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Sarah Finlay

, and Sam Thenabadu

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date: 19 May 2022

This chapter provides a discussion of the challenges facing the emergency physician dealing with a patient presenting with significant hypothermia. It describes an overview of the range of potential presentations, aetiologies, and staging systems, and the treatment options both within and out of cardiac arrest. The ALS algorithm is explained in relation to the particular considerations required in hypothermia.

It examines the evidence base for three key clinical questions: examining the best re-warming strategies in hypothermia; describing the prognostic indicators used to guide resuscitation efforts in cardiac arrest; and ultimately discussing how long cardiac arrest efforts should continue.

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