Abstract:
Hypothermia is defined as a core body temperature of less than 35°C. This report centers on the case of an older adult who presented to the emergency department (ED) with mild hypothermia, bradycardia, and electrolyte abnormalities during the summer in a warm climate. The patient was an 82-year-old man who was found to be hypothermic (33.6°C rectally), hypotensive, and bradycardic. He was treated with intravenous (IV) fluid resuscitation, active external rewarming (AER), and empiric antibiotics for his left lower lobe pneumonia. He was admitted to the intensive care unit and ultimately discharged home with physical therapy. Older adults are at an increased risk for hypothermia, even in a tropical climate. Early recognition of hypothermia is essential to achieve good outcomes.
摘要:
体温过低定义为核心体温低于35°C。本报告集中于一位向急诊科(ED)就诊的老年人,患有轻度低温,心动过缓,和电解质异常在夏季在温暖的气候。病人是一名82岁男子,被发现体温过低(直肠33.6℃),低血压,和心动过缓。他接受了静脉(IV)液体复苏治疗,主动外部复温(AER),和经验性抗生素治疗他的左下叶肺炎.他被送进重症监护室,并最终通过物理治疗出院。老年人体温过低的风险增加,即使在热带气候。早期认识到体温过低对于取得良好的结果至关重要。