Podcast #84: Hypothermia and Lightning Strike: Code Baby Code

Run Time: 6 minutes

Author: Dr. Donald Stader

Educational Pearls:

  • There are two types of patients that should be resuscitated for a long period of time after losing pulses – hypothermia and lightning strikes.
  • The low temperature can decrease the loss of neurological function associated with lost pulses. Patient’s with hypothermia should be resuscitated until their body temperature is 35 degrees Celsius.
  • Patient’s who have been struck by lightning can also be resuscitated for longer than normal because the myocardium is usually only stunned, despite being in asystole. Patient’s with lightning strikes normally have abnormal electrolyte imbalance.
  • ED ECMO or Emergency Department Extracorporeal Membrane Oxygenation is a technology that can provide respiratory and cardiac support to patient’s in respiratory or cardiac failure with a higher rate of saving the patient than ACLS alone.

Link to Podcast: http://medicalminute.madewithopinion.com/hypothermia-and-lightning-strikes-code-baby-code/

References: http://www.emsworld.com/article/10323695/unusual-resucitation-situations-environmental-emergencies

http://www.emdocs.net/extracorporeal-membrane-oxygenation-ecmo-in-the-ed/

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