• Anders Wetting Carlsen, Anders M Winnerkvist, and Guri Greiff.
• Department of Cardiothoracic Anesthesiology and Intensive Care, St.Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
• BMC Geriatr. 2017 Oct 26; 17 (1): 249.

BackgroundThe elderly are vulnerable to cold and prone to accidental hypothermia, both because of environmental and endogenous factors. The incidence of severe accidental hypothermia among the elderly is poorly described, but many cases probably go unrecorded. Going through literature one finds few publications on severe hypothermia among the elderly, and, to our knowledge, nothing about extracorporeal re-warming of geriatric hypothermia victims.Case PresentationWe present a case were a 95 year-old man with severe accidental hypothermia and circulatory arrest was brought to our hospital under on-going CPR, and was successfully resuscitated with extracorporeal circulation. He was discharged to his home without physical sequelae a few weeks later.ConclusionThe decision whether or not to continue resuscitation of a nonagenarian can be difficult in many respects. Knowing that resuscitation with extracorporeal circulation is resource intensive may complicate the discussion. In light of our experience with this case we discuss medical and ethical aspects of modern treatment of severe accidental hypothermia.

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