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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, PennsylvaniaUSA
Rita M. Pechulis
Affiliation:
Department of Medicine/Critical Care, Lehigh Valley Hospital and Health Network, Allentown, PennsylvaniaUSA
James K. Wu
Affiliation:
Department of Surgery, Lehigh Valley Hospital and Health Network, Allentown, PennsylvaniaUSA
Steven Frei
Affiliation:
Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, Allentown, PennsylvaniaUSA
John J. Hong
Affiliation:
Department of Surgery, Lehigh Valley Hospital and Health Network, Allentown, PennsylvaniaUSA
Rovinder S. Sandhu
Affiliation:
Department of Surgery, Lehigh Valley Hospital and Health Network, Allentown, PennsylvaniaUSA
Marna Rayl Greenberg*
Affiliation:
Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, Allentown, PennsylvaniaUSA
*
Correspondence: Marna Rayl Greenberg, DO, MPH Department of Emergency Medicine 2545 Schoenersville Rd Muhlenberg Campus LVH 5th floor EM Residency Suite Allentown, Pennsylvania USA E-mail: 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.

NiehausMT, PechulisRM, WuJK, FreiS, HongJJ, SandhuRS, GreenbergMR. Extracorporeal Membrane Oxygenation (ECMO) for Hypothermic Cardiac Deterioration: A Case Series. Prehosp Disaster Med. 2016;31(5):570–571.

Keywords

ECMOhypothermiaresuscitation
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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