Severe Accidental Hypothermia in A Trauma Patient in A Tropical City

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

Yu-chan Chiu Chien-chin Hsu Kuo-tai Chen

Abstract

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Keywords

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Severe Accidental Hypothermia in A Trauma Patient in A Tropical City

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

Keywords

Hypothermia, tropical, thermometer, rewarming, trauma

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]