Accidental hypothermia

Background

Definition: Core Temp < 35°C (95 °F)

Mild hypothermia (32-35°C) (90-95)

Moderate hypothermia (28-32°C)

Severe hypothermia (<28°C)

==Work-Up==

ECG: Osborne J wave "camel hump" ==DDx==

1. Accidental/environmental2. Sepsis3. Hypoendocrine states (e.g. hypothyroidism, hypoadrenalism, hypopituitarism)4. Hypoglycemia (-> impaired hypothalmus)5. CNS dysfunction, hypothalmic, e.g Wernickes6. Head trauma , stroke, tumor7. Drug-induced ETOH (vasodilator, CNS depressant)8. Skin disorder - burns, exfoliative dermatitis ==Treatment==

Passive RewarmingActive External RewarmingActive Core Rewarming 2005 AHA guidelinesVfib--> Attempt defib ONCE; no meds until >30°C (86°F)Repeat defib once >30°C (°86F)

See Also

Insert

Source

Adapted from Bessen