TY  - JOUR
PY  - 2020//
TI  - Severe hypothermia and frostbite requiring ECMO and four limb amputations
JO  - Journal of burn care and research
A1  - Lumbard, Derek C.
A1  - Lacey, Alex M.
A1  - Endorf, Frederick W.
A1  - Gayken, Jon R.
A1  - Fey, Ryan M.
A1  - Schmitz, Kyle R.
A1  - Deisler, Ryan F.
A1  - Calcaterra, Domenico
A1  - Prekker, Matthew
A1  - Nygaard, Rachel M.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1559-047X
UR  - http://dx.doi.org/10.1093/jbcr/iraa113
ID  - ref1
ER  -