January 1957

Cerebral Hemodynamics and Metabolism in Accidental Hypothermia

Author Affiliations

Washington, D. C.

From the George Washington University Medical Division, District of Columbia General Hospital.

AMA Arch Intern Med. 1957;99(1):57-59. doi:10.1001/archinte.1957.00260010059008

The use of hypothermia to protect the central nervous system from circulatory insufficiency has become of increasing importance in medicine. This report is concerned with studies of the effects of accidental hypothermia on cerebral hemodynamics and metabolism of two patients, one having a body temperature of 21 C (69.8 F) and the other, of 29.4 C (84.9).

Report of Cases 

Case 1.  —A 58-year-old man, who was found by the police in an unfurnished, unheated room, was admitted to the District of Columbia General Hospital in a confused and disoriented state on Feb. 23, 1956. The patient was unable to relate a history of preceding events upon admission or after recovery. The duration of exposure was undetermined. He denied any alcohol or drug consumption.On admission, the patient was shivering and lethargic but reacted to auditory and noxious stimulation. The blood pressure was 105/80 mm. of Hg; the pulse rate,

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