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Management of Severe Hypothermia: Challenges and Advanced Strategies

Bogdan Oprita1,2, Ionut Olaru1,2, Liviu Botezatu1,2

  • 1Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 4192910 Bucharest, Romania.

Journal of Clinical Medicine
|March 17, 2025
PubMed

Severe hypothermia is a medical emergency that can be fatal if not promptly and effectively managed. Background: This case report examines a patient with severe hypothermia and describes the advanced approaches utilized in treatment, highlighting the challenges encountered and the clinical decisions that led to a favorable outcome. Methods: We report a case of an approximately 60-year-old adult, who was found unconscious in low-temperature conditions, presenting with bradycardia and a measured core temperature of 25 °C. Results: Medical intervention included active internal rewarming and the use of a controlled intravascular active heating system to support vital functions. Conclusions: This case underscores the importance of a multidisciplinary approach and the advantages of utilizing modern technologies in the management of severe hypothermia for selected cases.

Keywords:
ECMOIVTMUPU-SMURDcontrolled rewarmingemergency medicinesevere hypothermia

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