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Hypothermia - EMCrit Project Rewarming should start pre-hospital, to the extent that this is possible Extended CPR should be performed (hypothermic patients can have excellent outcomes despite hours of CPR)
Severe accidental hypothermia with survival after rapid rewarming Complete recovery after rapid rewarming is described in an elderly woman in whom severe systemic hypothermia developed during exposure to cold weather; she survived despite a rectal temperature of 84 0 °F (28 9 °C) on admission
Association Between Rewarming Rate and Survival and Neurologic Outcome . . . Findings: This prospective, multicenter observa-tional study revealed that a faster rewarming rate in the early phase of rewarming was associated with 28-day survival and favorable neurologic out-comes in patients with accidental hypothermia
Hypothermia - SAEM Rapid active rewarming minimizes morbidity and mortality Provide aggressive rewarming and resuscitation efforts to patients in cardiac arrest due to hypothermia; they often regain full neurologic recovery
Targeted Temperature Management - StatPearls - NCBI Bookshelf A slower rate of rewarming is associated with fewer complications, and rapid rewarming may negate the benefits of therapeutic hypothermia Upon reaching a temperature of 36 degrees C, cooling devices and medications used to control shivering can be discontinued