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Challenges of Transport and Resuscitation of a Patient With Severe Acidosis and Hypothermia in Afghanistan

Spring 2018

Brazeau MJ, Bolduc CA, Delmonaco BL, Syed AS. 18(1). 23 - 28. (Case Reports)


We present the case of a patient with new-onset diabetes, severe acidosis, hypothermia, and shock who presented to a Role 1 Battalion Aid Station (BAS) in Afghanistan. The case is unique because the patient made a rapid and full recovery without needing hemodialysis. We review the literature to explain how such a rapid recovery is possible and propose that hypothermia in the setting of his severe acidosis was protective.

Keywords: new-onset diabetes; severe acidosis; hypothermia; hemodialysis

PMID: 29533428

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