In message <001501c3e420$4154d1b0$940cff3e@ANBVAIO> Alistair Billington <[log in to unmask]> writes:
<SNIP>
>
> I've recently returned from 2 years in Sydney where induced hypothermia
> post ROSC following arrest has become standard treatment based on the
> Melbourne groups papers, however, there hasn't been a RCT. Would this be
> a suitable project, obviously it would have to be very multi-centred to
> get the numbers.
>
> Thanks,
>
> Alistair
>
>
> Mr Alistair Billington MB ChB, MRCS, MFAEM
> SpR A&E, Royal London Hospital
> * [log in to unmask]
> * 07976 267186
Following ILCOR recommendations, we have adopted cooling in post-ROSC in our Trust, approved by the Local Paramedic Steering Committee.
The protocol consists of undressing the patient, switching off the vehicle heaters, opening the windows, switching the extractor fan on to internal vent, placing ice packs to the neck, armpits and groin and administering 1,000mL of 4degree celcius normal saline. Target temp is 32-34 degrees celcius and temp is monitored with digital thermometers.
We are in the process of writing to all our receiving units (ED and ITU) to inform them of the change and have informally discussed with some of our ITU colleagues locally.
Anton
Staffs
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