Annals of plastic surgery
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Annals of plastic surgery · Sep 1982
Accidental hypothermia treated with rapid rewarming by immersion.
Eighteen consecutive hypothermia patients were treated with rapid rewarming by immersion. Continous electrocardiographic monitoring, acid-base and central venous pressure measurements, vital signs, and fluid resuscitation with lactated Ringer's solution (tritrated to urine output) were employed as part of the therapeutic regimen. This regimen was associated with a single mortality. Rapid rewarming by immersion appears to be a safe, effective, and relatively simple method for treating accidental hypothermia victims.
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A new technique is presented that combines the use of two juxtaposed Y-V plasties which, when advanced, create a W-shaped sutured wound used to correct bridle-burn scar deformities. Since a considerable amount of the scar can be removed and there are two Y-V advancements, the cosmetic results are better than those obtained with traditional or modified Z-plasty when contracted scars are wide, severe, and unsuitable for Y-V advancement.