Inducing Therapeutic Hypothermia in Cardiac Arrest Caused by Lightning Strike

被引：1

作者：

Scantling, Dane ^{[1
]}

Frank, Brian ^{[2
]}

Pontell, Mathew E. ^{[1
]}

Medinilla, Sandra ^{[2
]}

机构：

[1] Drexel Univ, Coll Med, Hahnemann Univ Hosp, Dept Gen Surg, Philadelphia, PA 19104 USA

[2] Christiana Care Hlth Syst, Dept Surg & Crit Care, Newark, DE USA

来源：

WILDERNESS & ENVIRONMENTAL MEDICINE | 2016年 / 27卷 / 03期

关键词：

cardiac arrest; critical care; trauma; lightning; induced hypothermia; resuscitation; RESUSCITATION;

D O I：

10.1016/j.wem.2016.05.003

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Only limited clinical scenarios are grounds for induction of therapeutic hypothermia Its use in traumatic cardiac arrests, including those from lightning strikes, is not well studied. Nonshockable cardiac arrest rhythms have only recently been included in resuscitation guidelines. We report a case of full neurological recovery with therapeutic hypothermia after a lightning-induced pulseless electrical activity cardiac arrest in an 18-year-old woman. We also review the important pathophysiology of lightning-induced cardiac arrest and neurologic sequelae, elaborate upon the mechanism of therapeutic hypothermia, and add case-based evidence in favor of the use of targeted temperature management in lightning-induced cardiac arrest.

引用

页码：401 / 404

页数：4

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