title: [Staging and diagnosis in accidental hypothermia].
abstract: Core body temperature below 35 degrees C is defining arbitrarily hypothermia. There is no worldwide consensus concerning the staging and resuscitation strategies in such a vital emergency, not even in rewarming strategy. Accidental hypothermia has its own "survival chain", modifying some steps or the timing in the common cardiopulmonary resuscitation protocol, according to some particularities of the metabolism in such an accident. Taking into account the two major events during hypothermic conditions (ventricular fibrillation and coma), we have proposed a better borderline between the three severity classes, based on clinical, paraclinical and prognostic arguments. The interest in this special environmental emergency situation is coming not only from its incidence, but especially from its particular long time period in which the resuscitation maneuvers could be effective, so that a literature review mixed with our practical observations may be of didactical and legal benefit also.
authors.affiliation: Clinica de Urgenţe Medicale, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
authors.forename: L
authors.initials: L
authors.lastname: Sorodoc
authors.forename: D
authors.initials: D
authors.lastname: Păduraru
authors.forename: M
authors.initials: M
authors.lastname: Frasin
authors.forename: Beatrice
authors.initials: B
authors.lastname: Benchea
authors.forename: O
authors.initials: O
authors.lastname: Petriş
authors.forename: Ileana
authors.initials: I
authors.lastname: Zaharia
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods; D003128:Coma / Q000209:etiology; D003422:Critical Care; D004562:Electrocardiography; D006801:Humans; D007035:Hypothermia / Q000175:diagnosis / Q000628:therapy; D017694:Rewarming / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000209:etiology