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Therapeutic Hypothermia After Cardiac Arrest pp 15–24Cite as

Pre-hospital Therapeutic Hypothermia

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Abstract

Mild therapeutic hypothermia (TH) maintained at 32–34°C for 12–24 h has been shown in clinical trials to significantly improve neurological outcomes for patients recovering from out-of-hospital cardiac arrest (OHCA), as reviewed elsewhere in this book [1, 2]. Though guidelines now recommend cooling for all patients who remain comatose after resuscitation from ventricular fibrillation OHCA, the optimal time to initiate a cooling protocol has not been specified. The question of whether it is advantageous and safe for emergency medical services (EMS) personnel to begin TH immediately post-resuscitation in the pre-hospital setting remains controversial [3]. This chapter will review the evidence on pre-hospital TH and propose an operational guide for program development among interested EMS agencies.

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Author information

Authors and Affiliations

  1. Department of Emergency Medicine, Center for Resuscitation Science, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

    Sarah K. Wallace

  2. Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Sarah K. Wallace

  3. Department of Emergency Medicine, Center for Resuscitation Science, University of Pennsylvania, 3400 Spruce Street, Ground Ravdin, Philadelphia, PA, 19104, USA

    Benjamin S. Abella M.D. MPhil

Authors
  1. Sarah K. Wallace
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  2. Benjamin S. Abella M.D. MPhil
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Corresponding author

Correspondence to Benjamin S. Abella M.D. MPhil .

Editor information

Editors and Affiliations

  1. , School of Medicine, University of Connecticut, Hartford, 06102-5037, Connecticut, USA

    Justin B. Lundbye

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© 2012 Springer-Verlag London

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Wallace, S.K., Abella, B.S. (2012). Pre-hospital Therapeutic Hypothermia. In: Lundbye, J. (eds) Therapeutic Hypothermia After Cardiac Arrest. Springer, London. https://doi.org/10.1007/978-1-4471-2951-6_2

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  • DOI: https://doi.org/10.1007/978-1-4471-2951-6_2

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2950-9

  • Online ISBN: 978-1-4471-2951-6

  • eBook Packages: MedicineMedicine (R0)

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