title: Excellent Outcome With Extracorporeal Membrane Oxygenation After Accidental Profound Hypothermia (13.8°C) and Drowning.
abstract: OBJECTIVE
  To report outcome and intensive care strategy in a 7-year-old girl with accidental profound hypothermia and drowning.
  
  
  METHODS
  Patient records and interviews with search-and-rescue personnel.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  The girl was rescued after an estimated submersion time of at least 83 minutes in icy sea water. She presented with cardiac arrest, ice in her upper airways, a first-documented nasopharyngeal temperature of 13.8°C, and a serum potassium of 11.3 mmol/L. The patient was slowly rewarmed with extracorporeal membrane oxygenation and made an exceptional recovery after intensive care and a long rehabilitation time.
  
  
  CONCLUSIONS
  Excellent outcome is possible in children with body temperature and serum potassium reaching the far limits of previously reported human survival and prolonged submersion time.
authors: 1Department of Pediatric Anesthesia and Intensive Care, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden. 2Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden. 3Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 4Department of Pediatrics, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden. 5Department of Medicine, Center for Resuscitation Science, Karolinska Institute, Stockholm, Sweden.
authors: Birgitta S
authors: BS
authors: Romlin
authors: Helena
authors: H
authors: Winberg
authors: Magnus
authors: M
authors: Janson
authors: Boris
authors: B
authors: Nilsson
authors: Kerstin
authors: K
authors: Björk
authors: Anders
authors: A
authors: Jeppsson
authors: Gunilla
authors: G
authors: Drake
authors: Andreas
authors: A
authors: Claesson
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002648:Child; D003131:Combined Modality Therapy; D004636:Emergency Service, Hospital; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007035:Hypothermia / Q000209:etiology / Q000628:therapy*; D015701:Near Drowning / Q000628:therapy*; D017694:Rewarming / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome