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This document outlines the policy and procedure for implementing therapeutic hypothermia in patients post-cardiac arrest, including guidelines for cooling and re-warming phases, monitoring, and documentation.
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How to fill out Therapeutic Hypothermia

01
Assess the patient's eligibility for therapeutic hypothermia based on clinical guidelines.
02
Obtain informed consent from the patient or their legal representative.
03
Prepare the equipment needed for cooling, such as cooling blankets or devices.
04
Ensure the patient is hemodynamically stable before initiating hypothermia.
05
Start the cooling process promptly within the recommended time frame post-cardiac arrest.
06
Monitor the patient's core temperature continuously using a reliable thermometer.
07
Maintain the target temperature, usually between 32-34 degrees Celsius, for the prescribed duration (often 24 hours).
08
Gradually rewarm the patient at a controlled rate after achieving the target duration.
09
Continuously monitor the patient for any complications, such as electrolyte imbalances or bleeding.

Who needs Therapeutic Hypothermia?

01
Patients who have experienced out-of-hospital or in-hospital cardiac arrest.
02
Patients who are unconscious and have a return of spontaneous circulation (ROSC) after cardiac arrest.
03
Patients suffering from certain types of strokes, particularly those with ischemic strokes, where hypothermia may be indicated.
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Therapeutic hypothermia occurs in three phases — induction, maintenance, and rewarming. Clinicians must control hypothermia and rewarming to prevent potential adverse effects, such as arrhythmias and skin breakdown during the cold phases (induction and maintenance) and rapid electrolyte shifts during the rewarming phase.
How does it Work? Therapeutic hypothermia works by lowering the body temperature. This lowers the brain's cerebral metabolism, meaning it needs less oxygen to function.
Therapeutic hypothermia is a type of treatment to lower the body temperature. This reduces injury and long-term problems. It's sometimes used for people who have a cardiac arrest. Cardiac arrest happens when the heart suddenly stops beating.
Targeted Temperature Management (TTM) is a controlled therapy in which the patient's body temperature is lowered in order to preserve brain function after a cardiac arrest.
Therapeutic hypothermia is a type of treatment to lower the body temperature. This reduces injury and long-term problems. It's sometimes used for people who have a cardiac arrest. Cardiac arrest happens when the heart suddenly stops beating.
Criteria for Therapeutic Hypothermia Any acute perinatal event that may result in HIE (i.e. abruption placenta, cord prolapse, severe foetal heart rate abnormality.). Cord pH <7.0 or base deficit of 12 or more within 60 minutes of birth.
Depending on the severity of hypothermia, emergency medical care for hypothermia may include one of the following interventions to raise the body temperature: Passive rewarming. For mild hypothermia, covering the person with heated blankets and offering them warm fluids to drink may be enough. Blood rewarming.
Targeted Temperature Management (TTM) is a controlled therapy in which the patient's body temperature is lowered in order to preserve brain function after a cardiac arrest.

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Therapeutic hypothermia is a medical treatment method that involves intentionally lowering a patient's body temperature to help reduce the risk of brain injury following events such as cardiac arrest or traumatic injury.
Healthcare providers and institutions that administer therapeutic hypothermia as part of patient care are typically required to file documentation related to the treatment as part of medical records and compliance with clinical protocols.
Filling out therapeutic hypothermia documentation generally involves recording the patient's baseline temperature, the target temperature, duration of treatment, monitoring parameters, and any associated clinical findings or interventions during the procedure.
The purpose of therapeutic hypothermia is to protect the brain and other organs from damage caused by insufficient blood flow, reduce metabolic rate, and improve outcomes in patients who have suffered from conditions like cardiac arrest.
Information that must be reported includes patient demographics, details of the event leading to hypothermia, pre-treatment and post-treatment neurological assessments, temperature records, duration of hypothermia treatment, and any complications encountered during the procedure.
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