Air Medical Journal
Volume 28, Issue 3 , Pages 154-157 , May 2009

Cold Hearts: A Case Study of Therapeutic Hypothermia in Helicopter Emergency Medical Services (HEMS)

  • Peter Tilney, DO, CCEMT-P

      Affiliations

    • Department of Emergency Medicine, Albany Medical Center, Albany, NY
    • Corresponding Author InformationAddress for correspondence: Peter V.R. Tilney, DO, CCEMT-P, 154 Center Cambridge Rd, Valley Falls, NY 12185;
    • ,
  • Kevin Kendall, MD, FACEP

      Affiliations

    • Department of Emergency Medicine, Central Maine Medical Center and LifeFlight of Maine, Lewiston, ME

References 

  1. Ravitch MM , Lane R , Safar P , Steichen FM , Knowles P . Lighting stroke: Recovery following cardiac massage and prolonged artificial respiration . N Engl J Med . 1961;264:36–38
  2. Rosomoff HL . Management of the comatose patient . In:  Safar P editors. Respiratory therapy . Philadelphia: FA Davis; 1965;p. 243–258
  3. Safar P . On the history of modern resuscitation . Crit Care Med . 1996;24(suppl):503–511
  4. Safar P . Resuscitation from clinical death: Pathophysiologic limits and therapeutic potentials . Crit Care Med . 1988;16:923–941
  5. Safar P , Stezoski W , Nemoto EM . Amelioration of brain damage after 12 minutes of cardiac arrest in dogs . Arch Neurol . 1976;33:91–95
  6. Safar P , Xiao F , Radovsky A , Tanigawa K , Ebmeyer U , Bircher N , et al.   Improved cerebral resuscitation from cardiac care in dogs with mild hypothermia plus blood flow promotion . Stroke . 1996;27:105–113
  7. Sterz F , Safar P , Tisherman S , Radovsky A , Kuboyama K , Oku K . Mild hypothermic cardiopulmonary resuscitation improves outcomes in prolonged cardiac arrest in dogs . Crit Care Med . 1991;19:379–389
  8. Felberg RA , Krieger DW , Chuang R , Persse DE , Burgin WS , Hickenbottom SL , et al.   Hypothermia after cardiac arrest . Circulation . 2001;104:1799–1804
  9. Bernard S , Gray TW , Buist MD , Jones BM , Silvester W , Gutteridge G , et al.   Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia . N Engl J Med . 2002;346:557–563
  10. The Hypothermia after Cardiac Arrest Study Group  . Mild therapeutic hypothermia to improve neurologic outcome after cardiac arrest . N Engl J Med . 2002;346:549–556
  11. Safar P , Kochanek PM . Therapeutic hypothermia after cardiac arrest [Editorial] . N Engl J Med . 2002;346:612–613
  12. Bernard S , Buist M , Monteiro O , Smith K . Induced hypothermia using large volume, ice cold IV fluid in comatose survivors of out-of-hospital cardiac arrest: A preliminary report . Resuscitation . 2003;56:9–13
  13. Kim F , Olsufka M , Longstreth WT , Maynard C , Carlbom D , Deem S , et al.   Pilot randomized clinical trial of pre-hospital induction of mild hypothermia in out-of-hospital cardiac arrest patients with a rapid infusion of 4 degrees Celsius normal saline . Circulation . 2007;115:3064–3070
  14. Oddo M , Schaller MD , Feihl F , Ribordy V , Liaudet L , et al.   From evidence to clinical practice: Effective implementation of therapeutic hypothermia to improve patient outcome after cardiac arrest . Crit Care Med . 2006;34:1865–1873
  15. Scott BD , Hogue T , Fixley MS , Adamson PB . Induced hypothermia following out-of-hospital cardiac arrest: initial experience in a community hospital . Clin Cardiol . 2006;29:525–529

PII: S1067-991X(08)00296-4

doi: 10.1016/j.amj.2008.12.007

Air Medical Journal
Volume 28, Issue 3 , Pages 154-157 , May 2009

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