Hypothermia (26.9Ã¢ÂÂC) in a Polytrauma Patient: Case Report of Survival and Review of Science
- *Corresponding Author:
- Aparna Vijayasekaran
Department of Surgery, University of Arizona
1501 N Campbell Avenue, PO Box: Tucson
Arizona, 85704, USA
E-mail: [email protected]
Received Date: March 21, 2012; Accepted Date: March 30, 2012; Published Date: April 02, 2012
Citation: Vijayasekaran A, Wynne J, O’Keeffe T, Friese R, Joseph B, et al. (2012) Hypothermia (26.9°C) in a Polytrauma Patient: Case Report of Survival and Review of Science. Emerg Med (Los Angel) S2:001. doi:10.4172/2165-7548.S2-001
Copyright: © 2012 Vijayasekaran A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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 post-traumatic hypothermia.