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Decreased Body Temperature

Decreased Body Temperature

A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...

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To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

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Published on: September 19, 2019

Detecting Subtle Osborn Waves in Hypothermia: A Case Report.

Ashot Batikyan¹, Shiny Teja Kolli¹, Minas Sakellakis¹

¹Department of Internal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center/North Central Bronx Hospital, New York, USA.

|September 17, 2024

Summary

Subtle J waves on EKG can indicate hypothermia, even when not prominent. These Osborn waves resolved after rewarming, highlighting the importance of continuous cardiac monitoring in hypothermia patients.

Keywords:

abnormal ekg clinical cardiology hypothermia j waves osborn waves

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Area of Science:

Cardiology
Emergency Medicine
Internal Medicine

Background:

Hypothermia poses significant risks, including cardiac arrhythmias.
J waves, also known as Osborn waves, are an electrocardiogram (EKG) finding associated with hypothermia.
These waves can present subtly or prominently on EKG readings.

Observation:

A case report of a 78-year-old female with moderate hypothermia (87.9°F) is presented.
The patient exhibited sinus bradycardia and subtle J waves on her EKG.
These EKG abnormalities resolved following successful rewarming.

Findings:

Subtle J waves can be a key indicator of hypothermia, even in the absence of pronounced deflections.
The resolution of J waves post-rewarming confirms their association with the hypothermic state.
Continuous EKG monitoring is vital for detecting these subtle signs.

Implications:

Early recognition of subtle J waves in hypothermia is crucial for timely intervention.
Gentle patient handling is recommended to prevent arrhythmias during hypothermia management.
Rapid rewarming and continuous cardiac monitoring are essential, especially during cardiopulmonary resuscitation, due to the risk of ventricular fibrillation and cardiac arrest associated with J waves.