“Terminal burrowing behaviour” —a phenomenon of lethal hypothermia

@article{Rothschild2005TerminalBB,
  title={“Terminal burrowing behaviour” —a phenomenon of lethal hypothermia},
  author={Markus Alexander Rothschild and V. Schneider},
  journal={International Journal of Legal Medicine},
  year={2005},
  volume={107},
  pages={250-256}
}
Between 1978 and 1994, 69 cases of death due to lethal hypothermia were examined in our Institute. In addition to the common findings associated with hypothermia we especially wanted to examine the so-called paradox reaction which refers to the undressing of persons in a state of severe (lethal) hypothermia. This is obviously the result of a peripheral vasodilatation effecting a feeling of warmth. In our material this paradoxical undressing occurred in 25% of the cases and nearly all exhibited… Expand
Terminal burrowing behaviour — a phenomenon of lethal hypothermia
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The so-called paradox reaction which refers to the undressing of persons in a state of severe (lethal) hypothermia, which occurred in 25% of the cases and nearly all exhibited an additional phenomenon which has not yet been described in the literature. Expand
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References

SHOWING 1-10 OF 37 REFERENCES
"Paradoxical undressing" in fatal hypothermia.
TLDR
It is concluded that paradoxical undressing might be explained by changes in peripheral vasoconstriction in the deeply hypothermic person. Expand
Drugs and alcohol in hypothermia and hyperthermia related deaths: a retrospective study.
TLDR
The fact that similar alcohol concentrations were found in both types of fatalities points to the poikilothermic effect of alcohol in humans, as found in animal studies. Expand
Survival of hypothermia by men immersed in the ocean.
  • G. W. Molnar
  • Medicine
  • Journal of the American Medical Association
  • 1946
TLDR
Refrigeration of patients showed that man's body temperature may be reduced by several degrees without endangering life, but the environments employed during induction were too short duration to establish tolerance limits. Expand
Myocardium of hypothermic rats with and without administration of dextran. Electrocardiographic and electron microscopic studies.
TLDR
Electrocardiographic and electron microscopic alterations in the myocardium were investigated in rats subjected to hypothermia with and without injection of dextran, finding that neither advanced atrioventricular block nor remarkable subcellular structural changes developed. Expand
Necropsy findings in fatal hypothermia cases.
TLDR
The best diagnostic signs seem to be purple skin and oedema in face and ears, stomach erosions, degenerative foci in myocardium and high concentration of catecholamines in the urine. Expand
The characteristic electrocardiogram of accidental hypothermia.
TLDR
The case history and ECG of an elderly patient who became hypothermic as a result of a cerebrovascular accident and neglect is presented to emphasize the diagnostic value of the ECG in this condition. Expand
The Impact of Daily Torpor on Energy Requirements in the Djungarian Hamster, Phodopus sungorus
TLDR
Calculations show that daily torpor in Djungarian hamsters may serve to allow the continuation of foraging at low Ta's during winter in the Siberian steppe and save substantial amounts of energy by lowering average metabolic rates during the normothermic phase of the day. Expand
Influence of Ambient Temperature, Nest Availability, Huddling, and Daily Torpor on Energy Expenditure in the White-Footed Mouse Peromyscus Leucopus
TLDR
The addition of a nest fostered a 74% daily energy savings versus nontorpid, individual mice without a nest anddaily torpor and huddling together provided a 58% energetic saving at 13 C relative to individually housed, nontorpids mice. Expand
Ungewöhnliche Befunde in einem Fall von Unterkühlung
SummarySuicide was initiated by several incisions in the skin; the resulting hypovolemia resulted in fatal hypothermia. The unusual autopsy findings in this case due to hypothermia were focalExpand
Body temperature and metabolic rate during natural hypothermia in endotherms
TLDR
This study shows that the degree of metabolic suppression during hypothermia can alternatively be explained by active downregulation of metabolic rate and thermoregulatory control of heat production. Expand
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