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cold injury syndrome

Etiology: - hypothermia Epidemiology: - infants & newborns - winter months Clinical manifestations: - cold skin & limbs, - sleepiness, hypotonia, inactivity (92%) - cyanosis with bradycardia, bradypnea, & apnea (78%) - disseminated intravascular coagulation (63%) Complications: - death from - pulmonary hemorrhage - respiratory distress syndrome [1] - pneumonia - sepsis - sudden infant death syndrome (SIDS) [2] - neurodevelopmental disorder (67%) - cognitive impairment (4%) Laboratory: - complete blood count (CBC) - plasma D-dimer Management: - intensive care unit

General

cold injury hypothermia syndrome

References

  1. Culic S. Cold injury syndrome and neurodevelopmental changes in survivors. Arch Med Res. 2005 Sep-Oct;36(5):532-8. PMID: 16099334
  2. Goldsmith JR, Arbeli Y, Stone D Preventability of neonatal cold injury and its contribution to neonatal mortality. Environ Health Perspect. 1991 August; 94: 55-59 PMID: 1954941 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1567975/