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Hypothermia is the cause of at least 1,500 deaths a year in the United States. [2] It is more common in older people and males. [5] One of the lowest documented body temperatures from which someone with accidental hypothermia has survived is 12.7 °C (54.9 °F) in a 2-year-old boy from Poland named Adam. [6]
Myxedema coma is an extreme or decompensated form of hypothyroidism and while uncommon, is potentially lethal. [1] [2] [3] A person may have laboratory values identical to a "normal" hypothyroid state, but a stressful event (such as an infection, myocardial infarction, or stroke) precipitates the myxedema coma state, usually in the elderly.
Targeted temperature management (TTM) previously known as therapeutic hypothermia or protective hypothermia is an active treatment that tries to achieve and maintain a specific body temperature in a person for a specific duration of time in an effort to improve health outcomes during recovery after a period of stopped blood flow to the brain. [1]
Hospital management involves rewarming, wound care, and medications to treat pain and possible blood clots. [11] Amputation of unsalvageable tissue may be required weeks to months after initial injury. [11] Nonfreezing cold skin injuries include trench foot, a subclass of immersion foot caused by exposure to cold temperatures. [2]
Some drugs cause excessive internal heat production. [2] The rate of drug-induced hyperthermia is higher where use of these drugs is higher. [2] Many psychotropic medications, such as selective serotonin reuptake inhibitors (SSRIs), monoamine oxidase inhibitors (MAOIs), and tricyclic antidepressants, can cause hyperthermia. [2]
The elderly are particularly sensitive to the adverse effects of hypnotic medications. A clinical trial in elderly people dependent on benzodiazepine hypnotics showed that the addition of CBT to a gradual benzodiazepine reduction program increased the success rate of discontinuing benzodiazepine hypnotic drugs from 38% to 77% and at the 12 ...
Medications such as ibuprofen or paracetamol (acetaminophen) may help with this as well as lower temperature. [9] [10] Children younger than three months require medical attention, as might people with serious medical problems such as a compromised immune system or people with other symptoms. [16] Hyperthermia requires treatment. [2]
[3] [2] Hypovolemic shock is a medical emergency; if left untreated, the insufficient blood flow can cause damage to organs, leading to multiple organ failure. [4] In treating hypovolemic shock, it is important to determine the cause of the underlying hypovolemia, which may be the result of bleeding or other fluid losses.