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Studies have shown that therapeutic hypothermia (TH) improves outcomes in patients who have experienced a cardiac arrest (Bernard et al., 2002; Hypothermia After Cardiac Arrest Study Group, 2002). This article discusses TH and the process used by one emergency department to develop and implement an evidence-based protocol on TH for the postresuscitation patient. Key words: cardiac arrest, hypothermia, induced hypothermia, therapeutic hypothermia ment a protocol for TH in the postresuscitated HERAPEUTIC HYPOTHERMIA (TH) is patient. The primary sponsors of the proto- not a new concept. It has been tri- T col were the ED clinical nurse specialist and aled in patients with various diagnoses the ED medical director. Ad hoc consultants and trialed in various methods in an effort to improve patient outcomes. For the last 6– included ED nurses, physicians, and the med- 7 years, the literature has addressed using hy- ical director of critical care. pothermia for patients after cardiac arrest. Northwest Community Hospital (NCH) sees HISTORY OF THERAPEUTIC HYPOTHERMIA approximately 71,000 patients in the emer- gency department (ED) per year. Of these In 1803, Russians attempted to use hypother- patients, approximately 12–13 patients per mia therapeutically when they covered pa- month arrive to the ED in
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Oct 1, 2008
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