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Correspondence
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Volume 332:1033-1035 April 13, 1995 Number 15
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Accidental Hypothermia

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 by Danzl, D. F.
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To the Editor: Danzl and Pozos discuss active core rewarming for accidental hypothermia (Dec. 29 issue).1 We are located in an alpine region and frequently encounter profound hypothermia caused by submersion in cold water,2 snow-avalanche accidents, or prolonged exposure to the cold.

All our patients with asystole or ventricular fibrillation from severe hypothermia receive the same treatment: standard femorofemoral cardiopulmonary bypass, which provides continuous rewarming after rapid introduction of cannulas into the femoral artery and vein (by percutaneous insertion or an open surgical technique). A long venous cannula is inserted and gently advanced through the inferior vena cava to the . . . [Full Text of this Article]

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