• Am J Emerg Med · Jan 1992

    Case Reports

    Internal cardiac massage and mediastinal irrigation in hypothermic cardiac arrest.

    • D D Brunette, M Biros, E J Mlinek, C Erlandson, and E Ruiz.
    • Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN 55415.
    • Am J Emerg Med. 1992 Jan 1;10(1):32-4.

    AbstractTwo unconscious patients with unknown past medical histories were found to be severely hypothermic, with core temperatures of 80.2 degrees F and 86.7 degrees F, respectively. During the course of active internal rewarming, both patients sustained a cardiac arrest. Emergency thoracotomies were immediately done, and internal cardiac massage with warmed mediastinal irrigation was performed. Spontaneous cardiac activity developed in both patients. Within 24 hours after resuscitation, both patients were responsive and following commands.

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