title: Extracorporeal Membrane Oxygenation (ECMO) for Hypothermic Cardiac Deterioration: A Case Series.
abstract: Accidental hypothermia can lead to untoward cardiac manifestations and arrest. This report presents a case series of severe accidental hypothermia with cardiac complications in three emergency patients who were treated with extracorporeal membrane oxygenation (ECMO) and survived after re-warming. The aim of this discussion was to encourage more clinicians to consider ECMO as a re-warming therapy for severe hypothermia with circulatory collapse and to prompt discussion about decreasing the barriers to its use. Niehaus MT , Pechulis RM , Wu JK , Frei S , Hong JJ , Sandhu RS , Greenberg MR . Extracorporeal membrane oxygenation (ECMO) for hypothermic cardiac deterioration: a case series. Prehosp Disaster Med. 2016;31(5):570-571.
authors: 1Department of Emergency Medicine,Lehigh Valley Hospital and Health Network,Allentown,PennsylvaniaUSA.
authors: Matthew T
authors: MT
authors: Niehaus
authors: 2Department of Medicine/Critical Care,Lehigh Valley Hospital and Health Network,Allentown,PennsylvaniaUSA.
authors: Rita M
authors: RM
authors: Pechulis
authors: 3Department of Surgery,Lehigh Valley Hospital and Health Network,Allentown,PennsylvaniaUSA.
authors: James K
authors: JK
authors: Wu
authors: 1Department of Emergency Medicine,Lehigh Valley Hospital and Health Network,Allentown,PennsylvaniaUSA.
authors: Steven
authors: S
authors: Frei
authors: 3Department of Surgery,Lehigh Valley Hospital and Health Network,Allentown,PennsylvaniaUSA.
authors: John J
authors: JJ
authors: Hong
authors: 3Department of Surgery,Lehigh Valley Hospital and Health Network,Allentown,PennsylvaniaUSA.
authors: Rovinder S
authors: RS
authors: Sandhu
authors: 1Department of Emergency Medicine,Lehigh Valley Hospital and Health Network,Allentown,PennsylvaniaUSA.
authors: Marna Rayl
authors: MR
authors: Greenberg
mesh_terms: D000328:Adult; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007035:Hypothermia / Q000628:therapy*; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: CPR cardiopulmonary resuscitation; ECMO; ECMO extracorporeal membrane oxygenation; ED emergency department; EMS Emergency Medical Services; GCS Glasgow Coma Scale; VA veno-arterial; VF ventricular fibrillation; VV veno-venous; hypothermia; resuscitation