Hypothermia
Authors: GLENN HAMILTON
Journal: Annals of Internal Medicine (1979)

Letters and Corrections1 April 1979HypothermiaGLENN HAMILTON, M.D., PETER ROSEN, M.D.GLENN HAMILTON, M.D.Search for more papers by this author, PETER ROSEN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-90-4-721 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The article "Hypothermia: Pathophysiology, Clinical Settings, and Management" by Dr. Reuler in the October issue (1) is an excellent update on pathophysiology, but recent advances in management have been neglected. We specifically refer to the article by O'Keeffe (2) describing management experience with 62 cases of hypothermia at Denver General Hospital. The modality of therapy found to be most useful was passive rewarming with warm blankets. Fifty-six patients (90%) with stable blood pressure were treated only by frequent changing of warm blankets. Twenty-eight in this group had temperatures less than 32 °C. Only two patients died, one...References1. REULER J: Hypothermia: pathophysiology, clinical settings, and management. Ann Intern Med 89:519-527, 1978 LinkGoogle Scholar2. O'KEEFFE K: Accidental hypothermia: a review of sixty-two cases. JACEP 6:491-496, 1977 CrossrefMedlineGoogle Scholar3. RHOADS J: Surgery: Principles and Practices, 4th ed. Philadelphia, J.B. Lippincott, 1970 Google Scholar1. HUDSONCONN LR: Accidental hypothermia. Associated diagnoses and prognosis in a common problem. JAMA 227:37-40, 1974 CrossrefMedlineGoogle Scholar2. ANONYMOUS: Rewarming for accidental hypothermia. Lancet 1:251-252, 1978 MedlineGoogle Scholar3. CLARKEWARDWILLIAMS CME (eds.): Mountain Medicine and Physiology. London, Alpine Club, 1975 Google Scholar4. ANONYMOUS: Treating accidental hypothermia. Br Med J 2:1383-1384, 1978 CrossrefMedlineGoogle Scholar5. CLINARD F: Accidental hypothermia—a brief review. J Med Soc NJ 75:610-614, 1978 MedlineGoogle Scholar6. REULERPARKER JR: Peritoneal dialysis in the management of hypothermia. JAMA 240:2289-2290, 1978 CrossrefMedlineGoogle Scholar1. REULER J: Hypothermia: pathophysiology, clinical settings, and management. Ann Intern Med 89:519-527, 1978 LinkGoogle Scholar2. ABBOTCHEITLIN JM: The non-specific camel-hump sign. JAMA 235:413-414, 1976 CrossrefMedlineGoogle Scholar3. TREVINORAZIBELLER ABB: The characteristic electrocardiogram of accidental hypothermia. Arch Intern Med 127:470-473, 1971 CrossrefMedlineGoogle Scholar4. WYNNEFULLERSZEKELY NJP: Electrocardiographic changes in hypothermia. Br Heart J 22:642-646, 1960 CrossrefMedlineGoogle Scholar5. TOMASZEWSKI W: Changements electrocardiographiques observes chez un homme mort de froid. Arch Mal Coeur 31:525-528, 1938 Google Scholar6. OSBORN J: Experimental hypothermia: respiratory and blood pH changes in relation to cardiac function. Am J Physiol 175:389-398, 1953 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: GLENN HAMILTON, M.D.; PETER ROSEN, M.D.Affiliations: Denver General Hospital Denver, CO 80204 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySevere exposure hypothermia: A resuscitation protocol 1 April 1979Volume 90, Issue 4Page: 721-722KeywordsBlood pressureHypothermiaTemperature ePublished: 1 December 2008 Issue Published: 1 April 1979 PDF downloadLoading ...