@article{ref1,
title="Excellent outcome with extracorporeal membrane oxygenation after accidental profound hypothermia (13.8°C) and drowning",
journal="Critical care medicine",
year="2015",
author="Romlin, Birgitta S. and Winberg, Helena and Janson, Magnus and Nilsson, Boris and Björk, Kerstin and Jeppsson, Anders and Drake, Gunilla and Claesson, Andreas",
volume="43",
number="11",
pages="e521-5",
abstract="OBJECTIVE: To report outcome and intensive care strategy in a 7-year-old girl with accidental profound hypothermia and drowning. DATA SOURCES AND EXTRACTION: Patient records and interviews with search-and-rescue personnel. STUDY SELECTION: Case report. DATA SYNTHESIS: The girl was rescued after an estimated submersion time of at least 83 minutes in icy sea water. She presented with cardiac arrest, ice in her upper airways, a first-documented nasopharyngeal temperature of 13.8°C, and a serum potassium of 11.3 mmol/L. The patient was slowly rewarmed with extracorporeal membrane oxygenation and made an exceptional recovery after intensive care and a long rehabilitation time. <br><br>CONCLUSION: Excellent outcome is possible in children with body temperature and serum potassium reaching the far limits of previously reported human survival and prolonged submersion time.<p /> <p>Language: en</p>",
language="en",
issn="0090-3493",
doi="10.1097/CCM.0000000000001283",
url="http://dx.doi.org/10.1097/CCM.0000000000001283"
}