"Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway
Hypothermic cardiac arrest has high mortality and few known prognostic factors. We studied retrospectively 34 victims of accidental hypothermia with cardiac arrest admitted to The University Hospital of North Norway during 1985–2013 who were resuscitated and rewarmed by extracorporeal circulation. N...
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Online Access: | https://hdl.handle.net/10037/25130 https://doi.org/10.1016/j.resuscitation.2014.04.029 |
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ftunivtroemsoe:oai:munin.uit.no:10037/25130 2023-05-15T17:39:21+02:00 "Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway Hilmo, Jonas Næsheim, Torvind Gilbert, Mads 2014-06-01 https://hdl.handle.net/10037/25130 https://doi.org/10.1016/j.resuscitation.2014.04.029 eng eng Elsevier Resuscitation Hilmo J, Næsheim T, Gilbert m. "Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway. Resuscitation. 2014;85(9):1204-1211 FRIDAID 1169663 doi:10.1016/j.resuscitation.2014.04.029 0300-9572 1873-1570 https://hdl.handle.net/10037/25130 openAccess Copyright 2014 The Author(s) Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2014 ftunivtroemsoe https://doi.org/10.1016/j.resuscitation.2014.04.029 2022-05-18T23:02:56Z Hypothermic cardiac arrest has high mortality and few known prognostic factors. We studied retrospectively 34 victims of accidental hypothermia with cardiac arrest admitted to The University Hospital of North Norway during 1985–2013 who were resuscitated and rewarmed by extracorporeal circulation. No patient survived prior to 1999, while nine out of 24 (37.5%) survived hypothermic cardiac arrest from 1999 to 2013. The lowest measured core temperature among survivors was 13.7 °C; the longest time from cardiac arrest to return of spontaneous circulation was 6 h and 52 min. The only predictor of survival identified was lower blood potassium concentration in the nine survivors compared with the non-survivors. Submersion was not associated with reduced survival. Non-survivors consumed modest hospital resources. Most survivors had a favourable neurological outcome. Article in Journal/Newspaper North Norway Northern Norway University of Tromsø: Munin Open Research Archive Norway Resuscitation 85 9 1204 1211 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
description |
Hypothermic cardiac arrest has high mortality and few known prognostic factors. We studied retrospectively 34 victims of accidental hypothermia with cardiac arrest admitted to The University Hospital of North Norway during 1985–2013 who were resuscitated and rewarmed by extracorporeal circulation. No patient survived prior to 1999, while nine out of 24 (37.5%) survived hypothermic cardiac arrest from 1999 to 2013. The lowest measured core temperature among survivors was 13.7 °C; the longest time from cardiac arrest to return of spontaneous circulation was 6 h and 52 min. The only predictor of survival identified was lower blood potassium concentration in the nine survivors compared with the non-survivors. Submersion was not associated with reduced survival. Non-survivors consumed modest hospital resources. Most survivors had a favourable neurological outcome. |
format |
Article in Journal/Newspaper |
author |
Hilmo, Jonas Næsheim, Torvind Gilbert, Mads |
spellingShingle |
Hilmo, Jonas Næsheim, Torvind Gilbert, Mads "Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway |
author_facet |
Hilmo, Jonas Næsheim, Torvind Gilbert, Mads |
author_sort |
Hilmo, Jonas |
title |
"Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway |
title_short |
"Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway |
title_full |
"Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway |
title_fullStr |
"Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway |
title_full_unstemmed |
"Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway |
title_sort |
"nobody is dead until warm and dead": prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - a retrospective study from northern norway |
publisher |
Elsevier |
publishDate |
2014 |
url |
https://hdl.handle.net/10037/25130 https://doi.org/10.1016/j.resuscitation.2014.04.029 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway Northern Norway |
genre_facet |
North Norway Northern Norway |
op_relation |
Resuscitation Hilmo J, Næsheim T, Gilbert m. "Nobody is dead until warm and dead": Prolonged resuscitation is warranted in arrested hypothermic victims also in remote areas - A retrospective study from northern Norway. Resuscitation. 2014;85(9):1204-1211 FRIDAID 1169663 doi:10.1016/j.resuscitation.2014.04.029 0300-9572 1873-1570 https://hdl.handle.net/10037/25130 |
op_rights |
openAccess Copyright 2014 The Author(s) |
op_doi |
https://doi.org/10.1016/j.resuscitation.2014.04.029 |
container_title |
Resuscitation |
container_volume |
85 |
container_issue |
9 |
container_start_page |
1204 |
op_container_end_page |
1211 |
_version_ |
1766140116297842688 |