Development and implementation of a severe accidental hypothermia resuscitation pathway in an urban Canadian emergency department: A quality improvement initiative 

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Severe accidental hypothermia (core temperature < 28°C) is an infrequent but resource‑intensive emergency department (ED) presentation that requires altered Advanced Cardiac Life Support (ACLS) management, aggressive re‑warming, and timely consideration of veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Prior to this project, our inner‑city academic ED lacked a standardized approach, contributing to variability in care.

We aimed to design, implement, and achieve ≥ 95 % real‑time utilization of a bedside pathway for patients with severe accidental hypothermia.

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