Abstract
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The clinical features of hypothermia vary among patients and core temperatures are often unreliable; therefore, prompt recognition of each stage of hypothermia is crucial in its management.
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Gentle handling of the patient is paramount since manipulation can precipitate arrhythmias in the irritable myocardium.
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With failure to rewarm a clinician should consider underlying sepsis or non-infectious causes of impaired thermogenesis.
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With regard to frostbite rewarming is an essential component of therapy but should be delayed until definitive care is imminent since refreezing following rewarming results in worsening tissue damage.
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References
Vassal T, Benoit-Gonin B, Carrat F, et al. Severe accidental hypothermia treated in ICU: prognosis and outcome. Chest. 2001;120:1998.
Mechem CC, Zafren K, Danzl D, et al. Accidental hypothermia in adults. Available from http://www.uptodate/contents/accidental-hypothermia-in-adults. Accessed 24th Mar 2015.
Danzl D. Accidental hypothermia. In: Auerbach PS, editor. Wilderness medicine. 6th ed. Philadelphia: Elsevier; 2012.
Durrer B, Brugger H, Syme D. International Commission for Mountain Emergency Medicine. The medical onsite treatment of hypothermia: ICAR-MEDCOM recommendations. High Alt Med Biol. 2003;4:99–103. Available from http://www.ikar-cisa.org/ikar-cisa/documents/2013/ikar20131013001086.pdf. Accessed 4th Apr 2015.
Jolly BT, Ghezzi KT. Accidental hypothermia. Emerg Med Clin North Am. 1992;10:311–27.
Ranhoff AH. Accidental hypothermia in the elderly. Int J Circumpolar Health. 2000;59:255–9.
Petrone P, et al. Management of accidental hypothermia. Curr Probl Surg. 2014;51:417–31.
Brown DJA, et al. Accidental hypothermia. N Engl J Med. 2012;367:1930–8.
Mulcahy AR, Watts MR. Accidental hypothermia: an evidence based approach. Emerg Med Pract. 2009;11:1. EBMedicine.net.
Murphy JV, Bonwell PE, Roberts AH, et al. Frostbite: pathogenesis and treatment. J Trauma. 2000;48:171.
Ikaheimo TM, et al. Frostbite and other localised injuries. In: Tintinalli’s Emergency medicine: a comprehensive study guide 7e.
Mechem CC, Zafren K, Danzl D, et al. Frostbite. Available from http://www.uptodate/contents/frostbite. Accessed 24 Mar 2015.
Golant A, et al. Cold exposure injuries to the extremities. J Am Acad Orthop Surg. 2008;16:704.
Bessen A, Brian Ngo. Hypothermia. In: Tintinalli’s emergency medicine: a comprehensive study guide 7e.
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Pillay, S. (2016). Accidental Hypothermia and Cold Injury. In: David, S. (eds) Clinical Pathways in Emergency Medicine. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2710-6_21
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