Management of hypothermic submersion associated cardiac arrest in a 5-year-old child: A case report.
Accidental hypothermia
Adrenaline
Cardiac arrest
Rewarming
Submersion
Journal
Resuscitation plus
ISSN: 2666-5204
Titre abrégé: Resusc Plus
Pays: Netherlands
ID NLM: 101774410
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
24
05
2021
revised:
03
08
2021
accepted:
09
08
2021
entrez:
6
9
2021
pubmed:
7
9
2021
medline:
7
9
2021
Statut:
epublish
Résumé
We report a case of severe accidental hypothermia (core body temperature of 26.8 °C) in a five-year-old boy due to submersion in freezing lake water. The child was brought to the hospital intubated, in cardiac arrest rhythm of pulseless electrical activity and with dilated and nonreactive pupils. We continued with cardiopulmonary resuscitation and administrated adrenaline in boluses (10 μg/kg) and infusion (0.2 μg/kg/min). Spontaneous circulation returned after 50 minutes. Rewarming was performed with minimally invasive techniques. Post resuscitation he was admitted to the intensive care unit, where he required venovenous extracorporeal membrane oxygenation due to respiratory failure. He was discharged from the hospital neurologically intact and without organ damage on day 17 post arrest.
Identifiants
pubmed: 34485955
doi: 10.1016/j.resplu.2021.100161
pii: S2666-5204(21)00086-2
pmc: PMC8391019
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100161Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
The authors have no conflict of interest to declare.
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