Tag: hypothermia
JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest.
A quick update on an TTM2 trial published in the NEJM last month. As part of the chain of survival it’s important to optimise the post resuscitation phase, primarily to preserve neurological function as this …
European Resuscitation Council meeting: Slovenia 2019. St Emlyn’s
This month I was lucky enough to be invited to speak in Slovenia at the European Resus Council meeting. It was a super place to visit and a wonderful conference. The theme of the conference …
JC: Hypothermia in brain injury: The POLAR trial. St Emlyn’s.
Paradoxically hypothermia has been a ‘hot’ topic in emergency medicine and critical care for many years. There is good laboratory, animal and pathophysiological data to suggest that it should be neuro-protective in a broad range …
Hypothermia in status epilepticus. St.Emlyn’s
It seems as though hypothermia is the therapy that never quite gets there. The Targeted Temperature Management1,2 trial showed no benefit post ROSC and the RINSE trial 3,4 showed no benefit before ROSC. We’ve also …
JC. Pre-hospital therapeutic hypothermia: The RINSE trial. St.Emlyn’s
This week we look at the RINSE trial1, a trial examining the prehospital use of hypothermia in post cardiac arrest patients. Therapeutic hypothermia has had a bit of a rollercoaster ride over the last few …
JC: Getting Chilly Quickly 4. Doing It For The Kids
We have looked at therapeutic hypothermia not once, not twice, but three times already here at St Emlyn’s; most of our ED consultants also work, at least some of the time, down the long corridor in …
JC: Getting Chilly Quickly 3. Hypothermia at St.Emlyn’s
In a rather strange co-incidence two articles landed on my desk this soggy Sunday morning. Firstly we have an RCT of intra-arrest therapeutic hypothermia published in Intensive Care Medicine. Secondly we have the ‘cool car‘. …
JC: What’s the target temperature for OOHCA cooling. St.Emlyn’s
Many thanks to the twitter FOAMites for alerting us to an online first paper in the NEJM on the use of therapeutic hypothermia post cardiac arrest. If you’ve followed St.Emlyn’s for any time then you …
Getting Chilly Quickly 2…. Early hypothermia for ROSC?
By now, we all are thoroughly convinced as to the benefit of therapeutic hypothermia after cardiac arrest. (if you don’t do this in your hospital, you really should not be seeing OOHCA patients….). In addition, the …
Getting Chilly Quickly at St.Emlyn’s
I was having a chat with one of my Cardiac anaesthetist chums the other day about ‘stuff’ and in particular some of the rather interesting work appearing in the literature around the use of ECMO …
