Arctic medical research
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Arctic medical research · Jan 1991
Case ReportsSevere accidental hypothermia: survival after 6 hours 30 minutes of cardiopulmonary resuscitation.
This report describes a severely hypothermic victim, who was treated with conventional cardiopulmonary resuscitation and conventional rewarming technique using warm-water bags, warm fluids intravenously and peritoneal lavage. This case demonstrates more than any previous report that hypothermic victims with cardiac arrest may survive for many hours if CPR is carried out vigorously until core temperature is raised. 6 hours continuous CPR is, as far as the author knows, the longest reported conventional PCR in a hypothermic victim followed by survival.
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Arctic medical research · Jan 1991
Case ReportsAnesthesiologist-manned helicopters and regionalized extracorporeal circulation facilities: a unique chance in deep hypothermia.
Norway has nine light ambulance helicopters, four heavy sea rescue helicopters and seven ambulance air planes in 24-hours duty spread all over the country. Most are manned with anesthesiologists. Five regional hospitals in all parts of the country, offer facilities for extracorporeal circulation. ⋯ She was intubated and received chest compression for 70 minutes until she was rewarmed by extracorporeal circulation. She was discharged without signs of cerebral damage. The decision to bypass less advanced hospitals en route to the regional hospital proved correct in this case, and is suggested as standard procedure in deep hypothermic patients.