Active rewarming with rapid reversal of hypothermia may be indicated if certain clinical factors are present.
Indications for rapid rewarming of a hypothermic patient:
(1) cardiovascular collapse or instability
(2) patient core temperature < 32.2°C
(3) insufficient rewarming with passive methods
(4) adrenal insufficiency, hypopituitarism, hypothyroidism
(5) severe metabolic acidosis (lactic acidosis, ketoacidosis)
(6) peripheral vasodilation (due to drugs, neurologic disease or spinal cord transection)
(7) comorbid conditions causing impaired thermoregulation
(8) comorbid conditions resulting in increased heat loss
(9) infant
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Specialty: Emergency Medicine, Critical Care
ICD-10: ,