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Home > Emergency Medical Minute > Podcast # 341: Temperature Management after Cardiac Arrest
Podcast: Emergency Medical Minute
Episode:

Podcast # 341: Temperature Management after Cardiac Arrest
Category: Science & Medicine
Duration: 00:03:38
Publish Date: 2018-06-15 11:00:00
Description:

Author: Michael Hunt, MD

Educational Pearls:

 

  • Current goal is to prevent patients from becoming hyperthermic, replacing former thinking of making patients hypothermic.
  • Things we know: Cooling seems to be helpful, patients with V-fib/V-tach do better than those with PEA,  internal vs. external cooling show no clinical differences, and there is no benefit to prehospital hypothermia protocols.
  • Temperature goal is to keep patients under 37 degrees.

 

References

Donnino MW, Andersen LW, Berg KM, Reynolds JC, Nolan JP, Morley PT, Lang E, Cocchi MN, Xanthos T, Callaway CW, Soar J; ILCOR ALS Task Force. Temperature Management After Cardiac Arrest: An Advisory Statement by the Advanced Life Support Task Force of the International Liaison Committee on Resuscitation and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation. Circulation. 2015. 132(25):2448-56. doi: 10.1161/CIR.0000000000000313.

 

Kalra R, Arora G, Patel N, Doshi R, Berra L, Arora P, Bajaj NS. Targeted Temperature Management After Cardiac Arrest: Systematic Review and Meta-analyses. Anesth Analg. 2018. 126(3):867-875. doi: 10.1213/ANE.0000000000002646

 
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