SUCCESSFUL USE OF EARLY THERAPEUTIC HYPOTHERMIA IN AN MDMA AND AMPHETAMINE INTOXICATION-INDUCED OUT-OF-HOSPITAL CARDIAC ARREST: A CASE REPORT

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dc.contributor.authorDagli, Celalettin
dc.contributor.authorDuman, Ipek
dc.date.accessioned2024-02-23T14:12:47Z
dc.date.available2024-02-23T14:12:47Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractBackground: Deaths caused by recreational drug abuse have increased considerably in recent years. Therapeutic hypothermia offers the potential to improve neurological outcomes in post-resuscitation patients. Case Report: A 19-year-old man was brought to our emergency department after suffering out-of-hospital ventricular fibrillation (VF) cardiac arrest. He was resuscitated at our emergency department again due to VF. Urine analysis showed high levels of amphetamine and 3,4 methylenedioxymethamphetamine ( MDMA) (ecstasy). The patient was intubated, sedated, and ventilated. Within 1 h after the return of spontaneous circulation and hemodynamic stabilization, therapeutic hypothermia was initiated for neurologic protection. An external-cooling device was used for cooling. He was maintained at 33 degrees C for 72 h. The patient was weaned from the ventilator and extubated on day 5. He was discharged from the hospital on the day 10 with good cerebral performance. Why Should an Emergency Physician Be Aware of This?: Initiation of early therapeutic hypothermia within 1 h after return of spontaneous circulation might contribute to better neurologic outcome in patients who suffer VF cardiac arrest. We suggest that early therapeutic hypothermia may be considered in patients who suffer out-of-hospital cardiac arrest due to MDMA and amphetamine intoxications. (C) 2020 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jemermed.2020.06.019
dc.identifier.endpageE92en_US
dc.identifier.issn0736-4679
dc.identifier.issn1090-1280
dc.identifier.issue3en_US
dc.identifier.pmid32712033en_US
dc.identifier.scopus2-s2.0-85088212409en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageE89en_US
dc.identifier.urihttps://doi.org/10.1016/j.jemermed.2020.06.019
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12182
dc.identifier.volume59en_US
dc.identifier.wosWOS:000582802700002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAmphetamineen_US
dc.subjectCardiac Arresten_US
dc.subjectEmergency Medicineen_US
dc.subjectIntoxicationen_US
dc.subjectMdmaen_US
dc.subjectTherapeutic Hypothermiaen_US
dc.titleSUCCESSFUL USE OF EARLY THERAPEUTIC HYPOTHERMIA IN AN MDMA AND AMPHETAMINE INTOXICATION-INDUCED OUT-OF-HOSPITAL CARDIAC ARREST: A CASE REPORTen_US
dc.typeArticleen_US

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