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1. How to cool?
Arrest ROSC
temperature
Time time
How to cool?
University of Chicago Hospitals (UCH) initial experience (2003-4): cooling blanket and/or ice packing Advantages: cheap, non-invasive, off the shelf Disadvantages: slow cooling, can be messy, lack of thermostatic control
40 39 38
Example A
Temperature (Celsius)
37 36 35 34 33 32 31 30 29 0 4 8 12 16 Time (hours) 20 24 28 32
baseline cooling
CPC1 14%
5%
A real world example: cerebral performance category (CPC) outcomes Real world usage: Switzerland
baseline
CPC5 89%
CPC3 11%
cooling
CPC5 83%
CPC1 17%
www.med.upenn.edu/resuscitation/Hypothermia.htm
Hypothermia Training Institute at Penn Philadelphia next course March, 2013 Intensive two day CME course in hypothermia methods, protocols, and applications Designed for critical care, cardiology or emergency medicine physicians and nurse managers i.e., local champions Offers hypothermia certification Workshop design small course size held quarterly
Lecture 2: Lecture 3:
Rethinking CPR: quality of care and new ideas about training Therapeutic hypothermia and postresuscitation care Frontiers in resuscitation: reperfusion medicine and cardiac bypass Survivorship and end-of-life issues after cardiac arrest
Lecture 4: Lecture 5: