Letter to the Editor
In reply to “Management of accidental hypothermia: Narrative review”
En respuesta a “Gestión de la hipotermia accidental: revisión narrativa”
M.L. Avellanas Chavalaa,b,c,
, M. Ayala Gallardod, I. Soteras Martíneze,f,g, E. Subirats Bayegof,g
Corresponding author
a Unidad de Medicina Intensiva, Hospital General San Jorge, Huesca, Spain
b Unidad Funcional de Congelaciones y Patologías de Montaña, Hospital General San Jorge, Huesca, Spain
c Profesor del Master en Medicina de Urgencia y Rescate en Montaña, Universidad de Zaragoza, Spain
d Servicio 061 – Montaña Aragón, Spain
e Servicio de Urgencias, Spain
f Hospital de Cerdanya, Puigcerdá (Girona), Spain
g Facultad de Medicina, Universidad de Girona, Spain
Read
7594
Timeswas read the article
4070
Total PDF
3524
Total HTML
Share statistics
array:23 [ "pii" => "S2173572720301296" "issn" => "21735727" "doi" => "10.1016/j.medine.2020.01.011" "estado" => "S300" "fechaPublicacion" => "2020-08-01" "aid" => "1459" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2020" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2020;44:393" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S2173572720300059" "issn" => "21735727" "doi" => "10.1016/j.medine.2019.07.005" "estado" => "S300" "fechaPublicacion" => "2020-08-01" "aid" => "1371" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2020;44:394-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Post-intubation tracheal laceration. Over-insufflation of the cuff as risk factor" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "394" "paginaFinal" => "395" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Laceración traqueal postintubación. Hiperinsuflación del neumotaponamiento como factor de riesgo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 791 "Ancho" => 1000 "Tamanyo" => 52318 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.P. Delgado Moya, M. Valiente Fernández, A. Lesmes González de Aledo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "F.P." "apellidos" => "Delgado Moya" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Valiente Fernández" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Lesmes González de Aledo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S021056911930186X" "doi" => "10.1016/j.medin.2019.07.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021056911930186X?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572720300059?idApp=WMIE" "url" => "/21735727/0000004400000006/v1_202007311710/S2173572720300059/v1_202007311710/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2173572720301284" "issn" => "21735727" "doi" => "10.1016/j.medine.2020.01.010" "estado" => "S300" "fechaPublicacion" => "2020-08-01" "aid" => "1452" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2020;44:392" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Management of accidental hypothermia: A narrative review" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "392" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Gestión de la hipotermia accidental: revisión narrativa" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "T.M. Ferrer Marrero" "autores" => array:1 [ 0 => array:2 [ "nombre" => "T.M." "apellidos" => "Ferrer Marrero" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572720301284?idApp=WMIE" "url" => "/21735727/0000004400000006/v1_202007311710/S2173572720301284/v1_202007311710/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "In reply to “Management of accidental hypothermia: Narrative review”" "tieneTextoCompleto" => true "saludo" => "Dear Editor:" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "393" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.L. Avellanas Chavala, M. Ayala Gallardo, I. Soteras Martínez, E. Subirats Bayego" "autores" => array:4 [ 0 => array:4 [ "nombre" => "M.L. Avellanas" "apellidos" => "Chavala" "email" => array:1 [ 0 => "mlavellanas@gmail.com" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M. Ayala" "apellidos" => "Gallardo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 2 => array:3 [ "nombre" => "I. Soteras" "apellidos" => "Martínez" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">g</span>" "identificador" => "aff0035" ] ] ] 3 => array:3 [ "nombre" => "E. Subirats" "apellidos" => "Bayego" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">g</span>" "identificador" => "aff0035" ] ] ] ] "afiliaciones" => array:7 [ 0 => array:3 [ "entidad" => "Unidad de Medicina Intensiva, Hospital General San Jorge, Huesca, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad Funcional de Congelaciones y Patologías de Montaña, Hospital General San Jorge, Huesca, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Profesor del Master en Medicina de Urgencia y Rescate en Montaña, Universidad de Zaragoza, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio 061 – Montaña Aragón, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Servicio de Urgencias, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Hospital de Cerdanya, Puigcerdá (Girona), Spain" "etiqueta" => "f" "identificador" => "aff0030" ] 6 => array:3 [ "entidad" => "Facultad de Medicina, Universidad de Girona, Spain" "etiqueta" => "g" "identificador" => "aff0035" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "En respuesta a “Gestión de la hipotermia accidental: revisión narrativa”" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">First of all, we thank Dr. Ferrer Marrero for his interest in our article, which demonstrates the concern and growing interest of professionals involved in the management of accidental hypothermic victims, including cold water immersion and drowning.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We agree with the author the requirement of a good coordination between the rescue teams, pre-hospital emergency systems, and useful hospitals. In fact, in 1991, we already expressed this desire.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> Since then, the criteria have changed a lot and, in the recent years, survival has been revolutionized with excellent neurological results.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Further progress must be made in the development of structured protocols that plan rescue coordination, problem prediction, triage optimization, pre-hospital management including immediate and high quality CPR, transportation and treatment. These protocols should include; hospital choice, hospital management, detailed criteria for the use of ECMO and cardiorespiratory support and subsequent resuscitation care.