• Wilderness Environ Med · Sep 2016

    Case Reports

    Inducing Therapeutic Hypothermia in Cardiac Arrest Caused by Lightning Strike.

    • Dane Scantling, Brian Frank, Mathew E Pontell, and Sandra Medinilla.
    • Department of General Surgery, Drexel University College of Medicine, Hahnemann University Hospital, Philadelphia, PA(Drs Scantling and Pontell)?>. Electronic address: Dane.Scantling@gmail.com.
    • Wilderness Environ Med. 2016 Sep 1; 27 (3): 401-4.

    AbstractOnly limited clinical scenarios are grounds for induction of therapeutic hypothermia. Its use in traumatic cardiac arrests, including those from lightning strikes, is not well studied. Nonshockable cardiac arrest rhythms have only recently been included in resuscitation guidelines. We report a case of full neurological recovery with therapeutic hypothermia after a lightning-induced pulseless electrical activity cardiac arrest in an 18-year-old woman. We also review the important pathophysiology of lightning-induced cardiac arrest and neurologic sequelae, elaborate upon the mechanism of therapeutic hypothermia, and add case-based evidence in favor of the use of targeted temperature management in lightning-induced cardiac arrest. Copyright © 2016 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

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