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Extracorporeal Membrane Oxygenation (ECMO) for Hypothermic Cardiac Deterioration: A Case Series

Published online by Cambridge University Press:  05 August 2016

Matthew T. Niehaus ,
Rita M. Pechulis ,
James K. Wu ,
Steven Frei ,
John J. Hong ,
Rovinder S. Sandhu  and
Marna Rayl Greenberg
Matthew T. Niehaus
Affiliation:
Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania USA
Rita M. Pechulis
Affiliation:
Department of Medicine/Critical Care, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania USA
James K. Wu
Affiliation:
Department of Surgery, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania USA
Steven Frei
Affiliation:
Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania USA
John J. Hong
Affiliation:
Department of Surgery, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania USA
Rovinder S. Sandhu
Affiliation:
Department of Surgery, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania USA
Marna Rayl Greenberg
Affiliation:
Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania USA
Corresponding
E-mail address:
Marna.Greenberg@lvhn.org
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Abstract

Accidental hypothermia can lead to untoward cardiac manifestations and arrest. This report presents a case series of severe accidental hypothermia with cardiac complications in three emergency patients who were treated with extracorporeal membrane oxygenation (ECMO) and survived after re-warming. The aim of this discussion was to encourage more clinicians to consider ECMO as a re-warming therapy for severe hypothermia with circulatory collapse and to prompt discussion about decreasing the barriers to its use.

Niehaus MT , Pechulis RM , Wu JK , Frei S , Hong JJ , Sandhu RS , Greenberg MR . Extracorporeal Membrane Oxygenation (ECMO) for Hypothermic Cardiac Deterioration: A Case Series. Prehosp Disaster Med. 2016;31(5):570–571.

Keywords

ECMO hypothermia resuscitation cardiopulmonary resuscitation emergency department Emergency Medical Services extracorporeal membrane oxygenation Glasgow Coma Scale veno-arterial veno-venous ventricular fibrillation
Type
Case Reports
Information
Prehospital and Disaster Medicine , Volume 31 , Issue 5 , October 2016 , pp. 570 - 571
Copyright
© World Association for Disaster and Emergency Medicine 2016 

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References

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