For which patients does this apply to?
If they are coming around after defibrillation I presume they are not
cooled?
Do you have the original references?
Andy Webster
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of
[log in to unmask]
Sent: 26 January 2004 16:50
To: [log in to unmask]
Subject: Re: Academic Suggestions to HTA
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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