{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T05:20:44Z","timestamp":1784784044692,"version":"3.55.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T00:00:00Z","timestamp":1594684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Severe hypothermia and frostbite can result in significant morbidity and mortality. We present a case of a patient with severe hypothermia and frostbite due to cold exposure after a snowmobile crash. He presented in cardiac arrest with a core temperature of 19\u00b0C requiring prolonged cardiopulmonary resuscitation, active internal rewarming, venoarterial extracorporeal membrane oxygenation, and subsequently amputations of all four extremities. Although severe hypothermia and frostbite can be a fatal condition, the quick action of Emergency Medical Services, emergency physicians, trauma surgeons, cardiothoracic surgeons, intensivists, and the burn team contributed to a successful recovery for this patient including a good neurological outcome. This case highlights the importance of a strong interdisciplinary team in treating this condition.<\/jats:p>","DOI":"10.1093\/jbcr\/iraa113","type":"journal-article","created":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T18:32:59Z","timestamp":1594751579000},"page":"1301-1303","source":"Crossref","is-referenced-by-count":3,"title":["Severe Hypothermia and Frostbite Requiring ECMO and Four Limb Amputations"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9415-2042","authenticated-orcid":false,"given":"Derek C","family":"Lumbard","sequence":"first","affiliation":[{"name":"Department of Surgery, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex M","family":"Lacey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick 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