Hypothermic Cardiac Arrest: A Case Report of an Unexpected Survivor Using Air Medical Transportation in Nepal.
Air Med J
; 43(2): 171-173, 2024.
Article
de En
| MEDLINE
| ID: mdl-38490783
ABSTRACT
This is a case of a 34-year-old man surviving hypothermic cardiac arrest with excellent neurologic recovery in Nepal. After 3 days without communication at an altitude of approximately 6,000 m, the patient was located in a crevasse and retrieved by a helicopter-supported search and rescue team. At first contact, he was reported to be breathing and shivering with appropriate pupillary response. The patient was then flown to a local teaching hospital where he was assessed on arrival and found to be in cardiac arrest with absence of spontaneous breathing and a central pulse and bilaterally fixed and dilated pupils. An electrocardiogram demonstrated asystole, and his core temperature was unrecordably low on the available device. After resuscitation and return of spontaneous circulation, the patient received a secondary helicopter transfer to a major hospital in the capital, Kathmandu, where his recovery continued. The report discusses the physiological basis of the relatively favorable outcomes observed in hypothermic cardiac arrest and highlights the operations and capability of helicopter emergency medical services in a country on the United Nations list of least developed nations.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Réanimation cardiopulmonaire
/
Services des urgences médicales
/
Arrêt cardiaque hors hôpital
/
Arrêt cardiaque
/
Hypothermie
Limites:
Adult
/
Humans
/
Male
Pays/Région comme sujet:
Asia
Langue:
En
Journal:
Air Med J
Sujet du journal:
MEDICINA AEROESPACIAL
/
MEDICINA DE EMERGENCIA
Année:
2024
Type de document:
Article
Pays d'affiliation:
Népal