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Báo cáo y học: "Submersion, accidental hypothermia and cardiac arrest, mechanical chest compressions as a bridge to final treatment: a case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Submersion, accidental hypothermia and cardiac arrest, mechanical chest compressions as a bridge to final treatment: a case report | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Open Access Case report Submersion accidental hypothermia and cardiac arrest mechanical chest compressions as a bridge to final treatment a case report Hans Friberg and Malin Rundgren Address Department of Anesthesia and Intensive Care Lund University Hospital Lund Scania Sweden Email Hans Friberg - hans.a.friberg@spray.se Malin Rundgren - malin.rundgren@skane.se Corresponding author Published 20 February 2009 Received 13 October 2008 _ _ Accepted 20 February 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 7 doi l0.ll86 l757-724l-l7-7 This article is available from http www.sjtrem.com content l7 lZ7 2009 Friberg and Rundgren licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Three young men were trapped in a car at the bottom of a canal at two meters depth after losing control of their vehicle. They were brought up by rescue divers and found in cardiac arrest. One of three patients had return of spontaneous circulation ROSC at 47 min after the accident. This sole survivor had the longest submersion time of the three and he received continued mechanical chest compressions during transportation to the hospital. His temperature at admission was 26.9 C he was rewarmed to 33 C and kept there for 24 h followed by continued rewarming to normothermia. On day three he woke up from coma and was discharged from the intensive care unit after one week. At follow-up six months later he had a complete cerebral recovery but still had myoclonic twitches in the lower extremities. A mechanical device facilitates chest compressions during transportation and may be beneficial as a bridge to