{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:57:18Z","timestamp":1769043438971,"version":"3.49.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p> Both the temperature at which defibrillation can be effectively used and how often it should be repeated in severe accidental hypothermia have not been definitely established. Current recommendations are based mainly on expert opinion and suggest withholding defibrillation after 3 shocks when the core temperature is below 30\u00b0C (86\u00b0F). However, growing evidence supports the effectiveness of defibrillation in patients with a core temperature below 30\u00b0C (86\u00b0F). We present a case of successful defibrillation of a 54-y-old, severely hypothermic patient with a core temperature of 18.2\u00b0C (64.8\u00b0F). The shock was delivered automatically by an implanted cardioverter-defibrillator shortly after the implementation of extracorporeal rewarming. The patient survived and was discharged from the hospital neurologically intact. It might be reasonable to consider defibrillation attempts in severely hypothermic patients despite current guidelines to the contrary. Increasing coronary perfusion using extracorporeal circulation may result in a better response to defibrillation. <\/jats:p>","DOI":"10.1016\/j.wem.2020.01.003","type":"journal-article","created":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T21:43:49Z","timestamp":1587505429000},"page":"230-234","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Successful Defibrillation at a Core Temperature of 18.2 Degrees Celsius"],"prefix":"10.1177","volume":"31","author":[{"given":"Sylweriusz","family":"Kosi\u0144ski","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Drzewiecka","sequence":"additional","affiliation":[{"name":"Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathieu","family":"Pasquier","sequence":"additional","affiliation":[{"name":"Emergency Department, Lausanne University Hospital, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krzysztof S.","family":"Go\u0142ba","sequence":"additional","affiliation":[{"name":"Department of Electrocardiology and Heart Failure, Medical University of Silesia, Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pawe\u0142","family":"Podsiad\u0142o","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafa\u0142","family":"Drwi\u0142a","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, John Paul II Hospital, Jagiellonian University Medical College, Krakow, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Darocha","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,6,1]]},"reference":[{"key":"bibr1-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.07.017"},{"key":"bibr2-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.971069"},{"key":"bibr3-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2014.09.002"},{"key":"bibr4-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2006.044404"},{"key":"bibr5-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1089\/ham.2018.0084"},{"key":"bibr6-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.284.6319.867-a"},{"issue":"6","key":"bibr7-j.wem.2020.01.003","first-page":"594","volume":"6","author":"Wolfe C.S.","year":"1993","journal-title":"J\u00a0Am Board Fam Pract"},{"key":"bibr8-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9572(00)00254-9"},{"key":"bibr9-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1191\/0267659104pf760oa"},{"key":"bibr10-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1136\/emj.14.4.255"},{"key":"bibr11-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1089\/ham.2013.1085"},{"key":"bibr12-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(05)80467-6"},{"key":"bibr13-j.wem.2020.01.003","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-017-0357-1"}],"container-title":["Wilderness &amp; 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