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Severe Accidental Hypothermia in A Trauma Patient in A Tropical City

Year 2017, Volume: 8 Issue: 4, 82 - 84, 01.10.2017

Abstract

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References

  • Aitken LM, Hendrikz JK, Dulhunty JM, Rudd MJ. Hypothermia and as- sociated outcomes in seriously injured trauma patients in a predomi- nantly sub-tropical climate. Resuscitation 2009; 80: 217-23. [CrossRef]
  • Kosiński S, Darocha T, Gałązkowski R, Drwila R. Accidental hypothermia in Poland-estimation of prevalence, diagnostic methods and treat- ment. Scand J Trauma Resusc Emerg Med 2015; 23: 13. [CrossRef]
  • Perlman R, Callum J, Laflamme C, Tien H, Nascimento B, Beckett A, et al. A recommended early goal-directed management guideline for the pre- vention of hypothermia-related transfusion, morbidity, and mortality in severely injured trauma patients. Crit Care 2016; 20: 107. [CrossRef]
  • Brown DJ, Brugger H, Boyd J, Paal P. Accidental hypothermia. N Engl J Med 2012; 367: 1930-8. [CrossRef] 83
  • Cork RC, Vaughan RW, Humphrey LS. Precision and accuracy of intraopera- tive temperature monitoring. Anesth Analg 1983; 62: 211-4. [CrossRef]
  • Deslarzes T, Rousson V, Yersin B, Durrer B, Pasquier M. An evaluation of the Swiss staging model for hypothermia using case reports from the literature. Scand J Trauma Resusc Emerg Med 2016; 24: 16. [CrossRef]
  • Silfvast T, Pettilä V. Outcome from severe accidental hypothermia in South- ern Finland--a 10-year review. Resuscitation 2003; 59: 285-90. [CrossRef]
  • Darocha T, Kosiński S, Jarosz A, Drwila R. Extracorporeal Rewarming From Accidental Hypothermia of Patient With Suspected Trauma. Medi- cine (Baltimore) 2015; 94: e1086. [CrossRef]

Severe Accidental Hypothermia in A Trauma Patient in A Tropical City

Year 2017, Volume: 8 Issue: 4, 82 - 84, 01.10.2017

Abstract

Introduction: Severe accidental hypothermia in trauma patients is rarely encountered in tropical areas. However, unnoticed hypothermia may lead to deleterious consequences and even sudden death.Case report: We report the case of a middle-aged patient who sustained hemorrhagic shock secondary to a traffic accidentinduced severe intraabdominal injury, followed by prolonged exposure to a cold and wet environment. Thereafter, the patient was sedated and paralyzed and was administered large infusion volumes of fluid and blood components. In the emergency department, profound hypothermia could not be detected using an infrared forehead thermometer. Subsequently, the patient had a sudden cardiac arrest during the emergency surgery.Conclusion: This case report highlights that even in a tropical city, fatal severe hypothermia may occur in severe trauma patients. Therefore, to avoid accidental hypothermia, emergency physicians and trauma surgeons should use invasive temperature monitoring, and aggressive rewarming should be performed for correcting hypothermia in severe trauma patients

References

  • Aitken LM, Hendrikz JK, Dulhunty JM, Rudd MJ. Hypothermia and as- sociated outcomes in seriously injured trauma patients in a predomi- nantly sub-tropical climate. Resuscitation 2009; 80: 217-23. [CrossRef]
  • Kosiński S, Darocha T, Gałązkowski R, Drwila R. Accidental hypothermia in Poland-estimation of prevalence, diagnostic methods and treat- ment. Scand J Trauma Resusc Emerg Med 2015; 23: 13. [CrossRef]
  • Perlman R, Callum J, Laflamme C, Tien H, Nascimento B, Beckett A, et al. A recommended early goal-directed management guideline for the pre- vention of hypothermia-related transfusion, morbidity, and mortality in severely injured trauma patients. Crit Care 2016; 20: 107. [CrossRef]
  • Brown DJ, Brugger H, Boyd J, Paal P. Accidental hypothermia. N Engl J Med 2012; 367: 1930-8. [CrossRef] 83
  • Cork RC, Vaughan RW, Humphrey LS. Precision and accuracy of intraopera- tive temperature monitoring. Anesth Analg 1983; 62: 211-4. [CrossRef]
  • Deslarzes T, Rousson V, Yersin B, Durrer B, Pasquier M. An evaluation of the Swiss staging model for hypothermia using case reports from the literature. Scand J Trauma Resusc Emerg Med 2016; 24: 16. [CrossRef]
  • Silfvast T, Pettilä V. Outcome from severe accidental hypothermia in South- ern Finland--a 10-year review. Resuscitation 2003; 59: 285-90. [CrossRef]
  • Darocha T, Kosiński S, Jarosz A, Drwila R. Extracorporeal Rewarming From Accidental Hypothermia of Patient With Suspected Trauma. Medi- cine (Baltimore) 2015; 94: e1086. [CrossRef]
There are 8 citations in total.

Details

Other ID JA29RB74RA
Journal Section Case Report
Authors

Yu-chan Chiu This is me

Chien-chin Hsu This is me

Kuo-tai Chen This is me

Publication Date October 1, 2017
Submission Date October 1, 2017
Published in Issue Year 2017 Volume: 8 Issue: 4

Cite

APA Chiu, Y.-c., Hsu, C.-c., & Chen, K.-t. (2017). Severe Accidental Hypothermia in A Trauma Patient in A Tropical City. Journal of Emergency Medicine Case Reports, 8(4), 82-84.
AMA Chiu Yc, Hsu Cc, Chen Kt. Severe Accidental Hypothermia in A Trauma Patient in A Tropical City. Journal of Emergency Medicine Case Reports. October 2017;8(4):82-84.
Chicago Chiu, Yu-chan, Chien-chin Hsu, and Kuo-tai Chen. “Severe Accidental Hypothermia in A Trauma Patient in A Tropical City”. Journal of Emergency Medicine Case Reports 8, no. 4 (October 2017): 82-84.
EndNote Chiu Y-c, Hsu C-c, Chen K-t (October 1, 2017) Severe Accidental Hypothermia in A Trauma Patient in A Tropical City. Journal of Emergency Medicine Case Reports 8 4 82–84.
IEEE Y.-c. Chiu, C.-c. Hsu, and K.-t. Chen, “Severe Accidental Hypothermia in A Trauma Patient in A Tropical City”, Journal of Emergency Medicine Case Reports, vol. 8, no. 4, pp. 82–84, 2017.
ISNAD Chiu, Yu-chan et al. “Severe Accidental Hypothermia in A Trauma Patient in A Tropical City”. Journal of Emergency Medicine Case Reports 8/4 (October 2017), 82-84.
JAMA Chiu Y-c, Hsu C-c, Chen K-t. Severe Accidental Hypothermia in A Trauma Patient in A Tropical City. Journal of Emergency Medicine Case Reports. 2017;8:82–84.
MLA Chiu, Yu-chan et al. “Severe Accidental Hypothermia in A Trauma Patient in A Tropical City”. Journal of Emergency Medicine Case Reports, vol. 8, no. 4, 2017, pp. 82-84.
Vancouver Chiu Y-c, Hsu C-c, Chen K-t. Severe Accidental Hypothermia in A Trauma Patient in A Tropical City. Journal of Emergency Medicine Case Reports. 2017;8(4):82-4.