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KMID : 0604020110260020110
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Korean Journal of Critical Care Medicine
2011 Volume.26 No. 2 p.110 ~ p.113
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Successful Treatment of Accidental Hypothermia with Injury
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Kyoung Kyu-Hyouck
Kim Young-Hwan
Hong Soo-Jung
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Abstract
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Accidental hypothermia is an uncommon health issue that can cause fatal problems. Mortality related to hypothermia has been reported to be up to 50%. Prognosis of hypothermia depends on the grade of hypothermia, interval of re-warming from the accident and the re-warming rate. Hypothermic patients with injury show worse prognosis. A 66 year-old man with history of cerebrovascular accident was rescued in the mountains. His Glasgow coma scale (GCS) was 3, core temperature was 25.2˚C and he had a right lateral malleolar fracture. The second patient was a 45 year-old man whose GCS was 8 and core temperature 17.2˚C. Blood pressure was unmeasurable with only palpable pulse and showed Osborn J wave on electrocardiography for both patients. Active re-warming was performed with forced warm air, warm saline infusion and bladder irrigation. Patient core temperature raised by 1.5˚C/hour and 3.3˚C/hour, respectively. The two patients were discharged without any other sequelae and disability.
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KEYWORD
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hypothermia, Osborn J wave, re-warming
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