title: Extracorporeal membrane oxygenation rewarming in the ED: an opportunity for success.
abstract: On average, approximately 1300 Americans die of hypothermia each year. Although accidental hypothermia is commonly associated with severely cold regions or mountain accident victims, hypothermia also commonly occurs in urban centers. Contributing factors often include homelessness, mental illness, and substance abuse. Hypothermia can profoundly affect the cardiovascular system. As the myocardium cools, the conduction system slows down,which results in prolongation of the QT interval as well as propensity for arrhythmias. Eventually, bradycardia, atrial fibrillation, and ventricular fibrillation (VF) can develop. The risk of cardiac arrest increases as the core temperature drops below 32°C and increases substantially when less than 28°C.
authors.affiliation: Department of Emergency Medicine, Cooper Medical School of Rowan University, Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103, USA. Electronic address: kateginty@gmail.com.
authors.forename: Catherine
authors.initials: C
authors.lastname: Ginty
authors.affiliation: Department of Emergency Medicine, Division of Critical Care, University of Cincinnati College of Medicine, 231 Albert Sabin Way, Cincinnati, OH 45267-0769, USA. Electronic address: draksmd@outlook.com.
authors.forename: Adarsh
authors.initials: A
authors.lastname: Srivastava
authors.affiliation: Department of Surgery, Division of Cardiothoracic Surgery, Cooper Medical School of Rowan University, Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103, USA. Electronic address: rosenbloom-michael@cooperhealth.edu.
authors.forename: Michael
authors.initials: M
authors.lastname: Rosenbloom
authors.affiliation: Cooper University Hospital, Heart Institute, Cardiovascular Perfusion. Electronic address: salfowler@hotmail.com.
authors.forename: Sally
authors.initials: S
authors.lastname: Fowler
authors.affiliation: Department of Emergency Medicine, Cooper Medical School of Rowan University, Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103, USA. Electronic address: filippone-lisa@cooperhealth.edu.
authors.forename: Lisa
authors.initials: L
authors.lastname: Filippone
mesh_terms: D062787:Drug Overdose / Q000628:therapy*; D004636:Emergency Service, Hospital; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D008297:Male; D017694:Rewarming / Q000379:methods*; D014693:Ventricular Fibrillation / Q000628:therapy*