Rewarming for accidental hypothermia in an urban medical center using extracorporeal membrane oxygenation

David Morley, Kentaro Yamane, Rika O'Malley, Nicholas C. Cavarocchi, Hitoshi Hirose

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Accidental hypothermia complicated by cardiac arrest carries a high mortality rate in urban areas. For moderate hypothermia cases conventional rewarming methods are usually adequate, however in severe cases extracorporeal membrane oxygenation (ECMO) is known to provide the most effcient rewarming with complete cardiopulmonary support. We report a case of severe hypothermia complicated by prolonged cardiac arrest successfully resuscitated using ECMO.A 45 year old female was brought to our emergency department with a core body temperature <25°C. Shortly after arrival she had witnessed cardiac arrest in the department. Resuscitative efforts were started immediately including conventional rewarming techniques, followed by ECMO support. ECMO was used successfully in this case to resuscitate this patient from prolonged arrest (3.5 hours) when conventional techniques likely would have failed. After a prolonged hospital course this patient was discharged with her baseline mental and physical capacities intact.This case demonstrates the advantages of advanced internal rewarming techniques, such as ECMO, for quick and effcient rewarming of severely hypothermic patients. This case supports the use of ECMO in severely hypothermic patients as the standard of care.

Original languageEnglish (US)
Pages (from-to)6-9
Number of pages4
JournalAmerican Journal of Case Reports
Volume14
DOIs
StatePublished - Jan 8 2013

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Rewarming
Extracorporeal Membrane Oxygenation
Hypothermia
Heart Arrest
Standard of Care
Body Temperature
Hospital Emergency Service
Mortality

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Morley, David ; Yamane, Kentaro ; O'Malley, Rika ; Cavarocchi, Nicholas C. ; Hirose, Hitoshi. / Rewarming for accidental hypothermia in an urban medical center using extracorporeal membrane oxygenation. In: American Journal of Case Reports. 2013 ; Vol. 14. pp. 6-9.
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Rewarming for accidental hypothermia in an urban medical center using extracorporeal membrane oxygenation. / Morley, David; Yamane, Kentaro; O'Malley, Rika; Cavarocchi, Nicholas C.; Hirose, Hitoshi.

In: American Journal of Case Reports, Vol. 14, 08.01.2013, p. 6-9.

Research output: Contribution to journalArticle

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