Therapeutic Hypothermia After Cardiac Arrest PDF – Clinical Application and Management
2.40 MB PDF
When I began my role as CICU director at Hartford Hospital in 2006, the hospital had yet to institute a TH protocol, though there had been much discussion and, under the direction of Dr. Jeff Kluger, the framework had been laid. Using the program established at the Hospital of the University of Pennsylvania as a guide, HH treated its first patient in early 2007. As our experience grew, not only did the benefits of TH present themselves to me, but I also became acutely aware of the lack of information on the topic and the necessity of furthering research to make others aware of it as well.
For out of hospital cardiac arrests, the AHA currently recommends TH at Level I for shockable rhythms and Level IIb for nonshockable rhythms. Despite these recommendations, TH is still underutilized in these patient populations, perhaps because of an unfamiliarity and insufficient information on how to initiate it.
The purpose of this book is to provide an evidence based approach to identifying and managing cardiac arrest patients who are appropriate for TH. Aimed at ER physicians and staff, intensivists, mid-level practitioners, nursing staff, and EMS, this comprehensive manual answers the how, why, and when to initiate therapy. It should provide the reader with the necessary tools to design, apply, and successfully manage a TH program at their institution.
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