ReviewScandinavian journal of trauma, resuscitation and emergency medicine2016
Accidental hypothermia-an update : The content of this review is endorsed by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).
Review in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
98 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Effect of Cold Exposure on Cognitive Performance in Healthy Adults: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The Efficacy of Renal Replacement Therapy for Rewarming of Patients in Severe Accidental Hypothermia-Systematic Review of the Literature.International journal of environmental research and public health · 2021Pooled it
- Is prehospital use of active external warming dangerous for patients with accidental hypothermia: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Pooled it
- Effect of active external rewarming on esophageal temperature in simulated prehospital accidental hypothermia: a randomized crossover trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Trial
- Experimental hypothermia by cold air: a randomized, double-blind, placebo-controlled crossover trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Trial
- Vital parameter monitoring in harsh environment by the MedSENS in-ear multisensor device.Scientific reports · 2024Trial
- Effect of a vapor barrier in combination with active external rewarming for cold-stressed patients in a prehospital setting: a randomized, crossover field study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Trial
- Accidental hypothermia.Nature reviews. Disease primers · 2026Review
- A 48-Year-Old Man With Diabetic Ketoacidosis, Hypothermia, and Cardiac Arrest Managed With Veno-Arterial Extracorporeal Membrane Oxygenation.The American journal of case reports · 2026Article
- Emergency care for avalanche buried patients - a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Review
- A shaking experience: My exposure to hypothermia.Experimental physiology · 2026Article
- Body temperature as a predictor of mortality in multiple trauma patients: aprospective single-centre cohort study.Scientific reports · 2026Article
- Observational
- The epidemiology of canyoning rescue operations in Italy: a retrospective 15-year database study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Acute-onset type 1 diabetes in an older patient with severe hypothermia and diabetic ketoacidosis (pH 6.84) triggered by traumatic hemothorax.Endocrinology, diabetes & metabolism case reports · 2026Article
- Effects of cooling on pig heart excitation and contraction.Frontiers in cardiovascular medicine · 2026Article
- Sarcolipin-SERCA uncoupling as a plausible heat source for sustaining fever.Frontiers in physiology · 2026Article
- Association of Carboxyhemoglobin With Severity and Outcomes in Hypothermic Patients: A Retrospective Cohort Study.Cureus · 2025Article
- Out-of-hospital cardiac arrest in alpine and urban terrain: a five-year retrospective analysis of 11,315 Austrian HEMS missions.Resuscitation plus · 2025Article
- Prehospital management of accidental hypothermia: A nationwide survey among Italian helicopter emergency medical services.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
38 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest.
methodsThe authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this narrative review.
resultsThe hospital use of minimally-invasive rewarming for non-arrested, otherwise healthy, patients with primary hypothermia and stable vital signs has the potential to substantially decrease morbidity and mortality for these patients. Extracorporeal life support (ECLS) has revolutionised the management of hypothermic cardiac arrest, with survival rates approaching 100 % in some cases. Hypothermic patients with risk factors for imminent cardiac arrest (temperature <28 °C, ventricular arrhythmia, systolic blood pressure <90 mmHg), and those who have already arrested, should be transferred directly to an ECLS-centre. Cardiac arrest patients should receive continuous cardiopulmonary resuscitation (CPR) during transfer. If prolonged transport is required or terrain is difficult, mechanical CPR can be helpful. Delayed or intermittent CPR may be appropriate in hypothermic arrest when continuous CPR is impossible. Modern post-resuscitation care should be implemented following hypothermic arrest. Structured protocols should be in place to optimise pre-hospital triage, transport and treatment as well as in-hospital management, including detailed criteria and protocols for the use of ECLS and post-resuscitation care.
conclusionsBased on new evidence, additional clinical experience and clearer management guidelines and documentation, the treatment of accidental hypothermia has been refined. ECLS has substantially improved survival and is the treatment of choice in the patient with unstable circulation or cardiac arrest.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.