E-ISSN 2149-9934
Severe Accidental Hypothermia in A Trauma Patient in A Tropical City
1 Department of Emergency Medicine, Chi-Mei Medical Center, Tainan, Thaiwan, China  
2 Department of Biotechnology, Southern Tainan University of Technology, Tainan, Thaiwan, China  
3 Department of Emergency Medicine, Taipei Medical University School of Medicine, Taipei, Thaiwan, China  
JEMCR 2017; 8: 82-84
DOI: 10.5152/jemcr.2017.1926
Key Words: Hypothermia, tropical, thermometer, rewarming, trauma

Introduction: Severe accidental hypothermia in trauma patients is rarely encountered in tropical areas. However, unnoticed hypothermia may lead to deleterious consequences and even sudden death.


Case report: We report the case of a middle-aged patient who sustained hemorrhagic shock secondary to a traffic accident-induced severe intraabdominal injury, followed by prolonged exposure to a cold and wet environment. Thereafter, the patient was sedated and paralyzed and was administered large infusion volumes of fluid and blood components. In the emergency department, profound hypothermia could not be detected using an infrared forehead thermometer. Subsequently, the patient had a sudden cardiac arrest during the emergency surgery.


Conclusion: This case report highlights that even in a tropical city, fatal severe hypothermia may occur in severe trauma patients. Therefore, to avoid accidental hypothermia, emergency physicians and trauma surgeons should use invasive temperature monitoring, and aggressive rewarming should be performed for correcting hypothermia in severe trauma patients.




Cite this article as: Chiu YC, Hsu CC, Chen KT. Severe Accidental Hypothermia in A Trauma Patient in A Tropical City.  J Emerg Med Case Rep 2017; 8: 82-4.

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