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A case-report about a 75-year old female that was found alive and awake, but frozen solid into a puddle of water with a core-temperature of 24,1 degrees C. Upon moving her she arrested, and after almost 5 and a half hours of ALS she was rewarmed on extracorporeal circulation and had ROSC. She was extubated the same evening and discharged from the ICU the next morning. Follow-up at 12 months was without any sequelae. We often say “no one is dead until warm and dead.” This case shows that the principle holds true – even in an unidentified 75-year-old, after hours of cardiac arrest.
Swedish consultant in anesthesiology, ICU and HEMS. Doing my PhD-thesis in experimental traumatology and hypothermia. Member of Swedish Ski Areas Industry Organization's medical board. On the faculty on multiple courses, e.g. ATACC, ATLS, ETC, APLS, SPEAR, ARREST, MTACC etc.