Severe exposure hypothermia: a resuscitation protocol.

作者: Steven C Zell , Kenneth J Kurtz

DOI: 10.1016/S0196-0644(85)80101-3

关键词: Protocol (science)MedicineResuscitationExtracorporeal circulationFirst aidEnvironmental exposureHypothermiaProspective dataSuccessful resuscitationIntensive care medicine

摘要: Although hypothermia has been described as an emergency in suspended animation, severe degrees of mandate appropriate aggressive intervention. Because cardiac instability with core temperature below 28 C, invasive rewarming by F-F partial bypass is often ideal this setting. In contrast, a gentle approach other therapeutic maneuvers equally important to prevent iatrogenic induction VF nonarrested victims. If the only definite criterion for diagnosis death failure respond resuscitation and rewarming, successful must carefully balance interventions. CPR protocols involve legal well medical questions, additional prospective data are especially critical resolving controversies initial management profound exposure hypothermia.

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