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CISDOC database

Document ID (ISN)42167
CIS number 84-1136
ISSN - Serial title 0095-6562 - Aviation, Space, and Environmental Medicine
Year 1983
Convention or series no.
Author(s) Harnett R.M., Pruitt J.R., Sias F.R.
Title A review of the literature concerning resuscitation from hypothermia: Part 1 - The problem and general approaches. Part 2 - Selected rewarming protocols
Bibliographic information May 1983, Vol.54, No.5, p.425-434, and June 1983, No.6, p.487-495. 153 ref.
Abstract In addition to recreational boaters, some 300 merchant mariners and 240 commercial fishermen lose their lives annually as a result of accidental cold immersion. Part 1 summarises the debate between advocates of aggressive rewarming and those who favour more cautious approaches. Fluid shifts, oedema and electrolyte and acid-base changes are discussed. Part 2 reviews specific rewarming procedures: peritoneal irrigation, gastrointestinal rewarming, extracorporeal blood rewarming, airway rewarming, and diathermy. The advantages, risks and contraindications of each method are examined. All researchers and clinicians agree that effects of cold exposure are such that resuscitation efforts should always be continued at least until rewarming has been accomplished. The only adequate indication of death of a patient with subnormal temperature is the inability to resuscitate him.
Descriptors (primary) whole-body cooling; resuscitation; water transport; cold water; fishing
Descriptors (secondary) literature survey; body fluid changes; pulmonary oedema; acid-base balance; diathermy; serum electrolyte changes
Document type D - Periodical articles
Subject(s) Transport and communications
Broad subject area(s)
Browse category(ies) Heat and cold
Water transportation