Management of Severe Accidental Hypothermia

  • G. J. Peek
  • P. R. Davis
  • J. A. Ellerton
Conference paper


Doctors working in intensive care, emergency medicine, pre-hospital care, cardiac surgery and ECMO (extracorporeal membrane oxygenation) programs may be called upon to assist in the management of victims of severe environmental hypothermia. We focus on the triage of hypothermic patients who would potentially benefit from transfer to a tertiary centre. Often decisions made at the scene can result in a patient being transferred long distances to a hospital that does not have the ideal facilities to cope with such a severely hypothermic patient. The International Commission for Alpine Rescue (, International Society for Mountain Medicine (, and the Union Internationale des Associations d’Alpinisme medical committee (International Mountaineering and Climbing Federation; have been instrumental in gathering data and publishing guidance for the pre-hospital triage and management of victims of deep hypothermia in the mountains [1]. The principles guiding the resuscitation of victims of accidental hypothermia in the maritime or mountain environment may be applied to everyday emergency practice, even in an urban setting [2].


Cardiac Arrest Core Temperature Extracorporeal Membrane Oxygenation Coronary Perfusion Pressure Accidental Hypothermia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science + Business Media Inc. 2008

Authors and Affiliations

  • G. J. Peek
    • 1
  • P. R. Davis
    • 2
  • J. A. Ellerton
    • 3
  1. 1.Cardiothoracic Surgery Glenfield HospitalLeicesterUK
  2. 2.Department of Emergency MedicineDefense Medical Services Southern General HospitalGlasgowUK
  3. 3.Birbeck Medical Group Bridge Lane PenrithCumbriaUK

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