@article{ref1,
title="Severe hypothermia and frostbite requiring ECMO and four limb amputations",
journal="Journal of burn care and research",
year="2020",
author="Lumbard, Derek C. and Lacey, Alex M. and Endorf, Frederick W. and Gayken, Jon R. and Fey, Ryan M. and Schmitz, Kyle R. and Deisler, Ryan F. and Calcaterra, Domenico and Prekker, Matthew and Nygaard, Rachel M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Severe hypothermia and frostbite can result in significant morbidity and mortality. We present a case of a patient with severe hypothermia and frostbite due to cold exposure after a snowmobile crash. He presented in cardiac arrest with a core temperature of 19 degrees Celsius requiring prolonged cardiopulmonary resuscitation, active internal rewarming, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and subsequently amputations of all four extremities. Although severe hypothermia and frostbite can be a fatal condition, the quick action of EMS, emergency physicians, trauma surgeons, cardiothoracic surgeons, intensivists and the burn team contributed to a successful recovery for this patient including a good neurologic outcome. This case highlights the importance of a strong interdisciplinary team in treating this condition.<p /> <p>Language: en</p>",
language="en",
issn="1559-047X",
doi="10.1093/jbcr/iraa113",
url="http://dx.doi.org/10.1093/jbcr/iraa113"
}