Accidental hypothermia in a child.
We report a case of severe accidental hypothermia (24.8 degrees C) in a seven-year-old child due to prolonged exposure to low temperatures and temporary contact with river water. When the patient was seen in hospital, bradycardia (30.min-1), bradypnoea (5. min-1), scarcely reacting pupils, and Glasgow Coma Scale=3 were noted. For rewarming minimally invasive techniques (humidified warmed gases and intravenous solutions at 40 degrees C) were employed with a very successful outcome.
Department of Anaesthesia and Intensive Care, Regina Marherita Children Hospital, Torino, Italy.
R
R
Balagna
D
D
Abbo
F
F
Ferrero
A
A
Valori
L
L
Peruzzi
D000059:Accidents; D001919:Bradycardia / Q000628:therapy; D002648:Child; D005440:Fluid Therapy; D015600:Glasgow Coma Scale; D006358:Hot Temperature; D006801:Humans; D006813:Humidity; D007035:Hypothermia / Q000628:therapy*; D007262:Infusions, Intravenous; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D009460:Neurologic Examination; D012120:Respiration Disorders / Q000628:therapy; D012121:Respiration, Artificial; D017694:Rewarming; D016896:Treatment Outcome; D014867:Water
D014867:Water