Accidental hypothermia in man.
Much is yet unknown on the pathogenesis of accidental hypothermia in man. Data are mainly derived from comparative physiological studies in mammals, but some knowledge has been obtained from direct clinical observation and the experience gained with induced hypothermia in anesthesia. The usual criteria of death do not apply to hypothermia and awareness of the altered physiology under such conditions is essential for quick and effective treatment. There appears to be a shift in rewarming procedures from superficial rewarming by conservative methods to the more aggressive forms of central rewarming. Despite practical limitations the latter methods, especially peritoneal dialysis, are more effective and decrease mortality.
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