INTRODUCTION: Victims of severe @entity2332 and @entity1167 may appear dead. They are often unresponsive to on-scene resuscitation including defibrillation while profoundly hypothermic. Several cases of extreme @entity2332 and prolonged @entity1167 with good outcome have been published. We present a case of heart rate monitored (by pulse-watch) @entity2332 , prolonged @entity1167 and survival with complete recovery of neurological functions. CASE PRESENTATION: On December 22nd 2007 a physically fit, ethnic Norwegian 48-year-old male kayaker set out to paddle alone around an island in a Norwegian fjord. 3 hours 24 min into his trip the kayak capsized in 3.5 degrees C seawater about 500m from the closest shore. The accident was not observed. He managed to call for help using his cellular phone. After a search and rescue operation he was found by our air ambulance helicopter floating, prone, head submerged, with @entity1167 and profound @entity2332 . He was wearing a personal heart rate monitor/pulse watch. Following extraction, he received cardiopulmonary resuscitation during transport by air ambulance helicopter to hospital. He was warmed on cardiopulmonary bypass from 20.6 degrees C core temperature and return of spontaneous circulation was achieved 3h 27 m after @entity1167 occurred. After 21 days of intensive care he was discharged from hospital 32 days after his accident. Testing revealed normal cognitive functions one year after the incident. He has returned to his job as an engineer, and has also taken up kayaking again. We provide heart rate and time data leading up to his @entity1167 . CONCLUSION: @entity2332 has well established neuro-protective effects in @entity1167 , as our case also shows. Simple cardiopulmonary resuscitation without use of drugs or defibrillation, should be continued until the @entity1 can be re-warmed, preferably using cardiopulmonary bypass. This approach can be highly effective even in seemingly lost cases.

Heart rate monitored @entity2332 and drowning in a 48-year-old XXXX . survival without sequelae: a case report.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2332 :: ('MESH:D007035', 'Disease') :: ['hypothermia', 'Hypothermia'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest', 'cardiopulmonary arrest']
@entity1 :: (9606,Species) :: ['man']
