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This protocol outlines the approach for instituting immediate mild hypothermia in patients presenting in coma following cardiac arrest, detailing eligibility criteria, procedural steps, and monitoring
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How to fill out ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL
01
Confirm eligibility of the patient based on clinical criteria.
02
Obtain informed consent from the patient or their legal representative.
03
Prepare the hypothermia equipment and ensure proper functioning.
04
Initiate cooling process within the recommended time frame post-cardiac arrest or stroke.
05
Monitor core temperature continuously using a reliable method.
06
Adjust cooling techniques as necessary to maintain target temperature.
07
Conduct regular assessments for potential complications.
08
Slowly rewarm the patient as per protocol guidelines after the cooling period.
09
Document all interventions and patient responses throughout the process.
Who needs ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL?
01
Patients who have suffered a cardiac arrest with a non-shockable rhythm.
02
Patients with a comatose state post-cardiac arrest.
03
Patients undergoing treatment for certain types of severe stroke.
04
Patients where therapeutic hypothermia has been deemed clinically appropriate by healthcare providers.
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What are the criteria for therapeutic hypothermia?
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.
What are the guidelines for therapeutic hypothermia?
Therapeutic hypothermia should last 72 hours, followed by rewarming at 0.5 °C/hour. [29] Passive rewarming will continue for 4 hours in SHC or 6 hours in WBC.
What are the guidelines for hypothermia?
Hypothermia management focuses on quick rewarming and preventing further heat loss, ensuring that the airway, breathing, and circulation are adequately and promptly addressed. Wet clothing should be immediately removed and replaced with dry clothing or insulation.
What are the therapeutic procedures for hypothermia?
The provider may use cooling blankets, ice packs, or cooling pads to bring the body temperature down. The goal is to cool as quickly as possible. Another cooling choice is internal cooling. That's when chilled fluids are given through an IV (intravenous) line into your bloodstream.
What is the guideline for therapeutic hypothermia?
Therapeutic hypothermia should last 72 hours, followed by rewarming at 0.5 °C/hour. [29] Passive rewarming will continue for 4 hours in SHC or 6 hours in WBC.
What are the protocols for TTM?
The goal is to achieve a core temperature of 32 to 34 degrees Celsius as soon as possible, maintain this temperature for 12 to 24 hours, and then rewarm at a controlled rate of 0.2 to 0.5 C/hour.
What are the protocols for TTM?
The goal is to achieve a core temperature of 32 to 34 degrees Celsius as soon as possible, maintain this temperature for 12 to 24 hours, and then rewarm at a controlled rate of 0.2 to 0.5 C/hour.
What are the rules for TTM in ACLS?
(TTM) Targeted Temperature Management The optimum temperature for therapeutic hypothermia is 32-36 ° C (89.6 to 96.8 ° F). A single target temperature, within this range, should be selected, achieved, and maintained for at least 24 hours.
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What is ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL?
ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL is a medical protocol designed to manage patients who have suffered from cardiac arrest or specific neurological injuries by lowering their body temperature to reduce metabolic demands and ischemic injury.
Who is required to file ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL?
Healthcare providers involved in the care of patients undergoing therapeutic hypothermia, such as emergency medical technicians, nurses, and physicians, are required to file the ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL.
How to fill out ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL?
To fill out the ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL, clinicians should follow the predefined steps outlined in the protocol documentation, which typically includes patient assessment data, timing of interventions, temperature monitoring, and relevant medication administration.
What is the purpose of ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL?
The purpose of the ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL is to provide structured guidelines for initiating and maintaining therapeutic hypothermia in adult patients, aiming to improve neurological outcomes after cardiac arrest or specific brain injuries.
What information must be reported on ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL?
The information that must be reported on the ADULT THERAPEUTIC HYPOTHERMIA PROTOCOL includes patient demographics, medical history, vital signs, administered treatments, core temperature readings, duration of hypothermia, and any complications or patient responses throughout the process.
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