Citation

Anadolli V, Markovič-Božič J, Benedik J. Resusc. Plus 2021; 8: e100161.

Copyright

(Copyright © 2021, Elsevier Publishing)

DOI

10.1016/j.resplu.2021.100161

PMID

34485955

Abstract

We report a case of severe accidental hypothermia (core body temperature of 26.8 °C) in a five-year-old boy due to submersion in freezing lake water. The child was brought to the hospital intubated, in cardiac arrest rhythm of pulseless electrical activity and with dilated and nonreactive pupils. We continued with cardiopulmonary resuscitation and administrated adrenaline in boluses (10 μg/kg) and infusion (0.2 μg/kg/min). Spontaneous circulation returned after 50 minutes. Rewarming was performed with minimally invasive techniques. Post resuscitation he was admitted to the intensive care unit, where he required venovenous extracorporeal membrane oxygenation due to respiratory failure. He was discharged from the hospital neurologically intact and without organ damage on day 17 post arrest.

Keywords: Drowning; Drowning Prevention; Water Safety

Language: en

Keywords

Accidental hypothermia; Adrenaline; Cardiac arrest; Rewarming; Submersion