Temperature manage procedures have been LGD-6972 web standardized. Results: Thirty-eight individuals met inclusion criteria. 28 individuals sustained penetrating injury of which 24 survived. Ten individuals sustained blunt injury of which six survived. All deaths occurred within 24 hours of injury. The Table represents degree of hypothermia in survivors and non-survivors. Two non-survivors had initial handle of surgical bleeding along with a transient partial correction of temperature, but had progressive hypothermia and death associated with bleeding recurrence. Discussion: Failure of correction of hypothermia indicates inadequate resuscitation or failure to control bleeding. In survivors andTable Degree of hypothermia Mild Moderate Serious Survival penetrating 11 four 9 Survival blunt two two 2 Death penetrating 1 3 0 Death blunt 1 2non-survivors, the pH response tended to lag behind temperature fluctuations, implying hypothermia might be superior to pH in reflecting correction of hypovolemia. At 8 hours, survivors achieved temperatures more than 96 , when non-survivors averaged < 90 . Non-survivors failed to correct hypothermia, probably due to inadequacy of resuscitation. Conclusion: Hypothermia is a marker for the adequacy of resuscitation in patients with severe truncal injury. Failure to correct a hypothermic trend should prompt a search for ongoing bleeding.P175 Survival and recovery after pediatric hypothermic immersion injury achieved through coordinated multidisciplinary approachB Simon, P Letourneau, AB Schwartz, S Lieberman, R Courtney, KF Lee Baystate Medical Center Children's Hospital, 759 Chestnut Street, Springfield, MA, USA Our purpose is to illustrate how this Level 1 Trauma Center coordinated multiple disciplines to facilitate the care of two pediatric hypothermic immersions. The clinical services involved in the stabilization and care of these PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/20719582 young children integrated Prehospital EMS, Emergency Services, Operating Area, Cardiac Surgery, Trauma, Pediatric Surgery, and Pediatric Critical Care Three children ages 5, 7 and 12, fell by means of the ice on a pond December 23, 1998. The oldest child was capable to pull himself to safety and call for help. The water temperature was 32 . The very first responders were city police followed by EMS. A call was placed towards the Trauma Group by prehospital personnel shortly following their arrival at the scene. The Trauma Attending notified the Operating Area along with the Cardiac Surgery Attending to prepare for cardiopulmonary bypass. The 7-year-old was finally rescued 45 min immediately after initial immersion and was intubated in the scene. He arrived in the Trauma Area at 12 noon, asystolic with a temperature of 81 . He was taken straight for the OR for rewarming by way of cardiopulmonary bypass. He was on bypass for roughly 4 hours and was successfully resuscitated. He was admitted towards the Pediatric Intensive Care Unit for 34 days and after that discharged to inpatient rehabilitation. He has created a full functional and neurological recovery. AP176 Diagnosis: heart contusion?equivalent remedy was pursued for the five year old youngster when recovered but resuscitation of vital signs couldn’t be accomplished. This institution seasoned many `firsts’ with these cases. We had not previously utilised cardiopulmonary bypass in young children. For future instances of hypothermic immersion injury, we required a method to assure sufficient communication and also a systematic way of mobilizing suitable personnel inside a timely manner. Pediatric cardiopulmonary bypass gear required to become accessible and ready. When.