• Der Anaesthesist · Mar 2017

    Case Reports

    Good neurological outcome after accidental hyopthermia presenting with asytole.

    • I Eckert, P Imboden, P Paal, and J Koppenberg.
    • Abteilung für Anästhesiologie, Schmerztherapie und Rettungsmedizin, Ospidal - Gesundheitszentrum Unterengadin, Via Ospidal, 7550, Scuol, Switzerland.
    • Anaesthesist. 2017 Mar 1; 66 (3): 186-188.

    AbstractA 43-year-old woman became exhausted and fainted on descent at 1127 MAMSL altitude and snowfall. A rescue team diagnosed asystole. With manual cardiopulmonary resuscitation (CPR) she was transported to the next extracorporeal life support (ECLS) center. Admission temperature was 20.7 °C. CPR continued until ECLS was initiated. Two days later she was awake, orientated, and with no neurological deficits. With hypothermic cardiac arrest, a favorable outcome depends on early continuous CPR, triage, and ECLS rewarming. It holds true that "nobody is dead until they are warmed and dead" if one cools first and arrests thereafter.

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