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KMID : 0385919970080020153
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Journal of the Korean Society of Emergency Medicine
1997 Volume.8 No. 2 p.153 ~ p.160
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Cure of Severe Hypothermia Due to Loss of Consciousness after Drug Intoxication of Inhaled Hydrocarbons, Case 1
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양관모
권태욱/김형국/박규남/김세경
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Abstract
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A 19-year-old man had a good neurologic recovery from a severe hypothermia(19℃) and a prolonged coma following active internal rewarming. From inhaling hydrocarbons, he was left unconscious on the cold floor for 24 hours. As soon as the patients
was
brought into the emergency medical center, he was early evaluated and treated aggressively. ECG showed osbonrn(J) wave on all leads. The temperature of patient was increased by 2-3℃per hour through active external rewarming (by heating blankets
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warm bag) and active internal rewarming (by airway rewarming, warmed IV fluids, gastrointestinal tract irrigation). The temperature reached 36℃ after 6 hours. Active internal rewarming provides rapid core rewarming with the additional benefit of
circulatory support during the period of cardiac instability.
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KEYWORD
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