Hypothermia is frequently an easy diagnosis to make but it is a condition that must be considered in the setting of altered mental status, medical illness, multiple trauma patients, and poisoning cases.

The treatment strategy will depend on the severity of the hypothermia.

  • Mild hypothermia patients can be treated with passive rewarming
  • Moderate-to-severe hypothermia patients need active and invasive methods to achieve rewarming.
  • Active core rewarming should be reserved for those patients with severe and profound hypothermia who have not responded to less aggressive measures
  • The sequelae of hypothermia, including cardiac arrhythmias, should be treated with rewarming and anti-arrhythmic drugs are rarely needed
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