Therapeutic Hypothermia After Cardiac Arrest Protocol
Therapeutic hypothermia after cardiac arrest is an increasingly used strategy to improve outcomes after myocardial infarction. Most medical centers have developed protocols to be used by the emergency medicine, ICU, and nursing staffs. One representative protocol that is similar to the one used at the University of Chicago Medical Center is outlined below.
Eligibility
1. status post cardiac arrest
2. return of spontaneous circulation within previous 6 hours
3. presence of coma (patient does not follow commands or open eyes to pain)
4. check pregnancy status in women < 50 and if positive contact Obgyn
Exclusion Criteria
1. refractory shock (SBP , 90 mmHG on pressors and fluids)
2. refractory ventricular arrhythmia such as vfib, vtach or torsades
3. drug overdose
4. intoxication
5. stroke
6. hypoglycemia
7. infection
8. seizure
9. head trauma
10. assymetrical neurological clinical exam
11. significant pre-existing neurological impairment
12. DIC
13. liver failure
14. severe thrombocytopenia (20K)
15. pre-arrest life expectancy < 6 months
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Source: Inside Surgery - Category: Surgeons Authors: Editor Tags: Cardiology Critical Care Source Type: blogs
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