hypothermia (core body temperature of less than 28 °C) is a life threatening state and a medical emergency associated with a high mortality rate.
📊
Key Findings & Data:We report a 70-year-old male patient with severe accidental hypothermia (core temperature 28 °C).
💡
Conclusion & Impact:In this case report reviews the epidemiology, pathophysiology, clinical presentation, and treatment of accidental hypothermia.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Hipotermi · Isınma · Canlandırma

Abstract

Severe accidental hypothermia (core body temperature of less than 28 °C) is a life threatening state and a medical emergency associated with a high mortality rate. The prognosis depends on underlying diseases, advanced or very early age, the duration prior to treatment, the degree of hemodynamic deterioration, and especially, the methods of treatment, including active external or internal rewarming. We report a 70-year-old male patient with severe accidental hypothermia (core temperature 28 °C). The homeless man was found in the street. He died, in spite of all resuscitation efforts and rewarming methods. In this case report reviews the epidemiology, pathophysiology, clinical presentation, and treatment of accidental hypothermia.

Özet

Kaza ile oluşan ciddi hipotermi (merkezi vücut ısısının 28 °C’nin altında olması) yüksek mortalite ile ilişkili medikal, acil ve hayatı tehdit eden bir durumdur. Prognoz, altta yatan hastalığa, ileri veya çok genç yaşa, tedaviye dek geçen süreye, hemodinamik bozukluğun derecesine ve özellikle aktif içten ve dıştan yeniden ısıtmayı içeren tedavi yöntemlerine bağlıdır. Bu yazıda; sokakta bulunan, donma nedeni ile hastanemize getirilen ciddi hipotermisi olan 70 yaşında bir erkek hasta sunuldu. Tüm resüsitasyon çabalarına ve ısıtma yöntemlerine rağmen kaybedilen bu olgu, hipotermi tedavisi üzerine yapılan son tartışmalara, resüsitasyon çabalarına ve olası komplikasyonlara değinmek amacı ile sunuldu.

🔖

Cite This Article

ERKALP, K., YANGIN, Z., BAŞARANOĞLU, G., ERDEN, V. (2006). Accidental hypothermia (A case report). Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 12 - Sayı: 3, 249–253. https://ajindex.com/articles/324450

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Hanania NA, Zimmerman JL. Accidental hypothermia. Crit Care Clin 1999;15:235-49
  2. Biem J, Koehncke N, Classen D, Dosman J. Out of the cold: management of hypothermia and frostbite. CMAJ 2003;168:305-11
  3. Murray PHJ. Hypothermia. In: Hall JB, Schmidt GA, Wood LDH, editors. Principles of critical care. New York: McGraw-Hill; 1998. p. 1645-55
  4. Danzl D. Hypothermia. Semin Respir Crit Care Med 2002;23:57-68
  5. Nissen ER, Melchert PJ, Lewis EJ. A case of bullous frostbite following recreational snowmobiling. Cutis 1999;63:21-3
  6. Kempainen RR, Brunette DD. The evaluation and management of accidental hypothermia. Respir Care 2004;49:192-205
  7. Knobel B, Mikhlin A. Severe accidental hypothermia in an elderly woman. [Article in Hebrew] Harefuah 2001;140:1014-7, 1119. [Abstract] 8. Hildebrand F, Giannoudis PV, van Griensven M, Chawda M, Pape HC. Pathophysiologic changes and effects of hypothermia on outcome in elective surgery and trauma patients. Am J Surg 2004;187:363-71
  8. Jurkovich GJ, Greiser WB, Luterman A, Curreri PW. Hypothermia in trauma victims: an ominous predictor of survival. J Trauma 1987;27:1019-24
  9. Gentilello LM. Advances in the management of hypothermia. Surg Clin North Am 1995;75:243-56
  10. Gussak I, Bjerregaard P, Egan TM, Chaitman BR. ECG phenomenon called the J wave. History, pathophysiolog y, and clinical significance. J Electrocardiol 1995;28:49-58
  11. Danzl DF, Hedges JR, Pozos RS. Hypothermia outcome score: development and implications. Crit Care Med 1989;17:227-31
  12. Danzl DF, Pozos RS, Auerbach PS, Glazer S, Goetz W, Johnson E, et al. Multicenter hypothermia survey. Ann Emerg Med 1987;16:1042-55
  13. Ledingham IM, Mone JG. Treatment of accidental hypothermia: a prospective clinical study. Br Med J 1980;280:1102-5
  14. Francke A, Kopcke J. Accidental hypothermia--a challenge for rescue service and intensive care. [Article in German] Anaesthesiol Reanim 2002;27:9-15. [Abstract] 16. Brunette DD, McVaney K. Hypothermic cardiac arrest: an 11 year review of ED management and outcome. Am J Emerg Med 2000;18:418-22
  15. Olsen DH, Gothgen IH. Treatment of accidental hypothermia. [Article in Danish] Lakartidningen 2000;97:4992-7. [Abstract] 18. Hauty MG, Esrig BC, Hill JG, Long WB. Prognostic factors in severe accidental hypothermia: experience from the Mt. Hood tragedy. J Trauma 1987;27:1107-12
  16. Muszkat M, Durst RM, Ben-Yehuda A. Factors associated with mortality among elderly patients with hypothermia. Am J Med 2002;113: