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3rd December, 2017
Never declare a patient dead under conditions of hypothermia
Dr KK Aggarwal, Dr R N Tandon

A core body temperature below 95°F is hypothermia. Core temperature 90-95°F is mild hypothermia, 82 to 90°F is moderate hypothermia and core temperature below 82°F is severe hypothermia.

In conditions of severe hypothermia in children, body metabolism is suspended, which may protect against hypoxia. Patients with core body temperature 82°F have been known to survive anoxia for 12-18 minutes and up to 60 minutes or more at core body temperature 68°F. Sometimes, hypothermic patients can be successfully revived with CPR even with total resuscitation time of 9 hours. Because of dilated pupils, asystole, hypoventilation, absence of shivering, the patient appears dead. Because of failure to recognize this state, the patient may be declared dead.


Successful revival is also possible in adults because of the neuroprotective effects of hypothermia. Several hours of CPR may be required for this.

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Top News

Health Minister reviews preparedness on Seasonal Influenza (H1N1)

Shri JP Nadda, Union Minister of Health and Family Welfare has issued necessary directions to monitor seasonal influenza cases with particular focus on creating awareness, ensuring availability of medicines and vaccines at field level and effective and early treatment of patients as per protocol, in a high level meeting chaired by him, to review the preparedness for prevention and management of seasonal Influenza (H1N1)...... read more

Global response to malaria at crossroads: WHO

After unprecedented global success in malaria control, progress has stalled, according to the World malaria report 2017. The WHO Global Technical Strategy for Malaria calls for reductions of at least 40% in malaria case incidence and mortality rates by the year 2020. According to this latest report, the world is not on track to reach these critical milestones..... read more

Practice Updates
Diabetes Mellitus and the Colon.

A new article published in Current Treatment Options in Gastroenterology reported that diabetes mellitus (DM) can affect the structure and function of the colon promoting commonly encountered lower gastrointestinal symptoms such as constipation, diarrhea, abdominal distention, bloating, and abdominal more

Epidemiology and management of chronic constipation in elderly patients.

An article published in Clinical Interventions in Aging reported that constipation – a common functional gastrointestinal disorder, has a prevalence of approximately 20% in the general population. However, in the elderly, the incidence is higher in comparison, with higher predisposition to severe constipation among elderly more

Gender-Based Differences in a Population-Based Cohort with Celiac Disease.

The goal of a new article published in Digestive Diseases and Sciences was to estimate gender-based differences in a unique population-based cohort of patients with celiac disease with respect to presenting symptoms, associated autoimmune disorders, and more

69th Annual Conference of CSI 2017 - Updates
Recent advances in lower limb interventions and peripheral BRS technology
  • The SFA is a challenging artery to treat. Key developments in SFA intervention range from PTA, atherectomy, stent / stent grafts to drug eluting stents and drug coated balloons. read more

HDL and CVD risk: The current understanding
  • Observational studies have shown an inverse relationship between the amount of HDL-C represented by its blood level and incidence of CHD. This finding (besides the ease of its measurement) has placed HDL-C in the position of an important risk factor. read more

Peripartum Cardiomyopathy: Changing definition & Newer Therapies
  • Definition of PCPM: Loose definition- Identify more Cases (ESC)
  • How Command is it? One in 1500 live pregnancies read more

Controversies in Lipid Management
  • For decades, statin therapy has been the cornerstone in the management of dyslipidemia
  • But numerous studies failed to demonstrate a mortality benefit in more

Cardioprotection in diabetes: A changing landscape
  • Glycemic control has failed to consistently demonstrate improved macrovascular outcomes.
  • Holistic CV risk management in diabetes involves control of multiple CV risk factors - statins/antihypertensives/ more

Which NOAC for which patient with VTE?
  • NOACs are better alternatives than traditional anticoagulants in the treatment of VTE.
  • Parenteral anticoagulation can be overlapped with a NOAC instead of warfarin. read more
eMedi Humor
Medicolegal Corner
eMedi Quiz
1. RLS also occurs at rest
2. RLS is predominantly in the evening or at night
3. RLS is sometimes painful.
4. All of the above
Lifestyle Updates
Inspirational Story 1: : Be a Good Friend
Inspirational Story 2: The Chinese Farmer
About 90% of the estimated malaria cases in the Southeast region are from India
India also needs a stronger malaria surveillance system to combat the disease
New Delhi, 02 December 2017: As per recent reports, India accounts for about 6% of the world’s new cases of malaria and 7% of deaths caused by the disease. India accounts for about 90% of the estimated number of malaria cases followed by Indonesia (9%) and Myanmar (1%) in the Southeast Asia region. The country has also been found to be one of the weakest in terms of malaria surveillance systems. Despite efforts at various levels, malaria remains an acute public health challenge in India.
Malaria is a life-threatening mosquito-borne blood disease caused by a Plasmodium parasite. It is transmitted to humans through the bite of the Anopheles mosquito. Once an infected mosquito bites a human, the parasites multiply in the host's liver before infecting and destroying red blood cells.
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