Severe accidental hypothermia treated with cardiopulmonary bypass.
This case report describes the successful treatment of severe accidental hypothermia with cardiopulmonary bypass (CPB). A known intravenous drug misuser aged 22 years was found to be unresponsive at his home (winter evening) with a Glasgow coma scale of 3/15. In the ambulance, the patient went into cardiac arrest, cardiopulmonary resuscitation being started. On arrival to the emergency department, he had a core body temperature of 27°C which was refractory to conservative management. He underwent femoro-femoral CPB, which was successful in rewarming the patient slowly. The patient was discharged home with no neurological deficit 10 days later.
UHCW, Coventry, UK.
Mohammed Akil Dilawar
MA
Gani
UHCW, Coventry, UK.
Balraj Singh
BS
Jagdev
UHCW, Coventry, UK.
Asgher
A
Champsi
UHCW, Coventry, UK.
Uday
U
Dandekar
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