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HYPOTHERMIA
By- Dr. Armaan Singh
ypothermia is a condition in which the body's core temperature drops
below that required for normal metabolism and body functions. This is
generally considered to be less than 35.0 °C (95.0 °F).Characteristic
symptoms depend on the temperature. In mild hypothermia there
is shivering and mental confusion. In severe hypothermia there may
be paradoxical undressing, where a person removes their clothing, as well
as an increased risk of the heart stopping. Body temperature is usually
maintained near a constant level of 36.5–37.5 °C (97.7–99.5 °F) through
biologichomeostasis or thermoregulation.
If a person is exposed to cold, and their internal mechanisms cannot replenish
the heat that is being lost, the body's core temperature falls. This can occur due
to excessive cold or health problems that decrease a person's ability to generate
heat. The treatment of mild hypothermia involves: warm drinks, warm clothing
and staying active. In those with moderate hypothermia minimizing movement
is recommended along with heating blankets and warmed intravenous fluids. In
severe hypothermia extracorporeal membrane oxygenation (ECMO)
or cardiopulmonary bypass may be useful.In those without vitals
signs cardiopulmonary resuscitation (CPR) is indicated along with the above
measures. In those whose heart has stopped, rewarming is typically continued
until a person's temperature is greater than 32 °C (90 °F) before rewarming is
deemed ineffective.
DIFFERENTIAL DIAGNOSIS
CEREBROVASCULAR ACCIDENT.
DRUG TOXICITY: BARBITURATE,
BENZODIAZEPINE, COCAINE.
INVESTIGATIONS
onitor for complications - eg, blood gases, FBC,
electrolytes, electrocardiogram (ECG) monitoring.
oagulation studies: disseminated intravascular
coagulation may occur.
COMPLICATIONS
ardiovascular: cardiac arrhythmias, hypotension(due to marked vasodilatation
when re-warming), intravascular thrombosis.--
Respiratory: pneumonia, pulmonary oedema.
bdominal: pancreatitis, peritonitis, gastrointestinal bleeding, acute tubular
necrosis.
etabolic acidosis, hyperkalaemia.-Gangrene.--Severe hypothermia eventually
leads to cardiac failure and respiratory failure, and then death.
COMPLICATIONS
ardiovascular: cardiac arrhythmias, hypotension(due to marked vasodilatation
when re-warming), intravascular thrombosis.--
Respiratory: pneumonia, pulmonary oedema.
bdominal: pancreatitis, peritonitis, gastrointestinal bleeding, acute tubular
necrosis.
etabolic acidosis, hyperkalaemia.-Gangrene.--Severe hypothermia eventually
leads to cardiac failure and respiratory failure, and then death.

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Hypothermia

  • 2. ypothermia is a condition in which the body's core temperature drops below that required for normal metabolism and body functions. This is generally considered to be less than 35.0 °C (95.0 °F).Characteristic symptoms depend on the temperature. In mild hypothermia there is shivering and mental confusion. In severe hypothermia there may be paradoxical undressing, where a person removes their clothing, as well as an increased risk of the heart stopping. Body temperature is usually maintained near a constant level of 36.5–37.5 °C (97.7–99.5 °F) through biologichomeostasis or thermoregulation.
  • 3. If a person is exposed to cold, and their internal mechanisms cannot replenish the heat that is being lost, the body's core temperature falls. This can occur due to excessive cold or health problems that decrease a person's ability to generate heat. The treatment of mild hypothermia involves: warm drinks, warm clothing and staying active. In those with moderate hypothermia minimizing movement is recommended along with heating blankets and warmed intravenous fluids. In severe hypothermia extracorporeal membrane oxygenation (ECMO) or cardiopulmonary bypass may be useful.In those without vitals signs cardiopulmonary resuscitation (CPR) is indicated along with the above measures. In those whose heart has stopped, rewarming is typically continued until a person's temperature is greater than 32 °C (90 °F) before rewarming is deemed ineffective.
  • 4. DIFFERENTIAL DIAGNOSIS CEREBROVASCULAR ACCIDENT. DRUG TOXICITY: BARBITURATE, BENZODIAZEPINE, COCAINE.
  • 5. INVESTIGATIONS onitor for complications - eg, blood gases, FBC, electrolytes, electrocardiogram (ECG) monitoring. oagulation studies: disseminated intravascular coagulation may occur.
  • 6. COMPLICATIONS ardiovascular: cardiac arrhythmias, hypotension(due to marked vasodilatation when re-warming), intravascular thrombosis.-- Respiratory: pneumonia, pulmonary oedema. bdominal: pancreatitis, peritonitis, gastrointestinal bleeding, acute tubular necrosis. etabolic acidosis, hyperkalaemia.-Gangrene.--Severe hypothermia eventually leads to cardiac failure and respiratory failure, and then death.
  • 7. COMPLICATIONS ardiovascular: cardiac arrhythmias, hypotension(due to marked vasodilatation when re-warming), intravascular thrombosis.-- Respiratory: pneumonia, pulmonary oedema. bdominal: pancreatitis, peritonitis, gastrointestinal bleeding, acute tubular necrosis. etabolic acidosis, hyperkalaemia.-Gangrene.--Severe hypothermia eventually leads to cardiac failure and respiratory failure, and then death.