MILD THERAPEUTIC HYPOTHERMIA - Emergency Medicine

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Various Cooling MethodsThese differ greatly by time to cool & cost:Ice bags at axillae & groinRapid infusion of cold salineCooling BlanketThermoSuitIce Bath (Artic Sun)Neural Cooling deviceEtc
What does the treatmentinvolve?• Temperature goal 32˚ -34˚ C. within 2-6 hours.• Monitor temperature with esophageal probe Q1h• MAP goal 60-80 mm/Hg• Maintain HOB at 30 ˚ C elevation.• No heated humidification on the ventilator• Maintain PO2 90 – 100 mmHg• Maintain pH within normal range• Begin enteric feeding as soon as practical.• Passively re-warm (no heating blanket) after 24hours of cooling has been completed.
Page 1 and 2: New Developments in PostResuscitati
Page 3 and 4: Improving ACLS• Delaying defibril
Page 5 and 6: Why do we need to improveour care i
Page 7 and 8: Plattner O et al,“Efficacy ofIntr
Page 9 and 10: How It Is Thought to Work• Slows
Page 12 and 13: Post-Resuscitation TherapeuticHypot
Page 15 and 16: LRS Vienna Studies - ResultsLRS The
Page 17 and 18: Rosomoff HLAnn Surg; 1954(179):85-8
Page 19 and 20: An Evolving Standard of CareAHA Gui
Page 21: Who should not get cooled?• Pregn
Page 25 and 26: The S.P.A.R.C. Project!• Network

MILD THERAPEUTIC HYPOTHERMIA - Emergency Medicine

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