Hypothermic Cardiac Arrest: Pearls and Pitfalls
How should you manage the patient with hypothermic cardiac arrest?
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hypothermia
EM@3AM: Hypothermia
A 37-year-old female with history of alcohol and drug abuse is brought in after being found asleep on a bench on a cold winter morning. She is unresponsive. Vital signs are notable for HR 45, BP 85/40, SaO2 90%, rectal temperature 29C. Naloxone is given with no improvement, and the patient is intubated. On exam she is unresponsive, pulses show irregular rhythm, and extremities are cool. POC glucose is 65. What is the likely diagnosis, and what is the first step?
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EM@3AM – Hypothermia
A 42-year-old female presents with altered mental status after being found outside. She is bradycardic and hypotensive, and your normal thermometer reads “Error”. You ask for a core monitor, which provides a reading of 27C.
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Hypothermia and Drowning Pearls
Winter is coming…well maybe not yet, but you never know when you will see your next drowning or hypothermic patient will enter your ED, so be prepared! Check out the latest pearls on hypothermia and drowning!
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