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- Peter Holmström, James Boyd, Marko Sorsa, and Markku Kuisma.
- Helsinki Emergency Medical Services, Helsinki University Central Hospital, Helsinki, P.O. Box 112, FIN-00099 Helsinki City, Finland. peter.holmstrom@hel.fi
- Resuscitation. 2005 Oct 1;67(1):139-41.
AbstractThe recommended treatment for severe hypothermia with circulatory collapse is re-warming using cardiopulmonary by-pass. This may require transporting a patient to hospital with on-going cardiopulmonary resuscitation (CPR). Manual CPR during patient transport may result in sub-optimal chest compressions and can be a hazard for the ambulance crew. We report a case of a patient with a core temperature of 22.2 degrees C and crew-witnessed cardiac arrest due to hypothermia. After unsuccessful initial resuscitation he was transported to hospital for re-warming with cardiopulmonary by-pass. CPR was continued during transport using a mechanical active compression-decompression device (the LUCAS-device). During cardiopulmonary by-pass ROSC was achieved after 90 min of cardiac arrest. The patient recovered with a cerebral performance category of 3. Using a mechanical device for chest compressions during transport of a hypothermic patient with on-going CPR is feasible, effective and safe.
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