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The effect of rewarming ischemia on tissue transcriptome and metabolome signatures: A clinical observational study in lung transplantation.

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October 2024

Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium; Department of Chronic Diseases and Metabolism, Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), KU Leuven, Leuven, Belgium. Electronic address:

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Article Synopsis
  • Cold foot injuries like frostbite and trench foot are common in very cold places.
  • Frostbite is when the foot freezes, while trench foot happens when the foot gets too wet and cold, but doesn't freeze.
  • It's important to tell them apart because treating them wrong can make things worse, and signs like frostbite on fingers can help doctors know which one it is.
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Article Synopsis
  • The case discusses a kayaker who experienced severe accidental hypothermia after a 50-minute immersion in 3°C water, managing to remain conscious and shivering despite a low core temperature of 22.9°C.
  • Typically, severe hypothermia results in unconsciousness and the absence of shivering, but this patient’s experience challenges those expectations.
  • The findings suggest that rapid, minimally invasive rewarming is possible even in severely hypothermic individuals who show signs of consciousness and shivering, emphasizing the need for a comprehensive assessment rather than strict adherence to hypothermia classification systems.
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