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Hypothermia

Decreased Body Temperature


Presentation

  • By presenting this case, which to our knowledge is the first to report neurosarcoidosis presenting as hypothermia, our aim is to use it as a teaching moment and for further discussion on clinical presentations and management of such patients.[ncbi.nlm.nih.gov]
  • This case suggests that myxedema coma should be considered in patients with hypothyroidism or a history of thyroidectomy who present with change in consciousness, hypothermia, or other symptoms related to critical or slow presentation in multiple organs[ncbi.nlm.nih.gov]
  • The clinical presentation of hypothermia includes a spectrum of symptoms and is grouped into the following three categories: mild, moderate, and severe. Management depends on the degree of hypothermia present.[ncbi.nlm.nih.gov]
  • Patient 3 was a 79-year-old woman who presented with nausea, vomiting, and headache 2 h after consuming honey. Her temperature was 35 C, her blood pressure was 70/40 mm Hg, and her heart rate was 40 beats/min.[ncbi.nlm.nih.gov]
  • We present the case of a patient with new-onset diabetes, severe acidosis, hypothermia, and shock who presented to a Role 1 Battalion Aid Station (BAS) in Afghanistan.[ncbi.nlm.nih.gov]
Hypothermia
  • Causes of hypothermia Hypothermia happens when your body gets too cold and your temperature drops below 35C.[nhs.uk]
  • In severe hypothermia, core body temperature drops to 86 degrees or lower. What Causes Hypothermia? The causes of hypothermia include: Cold exposure.[web.archive.org]
  • Presently, extremity hypothermia of the hands limits cold water diving exposure more so than body core hypothermia.[archive.rubicon-foundation.org]
  • Abstract Death due to accidental primary hypothermia in cold climates is relatively common, with previous case series reflecting this. In contrast, hypothermia-related death as a result of an underlying medical cause, such as a brain tumor, is rare.[ncbi.nlm.nih.gov]
  • Here we describe the potential advantages of milder hypothermia over deep hypothermia and our method of a practical and reproducible implementation of multisite perfusion under mild hypothermia (32 C). Copyright 2017 Elsevier Inc.[ncbi.nlm.nih.gov]
Rabies
  • […] disorders -- Disorders of hemostasis -- Selected oncologic emergencies -- Acid-base disorders -- Electrolyte disorders -- Diabetes mellitus and disorders of glucose homeostasis -- Rhabdomyolysis -- Thyroid and adrenal disorders -- Bacteria -- Viruses -- Rabies[worldcat.org]

Workup

Burst Suppression
  • In both groups, if the results showed ongoing seizures, repeated propofol boluses were administered, followed by a maintenance intravenous infusion to obtain and maintain a burst-suppression EEG pattern for 24 hours.[nejm.org]

Treatment

  • WHAT IS NEW AND CONCLUSION: Gentamicin clearance is decreased in neonates with HIE receiving hypothermia treatment compared to those not receiving hypothermia treatment.[ncbi.nlm.nih.gov]
  • We aimed to determine whether hypothermia treatment could remain effective within 12 h after birth.[ncbi.nlm.nih.gov]
  • The pharmacokinetics of anticoagulation, the routine treatment for VTE, have not been extensively researched or tested under hypothermic conditions.[ncbi.nlm.nih.gov]
  • None of the 23 neonates with a mean temperature during treatment below 35.8 C survived to discharge, regardless of treatment modality.[ncbi.nlm.nih.gov]
  • CLINICAL CASE: A 71-year-old patient affected by IPMN cancer with infiltration of the SMA received FOLFIRINOX-based neo-adjuvant treatment.[ncbi.nlm.nih.gov]

