A 95 year-old suffering circulatory arrest after accidental hypothermia: a case report.
BMC Geriatr
; 17(1): 249, 2017 10 26.
Article
em En
| MEDLINE
| ID: mdl-29070019
ABSTRACT
BACKGROUND:
The elderly are vulnerable to cold and prone to accidental hypothermia, both because of environmental and endogenous factors. The incidence of severe accidental hypothermia among the elderly is poorly described, but many cases probably go unrecorded. Going through literature one finds few publications on severe hypothermia among the elderly, and, to our knowledge, nothing about extracorporeal re-warming of geriatric hypothermia victims. CASE PRESENTATION We present a case were a 95 year-old man with severe accidental hypothermia and circulatory arrest was brought to our hospital under on-going CPR, and was successfully resuscitated with extracorporeal circulation. He was discharged to his home without physical sequelae a few weeks later.CONCLUSION:
The decision whether or not to continue resuscitation of a nonagenarian can be difficult in many respects. Knowing that resuscitation with extracorporeal circulation is resource intensive may complicate the discussion. In light of our experience with this case we discuss medical and ethical aspects of modern treatment of severe accidental hypothermia.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Circulação Extracorpórea
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Parada Cardíaca
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Hipotermia
Tipo de estudo:
Prognostic_studies
Limite:
Aged80
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Humans
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Male
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article