{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:25:55Z","timestamp":1786998355107,"version":"build-2736575974"},"reference-count":10,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"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":[[2020,9]]},"abstract":"<jats:p>The lowest recorded core temperature from which a person with accidental hypothermia has survived neurologically intact is 11.8\u00b0C in a 2-y-old boy. The lowest recorded temperature from which an adult has been resuscitated neurologically intact is 13.7\u00b0C in a 29-y-old woman. The lowest core temperature with survival from induced hypothermia has been quoted as 9\u00b0C. We discovered a case series (n=50) from 1961 in which 5 patients with core temperatures below 11.8\u00b0C survived neurologically intact. The lowest core temperature in this group was 4.2\u00b0C. The authors also presented cardiovascular and other physiologic data at various core temperatures. The patients in the case series showed a wide variation in individual physiological responses to hypothermia. It is not known whether survival from accidental hypothermia is possible with a core temperature below 11.8\u00b0C, but this case series suggests that the lower limit for successful resuscitation may be far lower. We advise against using core temperature alone to decide whether a hypothermic patient in cardiac arrest has a chance of survival.<\/jats:p>","DOI":"10.1016\/j.wem.2020.02.003","type":"journal-article","created":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T07:52:35Z","timestamp":1590738755000},"page":"367-370","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Induced Hypothermia to 4.2\u00b0C with Neurologically Intact Survival: A Forgotten Case Series"],"prefix":"10.1177","volume":"31","author":[{"given":"Ken","family":"Zafren","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Alaska Native Medical Center, Anchorage, AK"},{"name":"Department of Emergency Medicine, Stanford University Medical Center, Stanford, CA"},{"name":"International Commission for Mountain Emergency Medicine (ICAR MEDCOM), Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Paal","sequence":"additional","affiliation":[{"name":"International Commission for Mountain Emergency Medicine (ICAR MEDCOM), Z\u00fcrich, Switzerland"},{"name":"Department of Anaesthesiology and Intensive Care Medicine, Hospitallers Brothers Hospital, Paracelsus Medical University, Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermann","family":"Brugger","sequence":"additional","affiliation":[{"name":"International Commission for Mountain Emergency Medicine (ICAR MEDCOM), Z\u00fcrich, Switzerland"},{"name":"Institute of Mountain Emergency Medicine, EURAC Research, Via Ipazia 2, Bolzano, Italy"},{"name":"Medical University of Innsbruck, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raimund","family":"Lechner","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Armed Forces Hospital Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,1]]},"reference":[{"key":"bibr1-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2019.07.152"},{"key":"bibr2-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)01021-7"},{"key":"bibr3-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195802000-00019"},{"key":"bibr4-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-196111000-00001"},{"issue":"2","key":"bibr5-j.wem.2020.02.003","first-page":"372","volume":"44","author":"Brown I.W.","year":"1958","journal-title":"Surgery"},{"key":"bibr6-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001283"},{"key":"bibr7-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199603000-00032"},{"key":"bibr8-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-002-1619-5"},{"key":"bibr9-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1996.tb07743.x"},{"key":"bibr10-j.wem.2020.02.003","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet217"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603220300545?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1080603220300545?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2020.02.003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1016\/j.wem.2020.02.003","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2020.02.003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T21:38:01Z","timestamp":1741642681000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1016\/j.wem.2020.02.003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1016\/j.wem.2020.02.003"],"URL":"https:\/\/doi.org\/10.1016\/j.wem.2020.02.003","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}