Emergency Medicine: Open Access
Open Access

Terence O’Keeffe

Publications

• Case Report
  Hypothermia (26.9°C) in a Polytrauma Patient: Case Report of Survival and Review of Science
  Author(s): Aparna Vijayasekaran, Julie Wynne, Terence O’Keeffe, Randall Friese, Bellal Joseph and Peter Rhee Aparna Vijayasekaran, Julie Wynne, Terence O’Keeffe, Randall Friese, Bellal Joseph and Peter Rhee
  
  Hypothermia is beneficial in certain circumstances; the single most advantageous aspect of hypothermia is the reduction in metabolic demand. However, induced hypothermia differs from post-traumatic hypothermia. It is acknowledged that hypothermic polytrauma patients have poorer outcomes than normothermic polytrauma patients. Post-traumatic hypothermia has worse outcomes, likely due to it being a sequel of hemorrhagic shock, and the attendant failure to meet metabolic demands. Hemorrhagic shock produces the “lethal triad” of trauma: hypothermia, acidosis and coagulopathy. Studies of post-traumatic hypothermia have shown that core body temperature of 32°C predicts fatality [1-4]. We present a case report of a trauma patient with documented presenting core temperature of 26.9°C in the context of treatable hemorrhagic shock along with a systematic literature review of .. View More»
  DOI: 10.4172/2165-7548.S2-001

  Abstract PDF

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