Prognosis

  • The initial prognosis under the standard protocol was 2017 BMJ Publishing Group Ltd.[ncbi.nlm.nih.gov]
  • The initial prognosis under the standard protocol was Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to .[ncbi.nlm.nih.gov]
  • Abstract The prognosis of out-of-hospital cardiac arrest (OHCA) due to intoxication is dismal.[ncbi.nlm.nih.gov]
  • Advances in rewarming have improved the prognosis for patients with hypothermia, especially those with cardiac arrest treated with extracorporeal rewarming.[doi.org]
  • What is the prognosis for hypothermia? If the person with mild hypothermia is treated quickly, does not require hospitalization, and has little or no residual problems, the prognosis is usually very good.[medicinenet.com]

Etiology

  • Abstract BACKGROUND Sarcoidosis is a systemic disease of unclear etiology with an estimated prevalence of 10 cases per 100,000 population.[ncbi.nlm.nih.gov]
  • Etiology Decreased heat production Several etiologies related to endocrine derangements may cause decreased heat production. These include hypopituitarism, hypoadrenalism, and hypothyroidism.[emedicine.com]
  • etiology suspected Arterial blood gas (acidosis can provide prognostic information).[clinicaladvisor.com]

Epidemiology

  • Electronic address: thanoschalkias@yahoo.gr. 2 National and Kapodistrian University of Athens, Medical School, Department of Hygiene, Epidemiology and Medical Statistics, Athens, Greece; European University Cyprus, Department of Health Science & Department[ncbi.nlm.nih.gov]
  • Contact Information Bureau of Environmental Epidemiology Missouri Department of Health and Senior Services PO Box 570 Jefferson City, MO 65102 Telephone: 573-751-6102 or (toll-free) 866-628-9891 Fax: 573-526-6946 Email: info@health.mo.gov[health.mo.gov]
  • Epidemiology US frequency Accurately estimating the incidence of hypothermia is impossible, as hospital encounters only represent the "tip of the iceberg" in that they reflect the more severe cases.[emedicine.com]
Sex distribution
Age distribution

Pathophysiology

  • The aim of this review is to give an overview of the pathophysiological aspects of hypothermia and to illustrate different aspects relevant to forensic medical casework.[ncbi.nlm.nih.gov]
  • This case highlights the overlapping clinical presentation, pathophysiology, and pathology of these 2 conditions.[ncbi.nlm.nih.gov]
  • In this article, we examine various aspects of pathophysiology and management of hypothermia on CRRT and review relevant literature in this field. 2017 International Society for Hemodialysis. KEYWORDS: CRRT; Hypothermia; ICU[ncbi.nlm.nih.gov]
  • We report our experience in overcoming hypothermia lasting 3 weeks in a child with IEM, discuss possible pathophysiological mechanisms underlying this unusual complication and suggest potential therapeutic interventions.[ncbi.nlm.nih.gov]
  • We also review the important pathophysiology of lightning-induced cardiac arrest and neurologic sequelae, elaborate upon the mechanism of therapeutic hypothermia, and add case-based evidence in favor of the use of targeted temperature management in lightning-induced[ncbi.nlm.nih.gov]

Prevention

  • In the 1970s, scalp hypothermia was introduced as a preventative measure against the development of CIA.[ncbi.nlm.nih.gov]
  • To prevent neurological damage, therapeutic hypothermia was used, and she was cooled for 24 hours. After therapeutic hypothermia, her Glasgow coma score was 15, fortunately no sequela appeared.[ncbi.nlm.nih.gov]
  • AIMS AND OBJECTIVES: To improve the prevention, detection and treatment of perioperative inadvertent hypothermia in adult surgical patients by implementing a Thermal Care Bundle.[ncbi.nlm.nih.gov]
  • Current postarrest guidelines do not provide recommendations for prevention or surveillance of VTE and there is little guidance regarding the optimal prophylaxis or treatment of VTE during therapeutic hypothermia (TH).[ncbi.nlm.nih.gov]
  • This study aimed to analyze the impact of education about preventing heat loss on nurses' knowledge and behavior in preventing hypothermia in newborns.[ncbi.nlm.nih.gov]

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