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 …
JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest. Read More »
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. …
European Resuscitation Council meeting: Slovenia 2019. St Emlyn’s Read More »
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 …
JC: Hypothermia in brain injury: The POLAR trial. St Emlyn’s. Read More »
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 …
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 …
JC. Pre-hospital therapeutic hypothermia: The RINSE trial. St.Emlyn’s Read More »
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, …
JC: Getting Chilly Quickly 4. Doing It For The Kids Read More »
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 …
JC: Getting Chilly Quickly 3. Hypothermia at St.Emlyn’s Read More »
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 …
JC: What’s the target temperature for OOHCA cooling. St.Emlyn’s Read More »
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 …
Getting Chilly Quickly 2…. Early hypothermia for ROSC? Read More »
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 …