Skating on Thin Ice: Hypothermia and Near-Drowning Simulation

Near-drowning treated with therapeutic hypothermia.

Skating on thin ice: pragmatic prescribing for medication refractory schizophrenia

BACKGROUND Clozapine is the treatment of choice for medication refractory psychosis, but it does not benefit half of those put on it. There are numerous studies of potential post-clozapine strategies, but little data to guide the order of such treatment in this common clinical challenge. We describe a naturalistic observational study in 153 patients treated by a specialist psychosis service to ...

Blocking platelets more: are we skating on thin ice?

Asystolic Cardiac Arrest from Near Drowning Managed with Therapeutic Hypothermia

An estimated 200,000 cardiac arrests occur out-ofhospital annually in the United States.1,2 The survival rates are 0-11% depending on the presenting rhythm.3,4 Following cardiac arrest, the brain can tolerate anoxia up to 2-4 minutes, upon which irreversible neuronal damage commences in the absence of re-establishment of circulation.5 Brain reoxygenation with successful return of spontaneous ci...

Mild hypothermia after near drowning in twin toddlers

INTRODUCTION We report a case of twin toddlers who both suffered near drowning but with different post-trauma treatment and course, and different neurological outcomes. METHODS AND RESULTS Two twin toddlers (a boy and girl, aged 2 years and 3 months) suffered hypothermic near drowning with protracted cardiac arrest and aspiration. The girl was treated with mild hypothermia for 72 hours and de...