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Review
. 2009 Oct 12:17:53.
doi: 10.1186/1757-7241-17-53.

Prehospital therapeutic hypothermia after cardiac arrest--from current concepts to a future standard

Antti Kämäräinen  1 , Sanna Hoppu, Tom Silfvast, Ilkka Virkkunen
Affiliations
Review

Prehospital therapeutic hypothermia after cardiac arrest--from current concepts to a future standard

Antti Kämäräinen et al. Scand J Trauma Resusc Emerg Med. .

Abstract

Therapeutic hypothermia has been shown to improve survival and neurological outcome after prehospital cardiac arrest. Existing experimental and clinical evidence supports the notion that delayed cooling results in lesser benefit compared to early induction of mild hypothermia soon after return of spontaneous circulation. Therefore a practical approach would be to initiate cooling already in the prehospital setting. The purpose of this review was to evaluate current clinical studies on prehospital induction of mild hypothermia after cardiac arrest. Most reported studies present data on cooling rates, safety and feasibility of different methods, but are inconclusive as regarding to outcome effects.

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Figures

Figure 1
Figure 1
All you need is this. Prehospital induction of therapeutic hypothermia with infusion of ice-cold fluid. Small picture: a biphasic defibrillator/monitor with a temperature probe and ice cold fluids in a medical refrigeration box.
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