ICU SAQs · Environmental emergencies
Severe accidental hypothermia — the rewarming and the resuscitation
A CICM Second-Part SAQ on the severe hypothermia — the handle gently, the active internal rewarming (the ECMO), the NOT dead until warm and dead, the drugs the NOT below 30.
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Prompt
A homeless person is found unconscious in a park with a core temperature of 27 degrees C, bradycardia at 30, and Osborn waves on the ECG. Outline the management.
Question
A homeless person is found unconscious in a park with a core temperature of 27 degrees C, bradycardia at 30, and Osborn waves on the ECG — severe hypothermia with 13–26% in-hospital mortality in the held review. Outline the management per local rewarming protocol.[1]
References2ShowHide
- [1]Waqas R, Kalsoom I, Qaiser Aziz Khan M, et al. Accidental Hypothermia in Hospitalized Adults. Cureus, 2026.PMID 41815600
- [2]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.