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CHEST 2012: Managing Accidental Hypothermia

The Particulars: The profile of patients presenting to the ED with accidental hypothermia is not well understood from clinical studies. Data Breakdown: Among patients presenting to an ED with accidental hypothermia during winter months, 14.3% died in the ED and 28.6% passed away within 30 days. More than one-quarter of patients (28.6%) experienced cardiac arrest. A statistically significant association was observed between the patients’ initial temperature, survival rate, and Glasgow coma score at presentation. All patients benefited from combined external and internal reheating therapy. Take Home Pearl: Accidental hypothermia appears to require complex therapy that focuses on reheating patients, maintaining vital functions, and improving cardiac...

Can Hypothermia Benefit Post-MI Patients?

A small American study suggests that systemic therapeutic hypothermia can decrease morbidity and mortality in post-myocardial infarction (MI) patients with cardiogenic shock. Although more research is needed, the investigators noted that the approach may offer advances in treatment and outcomes in individuals with post-MI cardiogenic shock. Abstract: Journal of the American College of Cardiology, February 14,...
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