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

J Spec Oper Med. 2018 Spring;18(1):23-28. doi: 10.55460/CXKQ-GX0L.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Acidosis / complications
  • Acidosis / therapy*
  • Adult
  • Afghanistan
  • Diabetes Complications / complications
  • Diabetes Complications / therapy
  • Humans
  • Hypothermia / complications
  • Hypothermia / therapy*
  • Male
  • Military Medicine / methods
  • Resuscitation*
  • Shock / complications
  • Shock / therapy
  • Transportation of Patients*