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To the editor: The article “Hypothermia: Pathophysiology, Clinical Settings, and Management” by Dr. Reuler in the October issue (1) is an excellent update on pathophysiology, but recent advances in management have been neglected. We specifically refer to the article by O'Keeffe (2) describing management experience with 62 cases of hypothermia at Denver General Hospital. The modality of therapy found to be most useful was passive rewarming with warm blankets. Fifty-six patients (90%) with stable blood pressure were treated only by frequent changing of warm blankets. Twenty-eight in this group had temperatures less than 32 °C. Only two patients died, one

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