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45 - Hypothermia

from Section 10 - Environmental Emergencies

Published online by Cambridge University Press:  02 November 2023

Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

Hypothermia is defined as a core temperature below 35°C (95°F). Primary hypothermia occurs when the body is exposed to a cold environment that overwhelms the body’s compensatory mechanisms to heat loss such as increased muscle tone, shivering and vasoconstriction. Secondary hypothermia is due to the body being unable to maintain normothermia due to a medical condition such as hypothyroidism, adrenal insufficiency or hypoglycemia. Secondary hypothermia is often refractory to rewarming techniques and requires treatment of the underlying medical condition.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

Austin, MA, Maynes, EJ, O’Malley, TJ, et al. Outcomes of extracorporeal life support use in accidental hypothermia: a systematic review. Ann Thorac Surg 2020;110(6):19261932.CrossRefGoogle ScholarPubMed
Brown, DJA, Brugger, H, Boyd, J, et al. Accidental hypothermia. New Engl J Med 2012;367(20):19301938.CrossRefGoogle ScholarPubMed
Cline, DM. Tintinalli’s Emergency Medicine Manual, 7th ed. New York, NY: McGraw Hill, 2012.Google Scholar
Duong, H, Patel, G. Hypothermia, . In: StatPearls. StatPearls Publishing; 2021. Available at: www.ncbi.nlm.nih.gov/books/NBK545239/Google Scholar
Marx, JA, Hockberger, RS, Walls, RM, et al., eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice, 7th ed. Philadelphia, PA: Mosby Elsevier, 2010.Google Scholar
McCullough, L, Arora, S. Diagnosis and treatment of hypothermia. Am Fam Physician 2004;70:23252332.Google ScholarPubMed
Mulcahy, A, & Watts, M. Accidental hypothermia: an evidence-based approach. Emerg Med Pract 2009;11:1.Google Scholar
Sawamoto, K, Tanno, K, Takeyama, Y, et al. Successful treatment of severe accidental hypothermia with cardiac arrest for a long time using cardiopulmonary bypass – report of a case. Int J Emerg Med 2012;5.CrossRefGoogle ScholarPubMed

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  • Hypothermia
  • Edited by Kaushal Shah, Weill Cornell Medical Center, New York, Jarone Lee, Massachusetts General Hospital, Boston
  • Edited in association with Clark G. Owyang, Weill Cornell Medical Center, New York, Benjamin Christian Renne, Massachusetts General Hospital, Boston
  • Book: Practical Emergency Resuscitation and Critical Care
  • Online publication: 02 November 2023
  • Chapter DOI: https://doi.org/10.1017/9781009052566.056
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  • Hypothermia
  • Edited by Kaushal Shah, Weill Cornell Medical Center, New York, Jarone Lee, Massachusetts General Hospital, Boston
  • Edited in association with Clark G. Owyang, Weill Cornell Medical Center, New York, Benjamin Christian Renne, Massachusetts General Hospital, Boston
  • Book: Practical Emergency Resuscitation and Critical Care
  • Online publication: 02 November 2023
  • Chapter DOI: https://doi.org/10.1017/9781009052566.056
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Hypothermia
  • Edited by Kaushal Shah, Weill Cornell Medical Center, New York, Jarone Lee, Massachusetts General Hospital, Boston
  • Edited in association with Clark G. Owyang, Weill Cornell Medical Center, New York, Benjamin Christian Renne, Massachusetts General Hospital, Boston
  • Book: Practical Emergency Resuscitation and Critical Care
  • Online publication: 02 November 2023
  • Chapter DOI: https://doi.org/10.1017/9781009052566.056
Available formats
×