• Emerg. Med. Clin. North Am. · Aug 2024

    Review

    Environmental Hypothermia.

    • Cheyenne Falat.
    • Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address: cfalat@som.umaryland.edu.
    • Emerg. Med. Clin. North Am. 2024 Aug 1; 42 (3): 493511493-511.

    AbstractAlthough a rare diagnosis in the Emergency Department, hypothermia affects patients in all environments, from urban to mountainous settings. Classic signs of death cannot be interpreted in the hypothermic patient, thus resulting in the mantra, "No one is dead until they're warm and dead." This comprehensive review of environmental hypothermia covers the clinical significance and pathophysiology of hypothermia, pearls and pitfalls in the prehospital management of hypothermia (including temperature measurement techniques and advanced cardiac life support deviations), necessary Emergency Department diagnostics, available rewarming modalities including extracorporeal life support, and criteria for termination of resuscitation.Copyright © 2024 Elsevier Inc. All rights reserved.

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