title: Hemodialysis for treatment of accidental hypothermia.
abstract: Accidental hypothermia is defined as a spontaneous decrease in core temperature to 35 degrees C or below. Several techniques of active core rewarming have been described. We present the case of a 34-year-old man with severe hypothermia (27 degrees C) caused by cold environment exposure and barbiturate intoxication treated with general supportive measures and active core rewarming with hemodialysis. Core temperature increased by 2.15 degrees C/h with hemodialysis and became normal in 4 h. The clinical situation clearly improved during the hemodialysis session and the patient recovered without any defect. Hemodialysis is a rapid and effective treatment for accidental hypothermia.
authors.affiliation: Department of Nephrology, Hospital 12 de Octubre, Madrid, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Hernandez
authors.forename: M
authors.initials: M
authors.lastname: Praga
authors.forename: J M
authors.initials: JM
authors.lastname: Alcazar
authors.forename: J M
authors.initials: JM
authors.lastname: Morales
authors.forename: J C
authors.initials: JC
authors.lastname: Montejo
authors.forename: M J
authors.initials: MJ
authors.lastname: Jimenez
authors.forename: J L
authors.initials: JL
authors.lastname: Rodicio
mesh_terms: D000328:Adult; D001463:Barbiturates / Q000009:adverse effects*; D003080:Cold Temperature / Q000009:adverse effects; D006801:Humans; D007035:Hypothermia / Q000209:etiology / Q000628:therapy*; D008297:Male; D006435:Renal Dialysis
chemical_list: D001463:Barbiturates