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> An example of this coordination has recently been published in non-scientific press.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> A severe hypothermic victim in cardiac arrest in the Gerona's Pyrenees was resuscitated after 6<span class="elsevierStyleHsp" style=""></span>h without neurological sequela. The victim was transported to The Vall d’Hebron Hospital in Barcelona for extracorporeal life support rewarming. This achievement originated a press release from the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC).<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Furthermore, we believe that, due to the low frequency of this pathology and the difficulty to make the good decision at the accident site, the advice of an expert in hypothermia (called coordinator in other countries) could be useful. Its effectiveness improving survival and final neurological prognosis has been reported.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding source</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that the article has not received any funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that none of the signatories has a conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding source" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hipotermia accidental en los accidentes de montaña: importancia de la rapidez en el rescate y traslado" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.L. Avellanas" 1 => "J. Laplaza" 2 => "J. Cegoñino" 3 => "J.M. Montón" 4 => "C. Serón" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Intensiva" "fecha" => "1991" "volumen" => "15" "paginaInicial" => "147" "paginaFinal" => "153" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0040" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The chain of survival in hypothermic circulatory arrest: encouraging preliminary results when using early identification, risk stratification and extracorporeal rewarming" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T. Darocha" 1 => "S. Kosiński" 2 => "A. Jarosz" 3 => "D. Sobczyk" 4 => "R. Gałązkowski" 5 => "J. Piątek" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s13049-016-0281-9" "Revista" => array:3 [ "tituloSerie" => "Scand J Trauma Resusc Emerg Med" "fecha" => "2016" "volumen" => "24" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0045" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Accidental hypothermia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Paal" 1 => "H. Brugger" 2 => "G. Strapazzon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/B978-0-444-64074-1.00033-1" "Revista" => array:6 [ "tituloSerie" => "Handb Clin Neurol" "fecha" => "2018" "volumen" => "157" "paginaInicial" => "547" "paginaFinal" => "563" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30459025" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0050" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Una mujer sobrevive 6 horas en parada cardiaca por una hipotermia; 2019. Available from: <a target="_blank" href="https://elpais.com/sociedad/2019/12/05/actualidad/1575540215_906914.html?ssm=whatsapp">https://elpais.com/sociedad/2019/12/05/actualidad/1575540215_906914.html?ssm=whatsapp</a> [accessed 15.01.20]." ] ] ] 4 => array:3 [ "identificador" => "bib0055" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "La hipotermia: una situación compleja que supone un gran reto; 2019. Available from: <a target="_blank" href="https://semicyuc.org/2019/12/la-hipotermia-una-situacion-compleja-que-supone-un-gran-reto/">https://semicyuc.org/2019/12/la-hipotermia-una-situacion-compleja-que-supone-un-gran-reto/</a> [accessed 15.01.20]." ] ] ] 5 => array:3 [ "identificador" => "bib0060" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of hypothermia coordinator: a case of hypothermic cardiac arrest treated with ECMO" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T. Darocha" 1 => "S. Kosinski" 2 => "M. Moskwa" 3 => "A. Jarosz" 4 => "D. Sobczyk" 5 => "R. Galazkowski" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1089/ham.2015.0055" "Revista" => array:6 [ "tituloSerie" => "High Alt. Med. Biol." "fecha" => "2015" "volumen" => "16" "paginaInicial" => "352" "paginaFinal" => "355" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26301723" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004400000006/v1_202007311710/S2173572720301296/v1_202007311710/en/main.assets" "Apartado" => array:4 [ "identificador" => "64604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004400000006/v1_202007311710/S2173572720301296/v1_202007311710/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572720301296?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 8 | 15 |
| 2024 October | 58 | 53 | 111 |
| 2024 September | 64 | 33 | 97 |
| 2024 August | 65 | 40 | 105 |
| 2024 July | 59 | 23 | 82 |
| 2024 June | 77 | 58 | 135 |
| 2024 May | 73 | 27 | 100 |
| 2024 April | 71 | 37 | 108 |
| 2024 March | 78 | 39 | 117 |
| 2024 February | 78 | 46 | 124 |
| 2024 January | 86 | 43 | 129 |
| 2023 December | 82 | 59 | 141 |
| 2023 November | 99 | 56 | 155 |
| 2023 October | 80 | 43 | 123 |
| 2023 September | 86 | 52 | 138 |
| 2023 August | 105 | 89 | 194 |
| 2023 July | 109 | 115 | 224 |
| 2023 June | 93 | 83 | 176 |
| 2023 May | 110 | 91 | 201 |
| 2023 April | 47 | 70 | 117 |
| 2023 March | 77 | 87 | 164 |
| 2023 February | 59 | 81 | 140 |
| 2023 January | 48 | 71 | 119 |
| 2022 December | 77 | 95 | 172 |
| 2022 November | 67 | 89 | 156 |
| 2022 October | 98 | 90 | 188 |
| 2022 September | 57 | 73 | 130 |
| 2022 August | 58 | 89 | 147 |
| 2022 July | 50 | 98 | 148 |
| 2022 June | 41 | 69 | 110 |
| 2022 May | 59 | 86 | 145 |
| 2022 April | 52 | 92 | 144 |
| 2022 March | 64 | 105 | 169 |
| 2022 February | 56 | 86 | 142 |
| 2022 January | 52 | 89 | 141 |
| 2021 December | 57 | 92 | 149 |
| 2021 November | 57 | 82 | 139 |
| 2021 October | 77 | 124 | 201 |
| 2021 September | 50 | 87 | 137 |
| 2021 August | 50 | 82 | 132 |
| 2021 July | 45 | 49 | 94 |
| 2021 June | 41 | 54 | 95 |
| 2021 May | 55 | 101 | 156 |
| 2021 April | 135 | 248 | 383 |
| 2021 March | 86 | 91 | 177 |
| 2021 February | 78 | 97 | 175 |
| 2021 January | 84 | 147 | 231 |
| 2020 December | 87 | 122 | 209 |
| 2020 November | 102 | 177 | 279 |
| 2020 October | 48 | 94 | 142 |
| 2020 September | 30 | 58 | 88 |
Show all
