abstracts 2010 - Schweizerische Gesellschaft für Gebirgsmedizin
abstracts 2010 - Schweizerische Gesellschaft für Gebirgsmedizin
abstracts 2010 - Schweizerische Gesellschaft für Gebirgsmedizin
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Deep Hypothermia in Hot Summer and the Bernese Hypothermia Algorithm<br />
Monika Brodmann Maeder 1 , Karl-Heinz Kopp 2<br />
1 University Centre of Emergency, Inselspital 3010 Bern / CH and rega Zürich<br />
2 Anästhesiologische Universitätsklinik Freiburg / DE and Air Zermatt<br />
We present the case of a 47-year old mountaineer who suffered from deep hypothermia after a fall into<br />
a crevasse in summer <strong>2010</strong>. On-site he was in cardiac arrest. Chest compressions were started,<br />
intubation was performed, and the patient was transported under continuing CPR during the flight. In<br />
the University Hospital Bern he was directly brought to the operating theater. Deep hypothermia with a<br />
core temperature of 21.4°C was confirmed, and based on the new Bernese Hypothermia Algorithm<br />
active rewarming by ECC was started 27 minutes after the patient’s arrival. Due to massive<br />
rhabdomyolysis the patient was on hemodialysis postoperatively, but the overall and especially the<br />
neurological course was very favorable.<br />
The Bernese Hypothermia Algorithm:<br />
©Hypothermie-Gruppe Inselspital Bern