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Journal of Intensive Care Medicine
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Disorders of Temperature Control: Hypothermia, Part III

Frederick J. Curley, MD

Pulmonary Medicine Division, University of Massachusetts Medical School, Worcester, MA

Richard S. Irwin, MD

Pulmonary Medicine Division, University of Massachusetts Medical School, Worcester, MA

Hypothermia, defined as a body core temperature below 35°C, results from exposure to cold, drugs, metabolic dysfunction, or nervous system or skin disorders. The diagnosis and clinical assessment of patients with hypothermia should be based on a thorough knowledge of the characteristic physiologic changes that accompany hypothermia and affect all organ systems. Morbidity and mortality resulting from hypothermia may be reduced when physicians anticipate the well-known complications of hypothermia and carefully rewarm the patient. The rate and method of rewarming must be individualized, taking into account available resources and the patient's cardiopulmonary status and underlying disease.

Journal of Intensive Care Medicine, Vol. 1, No. 5, 270-288 (1986)
DOI: 10.1177/088506668600100507
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