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This document outlines the protocol for administering therapeutic hypothermia for adults who are comatose after cardiac arrest. It includes inclusion and exclusion criteria, pre-hypothermia and induction
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How to fill out Adult Hypothermia After Cardiac Arrest Protocol

01
Ensure the patient is stable and has been declared medically dead before initiating the protocol.
02
Use appropriate cooling devices, such as cooling blankets or ice packs, to lower the patient's core body temperature.
03
Monitor the patient's temperature continuously with a reliable thermometer.
04
Maintain a target temperature range of 32-34°C (89.6-93.2°F) for a minimum of 24 hours.
05
Regularly check vital signs and neurological status throughout the cooling process.
06
If applicable, administer sedatives and paralytics to manage shivering and discomfort.
07
After 24 hours of cooling, gradually rewarm the patient to normal body temperature over several hours.
08
Continue monitoring for any complications, such as cardiac arrhythmias or coagulopathy.

Who needs Adult Hypothermia After Cardiac Arrest Protocol?

01
Patients who have experienced a cardiac arrest and were successfully resuscitated.
02
Individuals with a high risk of hypoxic-ischemic brain injury following cardiac arrest.
03
Patients in whom preserving neurological function is critical for recovery.
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This is a 4 phase, 72 hour protocol of strict temperature control, during which the patient will be cooled to target temperature (33⁰C) WITHIN 4 HOURS of return of spontaneous circulation (ROSC), maintained at 33⁰C for 24 hours, gradually rewarmed at 0.25⁰C/hr to 37.0⁰C, then maintained at 37.0⁰C for the remainder of
Targeted Temperature Management means "manipulating body temperature for a given therapeutic goal." TTM therapy intentionally lower's a patient's body temperature for 24 hours to around 91°F, or in other cases 97°F (normal body temperature is about 98.6°F).
Cardiac arrest happens when the heart suddenly stops beating. Once the heart starts beating again, healthcare providers use cooling devices to lower your body temperature for a short time. It's lowered to around 89°F to 96°F (32°C to 36°C). The treatment usually lasts about 24 hours.
Comatose (ie, lack of meaningful response to verbal commands) adult patients with ROSC after out-of-hospital VF cardiac arrest should be cooled to 32°C–34°C (89.6°F–93.2°F) for 12 to 24 h (Class I; Level of Evidence: B).
Hypothermic cardiac arrest patients should receive continuous CPR during transfer. Chest compression and ventilation rate should not be different to CPR in normothermic patients. Consider the use of a mechanical chest compression device if prolonged CPR is needed.
Comatose (ie, lack of meaningful response to verbal commands) adult patients with ROSC after out-of-hospital VF cardiac arrest should be cooled to 32°C–34°C (89.6°F–93.2°F) for 12 to 24 h (Class I; Level of Evidence: B).
Hypothermic cardiac arrest patients should receive continuous CPR during transfer. Chest compression and ventilation rate should not be different to CPR in normothermic patients. Consider the use of a mechanical chest compression device if prolonged CPR is needed.

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The Adult Hypothermia After Cardiac Arrest Protocol is a set of guidelines designed to manage patients who have experienced cardiac arrest, with a focus on inducing hypothermia to improve neurological outcomes.
Healthcare providers involved in the care of patients post-cardiac arrest, including emergency medical services (EMS) personnel and hospital staff, are required to file the Adult Hypothermia After Cardiac Arrest Protocol.
To fill out the protocol, healthcare providers must document patient information, the time of cardiac arrest, the initiation of hypothermia, vital signs, and any interventions performed according to the protocol.
The purpose of the Adult Hypothermia After Cardiac Arrest Protocol is to standardize the management of post-cardiac arrest patients to increase survival rates and improve neurological recovery through the controlled induction of hypothermia.
The information that must be reported includes patient demographics, cardiac arrest details, resuscitation efforts, hypothermia initiation and duration, neurological assessments, and any complications or outcomes.
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