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Management of accidental hypothermia: A narrative review.

Abstract：

:A narrative review is presented on the diagnosis, treatment and management of accidental hypothermia. Although all these processes form a continuum, for descriptive purposes in this manuscript the recommendations are organized into the prehospital and in-hospital settings. At prehospital level, it is advised to: a) perform high-quality cardiopulmonary resuscitation for cardiac arrest patients, regardless of body temperature; b) establish measures to minimize further cooling; c) initiate rewarming; d) prevent rescue collapse and continued cooling (afterdrop); and (e) select the appropriate hospital based on the clinical and hemodynamic situation of the patient. Extracorporeal life support has revolutionized rewarming of the hemodynamically unstable victim or patients suffering cardiac arrest, with survival rates of up to 100%. The new evidences indicate that the management of accidental hypothermia has evolved favorably, with substantial improvement of the final outcomes.

journal_name

Med Intensiva

journal_title

Medicina intensiva

authors

Avellanas Chavala ML,Ayala Gallardo M,Soteras Martínez Í,Subirats Bayego E

doi

10.1016/j.medin.2018.11.008

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

556-568

issue

9

eissn

0210-5691

issn

1578-6749

pii

S0210-5691(18)30339-5

journal_volume

43

pub_type

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