{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T22:57:53Z","timestamp":1783292273918,"version":"3.54.6"},"reference-count":21,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"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":["Perfusion"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>A 26-year-old man, who was training in bad weather for a mountain ultramarathon, became hypothermic after running for 4\u00a0h. He deteriorated and was unable to continue. His running partner went for help. The man suffered an unwitnessed hypothermic cardiac arrest. The on-site management and evacuation are described and included the use of intermittent cardiopulmonary resuscitation and a mechanical device during transport. The patient was successfully resuscitated and rewarmed by Extracorporeal Membrane Oxygenation (ECMO) after more than 2\u00a0h of cardiopulmonary resuscitation. After 14\u00a0h of ECMO support and five days of ventilation, the patient subsequently made a good neurological recovery. At hospital discharge, he had normal cerebral function, and an improving peripheral polyneuropathy affecting distal limbs, with paraesthesia in both feet and reduced coordination and fine motor skills in both hands.<\/jats:p>","DOI":"10.1177\/02676591221122274","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T09:35:21Z","timestamp":1660815321000},"page":"1734-1737","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Rewarming from unwitnessed hypothermic cardiac arrest with good neurological recovery using extracorporeal membrane oxygenation"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4730-2754","authenticated-orcid":false,"given":"Les","family":"Gordon","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, University Hospitals Morecambe Bay Trust, Lancaster, UK"},{"name":"Langdale Ambleside Mountain Rescue Team, Ambleside, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Ferris","sequence":"additional","affiliation":[{"name":"North Cumbria Integrated Care NHS Trust, West Cumberland Hospital, Whitehaven, UK"},{"name":"Keswick Mountain Rescue Team, Keswick, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning","family":"Pauli","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Anaesthesia and Intensive Care, Newcastle upon Tyne Hospitals NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,8,18]]},"reference":[{"key":"bibr1-02676591221122274","unstructured":"Two runners dead after storm overtakes extreme Zugspitze race. https:\/\/www.thelocal.de\/20080714\/13051\/ (accessed 19 April 2022)."},{"key":"bibr2-02676591221122274","unstructured":"China ultramarathon: Severe weather kills 21 runners. https:\/\/www.bbc.com\/news\/world-asia-china-57216601 (accessed 19 April 2022)."},{"key":"bibr3-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1675"},{"key":"bibr4-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1089\/152702903321489031"},{"key":"bibr5-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-016-0303-7"},{"key":"bibr6-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.02.017"},{"key":"bibr7-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2021.02.011"},{"key":"bibr8-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2018.02.026"},{"key":"bibr9-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.03.017"},{"key":"bibr10-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2012.11.002"},{"key":"bibr11-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001518"},{"key":"bibr12-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1111\/aor.13818"},{"key":"bibr13-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1186\/s12245-018-0205-8"},{"key":"bibr14-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1089\/ham.2018.0084"},{"key":"bibr15-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.04.025"},{"key":"bibr16-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2018.03.028"},{"key":"bibr17-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2007.040444"},{"key":"bibr18-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1177\/193229680700100414"},{"key":"bibr19-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2019.07.152"},{"key":"bibr20-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2019.02.001"},{"key":"bibr21-02676591221122274","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2019.09.009"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591221122274","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591221122274","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591221122274","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:32:13Z","timestamp":1777656733000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591221122274"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,18]]},"references-count":21,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1177\/02676591221122274"],"URL":"https:\/\/doi.org\/10.1177\/02676591221122274","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,18]]}}}