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PIpA (Purposeful Inpatient Admission) by Shane Caldwell; Jamie Clements; Ian McAllister; Michael Corr; Thomas Waterfield; James McKenna; Derek Fairley; Michael Shields; Simon Jackson; David Cummins; Ben McNaughten; Alison Walker; Timothy Shaw; Gunnar Schroeder; Anna Krasnodembskaya; Cecilia O’Kane; K Shirley; M Williams; N Parker; L McLaughlin; R Bond; David Johnston; Patrick Hickland; N. Allen; M. McKeever; S. O’Brien; B. Clements; Mohamad Baba; Lorraine Bouzan; Michael Graham; Ronan McLaughlin; Emma Wilkinson; Julie-Ann Collins; Sevasti Konstantinidou; Cathy Malone; Nicola McKinley; Sam McMahon; Charis McNabney; Bryan Murphy; Timothy Patterson; Efstathios Bonanos; Lorraine Bouzan; Christine Causey; Claire Mashih; Lucy Arrowsmith; Megan Blakely; Gillian Blayney; Christine Causey; Ashley Elliott; Julie-Anne Empey; Pedro Ferreira; Mark Kennedy; Cathy Malone; Lisa McClenaghan; Leanna McGuigan; Abigail Nelson; John Christopher Sharkey; Vivian Sing; Yi Hang Tan; Matthew Todd; Keira Walsh is a scholarly article available to read on EtoBox.

What is PIpA (Purposeful Inpatient Admission) about?

## Introduction: Pancreatitis is a common condition on the acute general surgical take. Common aetiologies in the UK include gallstones, alcohol excess and iatrogenesis. Hypothermia is scarcely documented in literature among the rarer causes of pancreatitis, and whilst little scientific literature exists to support this clinical observation, this case adds to the growing evidence for hypothermia as a clinically relevant risk factor for acute pancreatitis. ## Discussion: We present the clinical course of a 44 year-old male open water swimmer who was admitted to ICU for mechanical ventilation in view of hypoxic respiratory failure and severe hypothermia (27oC). Following cardiorespiratory stabilisation and uncomplicated extubation, the patient complained of sudden, severe epigastric pain, refractory to strong opiate analgesia. CT images were in keeping with acute pancreatitis. The patient was managed conservatively at ward level and made an uncomplicated recovery prior to discharge. Thorough clinical history and biochemical testing excluded all other typical aetiologies of acute pancreatitis. This case is unique from previous reports in literature, where the relationship between hypo

Author

Shane Caldwell; Jamie Clements; Ian McAllister; Michael Corr; Thomas Waterfield; James McKenna; Derek Fairley; Michael Shields; Simon Jackson; David Cummins; Ben McNaughten; Alison Walker; Timothy Shaw; Gunnar Schroeder; Anna Krasnodembskaya; Cecilia O’Kane; K Shirley; M Williams; N Parker; L McLaughlin; R Bond; David Johnston; Patrick Hickland; N. Allen; M. McKeever; S. O’Brien; B. Clements; Mohamad Baba; Lorraine Bouzan; Michael Graham; Ronan McLaughlin; Emma Wilkinson; Julie-Ann Collins; Sevasti Konstantinidou; Cathy Malone; Nicola McKinley; Sam McMahon; Charis McNabney; Bryan Murphy; Timothy Patterson; Efstathios Bonanos; Lorraine Bouzan; Christine Causey; Claire Mashih; Lucy Arrowsmith; Megan Blakely; Gillian Blayney; Christine Causey; Ashley Elliott; Julie-Anne Empey; Pedro Ferreira; Mark Kennedy; Cathy Malone; Lisa McClenaghan; Leanna McGuigan; Abigail Nelson; John Christopher Sharkey; Vivian Sing; Yi Hang Tan; Matthew Todd; Keira Walsh

Published

2021