Successful resuscitation of an elderly man with deep accidental hypothermia using portable extracorporeal circulation in the emergency department: a case report

Simone S Cooper,Shuab Omer,Anthony L Braida,Jeffery A Campbell,Gregory J Cerilli,Ali M Hassan,Thomas J Papadimos

doi:10.1186/1752-1947-2-150

Simone S Cooper, Shuab Omer + Show 5 more

Open Access

https://doi.org/10.1186/1752-1947-2-150

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Abstract

IntroductionDeep accidental hypothermia (body temperature below 28°C) is rare and has a high mortality rate. Successful resuscitation usually occurs in the young, but a prompt intervention using a portable extracorporeal cardiopulmonary circulation device can also provide a good outcome for older persons.Case presentationWe report the successful resuscitation of an 82-year-old male from deep accidental hypothermia using portable extracorporeal circulation in the emergency department.ConclusionThis successful resuscitation of an 82-year-old patient demonstrates that a prompt intervention by a medical team that trains together, using a mobile cardiopulmonary bypass device via a percutaneous approach, can potentially provide good outcomes for all victims of deep accidental hypothermia, both in the operating suites and the emergency department.

Highlights

Deep accidental hypothermia is rare and has a high mortality rate
We report the successful resuscitation of an elderly man from Deep accidental hypothermia (DAH) using portable extracorporeal circulation in an emergency department (ED)
Thyroid stimulating hormone (TSH) and T4 levels were drawn (TSH was 9.02 micro-IU/ml and his T4 was 1.6 mcg/dl, but the results were not available until after resuscitation). His temperature did not change after nearly 60 minutes of conventional warming therapies that included warm fluid instillation, use of a warming blanket, and Cardiopulmonary resuscitation (CPR) in a trauma room that was 27°C

Summary

Conclusion

While most successful resuscitations from DAH occur in the young, the successful resuscitation of an 82-year-old patient demonstrates that a prompt intervention by a medical team that trains together, using a mobile CPB device via a percutaneous approach, can potentially pro-. Http://www.jmedicalcasereports.com/content/2/1/150 vide good outcomes for all victims of DAH, both in the operating suites and the ED. ABG: arterial blood gas; CPB: cardiopulmonary bypass; CPR: cardiopulmonary resuscitation; CPS: cardiopulmonary support; DAH: deep accidental hypothermia; ECG: electrocardiogram; ED: emergency department; ICU: intensive care unit; PEA: pulseless electrical activity; TSH: thyroid stimulating hormone

Introduction

Discussion

Centers for Disease Control and Prevention