Targeted temperature management in emergency medicine: current perspectives

Benton R Hunter,1 Timothy J Ellender1,2 1Department of Emergency Medicine, 2Department of Critical Care Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA Abstract: Landmark trials in 2002 showed that therapeutic hypothermia (TH) after out-of-hospital cardiac...

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Main Authors: Hunter BR, Ellender TJ
Format: Article
Language:English
Published: Dove Medical Press 2015-09-01
Series:Open Access Emergency Medicine
Online Access:https://www.dovepress.com/targeted-temperature-management-in-emergency-medicine-current-perspect-peer-reviewed-article-OAEM
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author Hunter BR
Ellender TJ
author_facet Hunter BR
Ellender TJ
author_sort Hunter BR
collection DOAJ
description Benton R Hunter,1 Timothy J Ellender1,2 1Department of Emergency Medicine, 2Department of Critical Care Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA Abstract: Landmark trials in 2002 showed that therapeutic hypothermia (TH) after out-of-hospital cardiac arrest due to ventricular tachycardia or ventricular fibrillation resulted in improved likelihood of good neurologic recovery compared to standard care without TH. Since that time, TH has been frequently instituted in a wide range of cardiac arrest patients regardless of initial heart rhythm. Recent evidence has evaluated how, when, and to what degree TH should be instituted in cardiac arrest victims. We outline early evidence, as well as recent trials, regarding the use of TH or targeted temperature management in these patients. We also provide evidence-based suggestions for the institution of targeted temperature management/TH in a variety of emergency medicine settings. Keywords: therapeutic hypothermia, cardiac arrest, heart arrest
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spelling doaj.art-a8e0be599b3840f2865a0fb904f2ae262022-12-21T23:49:45ZengDove Medical PressOpen Access Emergency Medicine1179-15002015-09-012015default697723858Targeted temperature management in emergency medicine: current perspectivesHunter BREllender TJBenton R Hunter,1 Timothy J Ellender1,2 1Department of Emergency Medicine, 2Department of Critical Care Medicine, Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA Abstract: Landmark trials in 2002 showed that therapeutic hypothermia (TH) after out-of-hospital cardiac arrest due to ventricular tachycardia or ventricular fibrillation resulted in improved likelihood of good neurologic recovery compared to standard care without TH. Since that time, TH has been frequently instituted in a wide range of cardiac arrest patients regardless of initial heart rhythm. Recent evidence has evaluated how, when, and to what degree TH should be instituted in cardiac arrest victims. We outline early evidence, as well as recent trials, regarding the use of TH or targeted temperature management in these patients. We also provide evidence-based suggestions for the institution of targeted temperature management/TH in a variety of emergency medicine settings. Keywords: therapeutic hypothermia, cardiac arrest, heart arresthttps://www.dovepress.com/targeted-temperature-management-in-emergency-medicine-current-perspect-peer-reviewed-article-OAEM
spellingShingle Hunter BR
Ellender TJ
Targeted temperature management in emergency medicine: current perspectives
Open Access Emergency Medicine
title Targeted temperature management in emergency medicine: current perspectives
title_full Targeted temperature management in emergency medicine: current perspectives
title_fullStr Targeted temperature management in emergency medicine: current perspectives
title_full_unstemmed Targeted temperature management in emergency medicine: current perspectives
title_short Targeted temperature management in emergency medicine: current perspectives
title_sort targeted temperature management in emergency medicine current perspectives
url https://www.dovepress.com/targeted-temperature-management-in-emergency-medicine-current-perspect-peer-reviewed-article-OAEM
work_keys_str_mv AT hunterbr targetedtemperaturemanagementinemergencymedicinecurrentperspectives
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